摘要
目的对躯体不适综合征(BDS)检查表中文版在综合医院门诊患者中的信度及效度进行检验分析。方法采取方便抽样的方法,抽选综合医院患者380例进行问卷自评。以Cronbach′sα系数评价BDS检查表的内部一致性;以Spearman′s相关系数评价BDS检查表各条目与分量表得分及总分之间的相关性;采用主成分分析法结合探索性因子分析BDS检查表的结构效度;通过计算BDS检查表与患者健康问卷躯体症状群量表(PHQ-15)、躯体化症状自评表-8(SSS-8)间的Pearson相关系数评价其平行效度,与患者健康问卷抑郁症状群量表(PHQ-9)、广泛性焦虑障碍问卷-7(GAD-7)、Whiteley量表-8(WI-8)等量表间的Pearson相关系数评价其区分效度。结果收回有效问卷369份;BDS检查表总的Cronbach′sα为0.919;各条目与总分的Spearman′s相关系数为0.390~0.708(P<0.001),各分量表与总分的Spearman′s相关系数为0.719~0.845(P<0.001);探索型因子分析共确认出4个因子;BDS检查表与PHQ-15、SSS-8、PHQ-9、GAD-7、WI-8量表间的Pearson相关系数分别为0.739、0.812、0.609、0.594、0.625(均P<0.001)。结论BDS检查表中文版在综合医院门诊受试者中具有较好的信度及效度。
Objective To test the reliability and validity of Chinese version of Bodily Distress Syndrome Checklist(BDS Checklist)in Chinese patients.Method A total of 380 patients who visited their doctors in Huaxi Hospital in China were recruited into the study through a convenience sampling.The internal consistency of BDS Checklist was analyzed with Cronbach′sαand the convergence of BDS Checklist was measured with Spearman′s r.Principal component analysis(PFA)and exploratory factor analysis(EFA)were conducted to explorethe structural validity of BDS Checklist.Pearson correlation coefficients(PCCs)were calculated to test the discrimination validity(vs.Patient Health Questionaire-9(PHQ-9),Generalized Anxiety Disorder-7(GAD-7)and Whiteley-8 Scale(WI-8))and the convergent validity(vs.Patient Health Questionaire-15(PHQ-15)and Somatic Symptom Scale-8(SSS-8)).Result 369 questionnaire sets were included in the final analysis.The Cronbach′sαof the BDS Checklist was 0.919;Spearman′s correlation coefficients(SCCs)between the individual item and the total score were within 0.390~0.708(P<0.001);SCCs between the each subscale and the total score were within 0.719~0.845(P<0.001);4 factors were identified by the EFA.The PCCs between BDS Checklist and PHQ-15,SSS-8,PHQ-9,GAD-7,WI-8 were 0.739,0.812,0.609,0.594 and 0.625 accordingly(P<0.001 for all).Conclusion BDS checklist may have pretty high reliability and validity in Chinese patients in the general hospitals in China.
作者
黄明金
陈然
张岚
Huang Mingjin;Chen Ran;Zhang Lan(Mental Health Center,West China Hospital,Sichuan University,Chengdu 610041,China)
出处
《中华精神科杂志》
CAS
CSCD
北大核心
2019年第6期393-397,共5页
Chinese Journal of Psychiatry
基金
国家自然科学基金委中德科学中心课题:中德多重躯体症状研究(GZ1155)
四川省科技厅重点研发项目:躯体症状障碍诊疗关键技术与方案研究(2017SZ0050)。
关键词
躯体型障碍
躯体症状障碍
可重复性
结果
Somatoform disorders
Somatic symptom disorder
Reproducibility of results
