本文選題：妄想 + 效度��； 參考：《浙江大學(xué)》2014年碩士論文

【摘要】：研究目的：引進妄想特質(zhì)評定量表(CDRS),并分析其評估妄想癥狀的效度和信度。運用CDRS評估精神分裂癥患者治療后妄想癥狀的變化情況,以進一步考察CDRS在臨床測評妄想癥狀的有效性。 研究方法：經(jīng)原作者授權(quán),將英文版CDRS經(jīng)過翻譯和回譯后確定中文版(C-CDRS)。選取符合國際疾病分類手冊第10版(ICD-10)精神分裂癥診斷標(biāo)準(zhǔn),存在妄想癥狀的患者137例,完成C-CDRS評定,對數(shù)據(jù)進行探索性因素分析和內(nèi)部一致性檢驗；同時評定陽性與陰性癥狀量表(PANSS),檢驗效標(biāo)效度。73例患者間隔1周后重復(fù)評定C-CDRS,檢驗量表的重測信度。40例患者在治療4周后復(fù)評C-CDRS和PANSS,檢測C-CDRS測評妄想癥狀的有效性。 研究結(jié)果：C-CDRS共有11個條目,探索性因素分析提取到認知,情感和怪異性3個公因子。認知因子包括確信程度、關(guān)注程度、干擾程度、解體程度、向他人求證的程度和干擾程度；情感因子包括抵抗程度、導(dǎo)致?lián)鷳n的程度、導(dǎo)致不愉快的程度；怪異性因子包括荒謬程度、不言而喻的程度。3個公因子對方差的累計貢獻率為76.45%；C-CDRS總分及3個因子均與PANSS妄想條目分呈正相關(guān)(r=0.84、0.88、0.69、0.66,均P0.01);與PANSS陽性癥狀分正相關(guān)(r=0.67、0.70、0.57、0.63,均P0.01);C-CDRS總分與PANSS總分正相關(guān)(r=0.58,P0.01)。C-CDRS總分的Cronbach a系數(shù)為0.83,3個公因子的Cronbach a系數(shù)分別為0.84、0.77、0.78；73例患者在1周后再次測評C-CDRS,檢驗C-CDRS的重測信度。本研究中C-CDRS總量表的重測相關(guān)系數(shù)為0.85,3個公因子的重測相關(guān)系數(shù)分別為0.86、0.82、0.83,11個條目的重測相關(guān)系數(shù)在0.76-0.92之間(均P0.01)。40例患者在綜合治療4周后再次評定C-CDRS和PANSS, C-CDRS總分值由(76.32±7.79)降到(41.28±3.82),PANSS總分值由(84.35±9.13)降到(42.67±5.74),C-CDRS減分值與PANSS減分值呈顯著性正相關(guān),其Pearson相關(guān)系數(shù)為0.82(P0.01)。 研究結(jié)論：妄想特質(zhì)評定量表中文版的效信度符合心理測量學(xué)要求,可以用于研究工作中精神分裂癥患者妄想障礙的評估。能夠有效評估妄想癥狀在治療前后的差異。
[Abstract]:Objective: to investigate the validity and reliability of the delusional trait rating scale (CDRS). To evaluate the efficacy of CDRS in clinical evaluation of delusional symptoms in patients with schizophrenia, the changes of delusion symptoms after treatment were evaluated by CDRS. Methods: the Chinese version (C-CDRS) of the English version was confirmed by the authorisation of the original author. 137 patients with delusional symptoms in accordance with the 10th edition of International Classification of Diseases Manual (ICD-10) were selected to complete the C-CDRS evaluation. The data were analyzed by exploratory factor analysis and internal consistency test. The positive and negative symptom scale (PANSS) was evaluated simultaneously, the validity of the test was measured in 73 patients, and the C-CDRSs were repeatedly evaluated after 1 week interval. The test-retest reliability of the scale was measured in 40 patients after 4 weeks of treatment, and the validity of C-CDRS and PANSSS were tested. The results showed that there were 11 items in C-CDRS. Exploratory factor analysis extracted 3 common factors: cognition, emotion and weirdness. Cognitive factors include degree of assurance, degree of concern, degree of interference, degree of disintegration, degree of seeking proof from others and degree of interference; emotional factors include degree of resistance, degree of worry, degree of unhappiness; Weird factors include absurd degree, self-evident degree. The cumulative contribution rate of the difference of three common factors is 76.45; The total score and three factors of C-CDRS were positively correlated with PANSS delusion item score (r ~ 0.84 ~ 0.8880.69 ~ 0.66, P ~ (0.01), and with PANSS positive symptom score (r ~ (0.670) 0.70 ~ 0.570 ~ 0.63, all P ~ (0.01). The Cronbach _ a coefficient of three common factors were 0.843 ~ 0.777 ~ 0.78, respectively (r _ 0. 58 / P _ (0.01) and the Cronbach _ a coefficient of three common factors were 0.843 ~ 0.77 ~ (0.78), respectively (r ~ (0.58) P _ (0.01) and the Cronbach _ a coefficient of three common factors were 0.843 ~ 0.77 ~ (0.78) ~ 0.78 (r ~ (0.58) P _ (0.01), respectively. After 1 week, 73 patients were tested again for the retest reliability of C-CDRS. In this study, the retest correlation coefficient of C-CDRS table was 0.85, the retest correlation coefficient of 3 common factors was 0.86 / 0.82 / 0.83 respectively, and the retest correlation coefficient of 11 items was 0.76-0.92 (all P0.01) .40 patients were re-evaluated with C-CDRS and PANSS after 4 weeks of comprehensive treatment, and the total score of C-CDRS was estimated again. The total score of PANSS decreased from (76.32 鹵7.79) to (41.28 鹵3.82) from (84.35 鹵9.13) to (42.67 鹵5.74). The Pearson correlation coefficient was 0.82 (P0.01). Conclusion: the validity and reliability of the Chinese version of the delusional trait rating scale meet the requirements of psychometrics and can be used in the evaluation of delusion disorder in schizophrenic patients. It can effectively evaluate the difference of delusional symptoms before and after treatment.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R749.3

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1 孫裕勇;妄想特質(zhì)評定量表中文版評估精神分裂癥妄想的效度和信度[D];浙江大學(xué);2014年

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本文編號：2111481