躯体化症状自评量表的初步编制及信度和效度研究.pdf

生华行为医学与脑盟主主志 2010 年9 月第 19 卷第9 期 Chin I Behav Med Brain Sci ,September 2010. Vol. 19 .No. 9 .847. ·心理行为评估· 躯体化症状自评量表的初步编制 及信度和效度研究 庄琦毛家亮李春波何奔 [摘要】 目的对躯体化症状自评量表(Somatic Self-rating sc址，SSS) 进行信度和效度检验。方法 整群抽取某三甲综合医院各科门诊患者589 名、住院患者64 名，采用 sss 量表进行评测，同时完成Zun萨 量表评测以检验校标效度，随机抽取24 名患者在未服用抗焦虑抑郁药物的情况下2 周后进行重测以检验 重测信度。结果 SSS 量表重测信度O. 96(P0. 01) ，其内部一致性 Cronbach sα 系数0.89。总分与各因 子的相关系数在0.76 -0.88 之间，各因子间相关系数在0.56-0.70 之间。验证性因素分析的指标:CFI = 2 O. 890 ,NFI =0. 856 ,RFI =0. 816 ,IFI =0.891 ，咀.1 =0.859 X Idf =3. 67. REMEA =0. 助4 ，各条自对因子负荷 系数在0.427 -0.732 之间。 SSS 总分与焦虑自评量表和抑郁自评量表的相关系数在0.74 -0. 80 之间，各 因子分与焦虑、抑郁自评量表的相关系数在0.55 -0.74 之间。 ROC 曲线下面积 AUC =0.841 。结论 躯 体化症状自评量表具奋较好的信度和效度，可应用于综合医院，患者心理症状的筛查。 【关键词} 综合性医院; 躯体化症状自评量表; 信度; 效度 Developing of somatic self-ra伽g 部a1e and its reliab出ty and validity ZHUANG Qi ,MAO Jia-lia晤， UChun­ bo •HE Ben. Shanghai Jiootong Unit晴rsity Medical College Renji H。再， pital Cardiology De，严rtment.Sha暗hai2ω127， China [Abstract] 0均创伽e To assess the 时iability and validity of the Somatic Self-rating Scale( SSS) . Me出­ ods The sample ωnsisted of 589 outpatients and 64 inpatients , which all the patients completed Zung s Scales at the same time to test criterion validity of the SSS. And 24 inpatients were selected randomly to take a retest after two weeks without antidepressant treatment. Result The test-陀test reliability of the SSS w臼 O. 96 and the Cron- hach sαcoefficients w描0.89. The correlation coefficients of the four factors with the total scale 配ore ranged from 0.76 to O. 锢， the ωrrelation coefficients of the four factors ranged from O. 56 to O. 70. The confirmatory factor a- nalysis showed that the fit index for GFI , NFI. NNFI , CFI , IFI were all approaching O. 9 ,REMEA = 0.064 ，矿Idf =3.67.ηle factor loadings ranged from 0.427 to 0.732. Corr