首页|抑郁症中西医结合量表的修订与信度、效度检验

抑郁症中西医结合量表的修订与信度、效度检验

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目的 完善抑郁症中西医结合量表及其信度、效度检验.方法 对2020年6月至2022年5月上海市精神卫生中心、浙江省立同德医院的门诊及住院的702例抑郁症患者测试后对结果进行信效度检验,其中210例患者以汉密尔顿抑郁量表为校标进行信效度检验.结果 中西医结合抑郁症量表评价体系由43个评价项目组成,分为肝郁脾虚、肝郁气滞、肝胆湿热、心脾两虚、肾虚肝郁5个因子.中西医结合抑郁症量化评估系统因子重测相关系数为0.725~0.883,总量表内部一致性Cronbach's a系数为0.827.每个评估条目评分者信度Kappa系数为0.625~0.935(P<0.01);效标效度量表总分与汉密尔顿抑郁量表总分呈正相关(r=0.407,P<0.01),因子分析结果5个因子与设计的结果大体一致,累计贡献率为39.18%.结论 本研究中的抑郁症中西医结合量表具有良好的信度、效度,在临床上具有可操作性和实用性.
Evaluation and reliability validity test of integrated traditional Chinese and western medicine rating scale of depression
Objective To improve the integrated traditional Chinese and western medicine rating scale of depression and its reliability and validity.Methods A total of 702 outpatients and inpatients with depression from Shanghai Mental Health Center and Zhejiang Tongde Hospital from June 2020 to May 2022 were tested.Among them,210 patients were tested by Hamilton depression scale to verify the validity of the system.Results The quantitative evaluation system of depression in integrated traditional Chinese and western medicine consists of 43 evaluation items,which were divided into five factors,named as:liver-qi deficiency,liver-qi stagnation,heart-spleen deficiency,kidney deficiency liver-qi depression,liver-gallbladder damp-heat.The retest correlation coefficient of each factor ranges from 0.725 to 0.883,the internal consistency Cronbach's αcoefficient of the total table was 0.827.Kappa coefficient of reliability of each evaluation item 0.625-0.935(P<0.01).In the criterion validity,the total score of scale was positively correlated with the total score of Hamilton depression scale(r=0.407,P<0.01).The results of factor analysis of five factors were generally consistent with the results of design,and the cumulative contribution rate was 39.18%.Conclusion The integrated traditional Chinese and western medicine rating of depression in this study has good reliability and validity,and is feasible and practical in clinical practice.

Depressive disordersIntegrated traditional Chinese and western medicineScaleReliabilityValidity

厉汪涛、胡奕颖、郭励园、骆利元、刘兰英

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上海交通大学医学院附属精神卫生中心中医科,上海 201109

浙江省立同德医院睡眠医学中心,浙江杭州 310053

抑郁症 中西医结合 量表 信度 效度

上海市卫生健康委中医药科研项目

2022CX004

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(12)
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