摘要
背景:目前国内尚无有关儿童焦虑障碍评估量表的中国常模。制定儿童焦虑障碍筛查表的中国城市常模对于评估中国城市儿童焦虑性障碍,辅助临床诊断、科研及流行病学调查提供筛查工具具有实用意义。目的:建立儿童焦虑性情绪障碍筛查表(SCARED)的中国城市常模并检验其信度和效度。设计:2001-10/2002-04以全国14个城市的小学2年级至初中年级的学生以及长沙市、山东大学、深圳市儿童心理门诊的焦虑障碍儿童为研究对象的抽样调查。单位:一所省级精神专科医院的精神科。对象:2001-10/2002-04在全国14个大中城市抽样,样本来自北京市、天津市二个直辖市及华北(太原市)、东北(四平市),华中(武汉市、长沙市),西北(西安市),华南(深圳市),西南(绵阳市),华东(山东大学、福州市、宜春市)6个行政区采样2019名(男1012名,女1007名),平均年龄(11±2)岁,由学生及其父母分别填写SCARED,组成常模组。同期在长沙、济南、深圳儿童心理门诊收集焦虑障碍儿童90名,组成焦虑组。方法:在课堂上由主试者宣读指导语,学生填好后当堂回收,并带一份儿童焦虑性情绪障碍筛查表父母问卷请家长填写。同时在长沙市请家长填写CBCL,儿童填写PHCSS。检验SCARED的信度和效度。主要观察指标:SCARED的信度和效度。结果:SCARED的重测信度为0.567～0.608,半分?
BACKGROUND:In China there is no norm to assess anxiety disorders in children.T he Chinese urban norm for screening child anxiety related emotional disorders i s applicable to assessing anxiety problem in Chinese children and assisting clin ical diagnosis,research and epidemiological investigation. OBJECTIVE:To develop the norm for screening child anxiety related emotional d isorders(SCARED) in Chinese cities,and test the reliability and validity of this scale. DESIGN:A sampling survey taking the students of Grade 2 and up in elementary s chools and junior middle schools in 14 big and medium sized cities in China and children with anxiety disorders who visited children's mental clinics in Changs ha,Jinan and Shenzhen cities from October 2001 to April 2002,as the subjects. SETTING:The psychiatric department of a provincial specialized mental hospital . PARTICIPANTS:A total of 2 019 subjects(1 012 males and 1 007 females) with the mean age of(11±2) years old were selected from 14 cities in China(Beijing,Tian jin,Taiyuan,Siping,Wuhan, Changsha,Xi'an,Shenzhen,Mianyang,Jinan,Fuzhou and Yich un) from October 2001 to April 2002.The students and their parents(norm group) f illed in SCARED,and meanwhile,90 children with anxiety disorders who visited chi ldren's mental clinics in Changsha, Jinan and Shenzhen were taken as anxiety gro up. INTERVENTIONS:The children completed one copy of SCARED in the classroom durin g regular classes after informed consent was obtained, and then the questionnair es were collected on the spot. Another copy of SCARED was taken home by the chil dren to be completed by the parents.Meanwhile,in Changsha,the parents filled in the child behavior checklist(CBCL) while their children completed the Piers Har ris children's self concept scale(PHCSS).The reliability and validity of SCARED were determined. MAIN OUTCOME MEASURES:Reliability and validity of SCARED. RESULTS:The test retest coefficients of SCARED ranged from 0.567 to 0.608,spl it reliability of SCARED was 0.88,and Cronbach alpha(α) coefficients were 0.43 to 0.89,with good reliability. Significant correlations were found between the t otal scores and anxiety indexes of SCARED and Achenbach CBCL(r=0.564,0.603,P< 0. 05).The children in anxiety group scored higher in SCARED than those in norm gro up(t=8.06 to 12.89,P=0.000). Sensitivity and specificity of diagnosis of anxiety disorder were 0.74 and 0.79,respectively. CONCLUSION:The reliability and validity of SCARED are good, suggesting that th e norm is applicable to assessing anxiety disorders in Chinese children.
出处
《中国临床康复》
CSCD
北大核心
2005年第4期254-256,共3页
Chinese Journal of Clinical Rehabilitation
