【作者】 周亮；

【导师】 杨德森； 肖水源；

【作者基本信息】 中南大学 ， 精神病学与精神卫生学， 2003， 博士

【摘要】 第一部分 精神超脱量表的编制与信度效度检验 目的 编制用于测量焦虑性神经症患者投入超脱程度的量表，并进行信度效度检验。 方法 1、基于道家认知疗法的理论基础，经过查阅文献、专家咨询和小组讨论，初步确定了十三个条目组成精神超脱量表的初稿； 2、对152名大学生进行了预试验，以检验量表的内容效度；三个月后对此样本进行重测，以检验量表的重测信度； 3、对社区样本进行量表测试，包括精神超脱量表、情感平衡量表与A型行为量表，据此进行了同质信度、结构效度和实证效度检验； 4、对76名焦虑性神经症患者(包括广泛性焦虑症、惊恐障碍、强迫症与恐惧症)进行量表测试，包括精神超脱量表、A型行为量表、艾森克人格问卷和症状自评量表，并与76名与之配对的正常对照(来自社区样本)比较，以进一步检验量表的实证效度。 结果 1、根据预试验结果进行项目分析，删除一个条目后组成12个条目的正式量表； 2、因素分析将量表分为两个因子；各条目与总分相关在0.291～0.581之间，各因子分及其因子所属条目相关在0.337～0.655之间；量表总分与情感平衡量表得分、A型行为量表总分显著相关；量表及各因子的α系数分别为：0.6486，0.6498，0.4139；重测信度为0.5247，0.6735，0.3890； 3、患者组的量表总分低于正常对照组，量表的方差则高于正常对照组。患者组精神超脱量表总分与A型行为和SCL-90呈显著的负相关(r=-0.312，-0.306，P＜0.05)，方差则与SCL-90总分和EPQ量表的N分呈正相关，与EPQ量表的P分呈负相关(r=0.373，0.424，-0.339，P＜0.05)。 结论 精神超脱量表具有较好的信度和效度，符合心理测量学的要求。更多还原

【Abstract】 Part I The Development, Reliability, and Validity Examination of Involvement-Detachment ScaleObjective: To develop a scale for the evaluating of involvement and detachment of anxiety disorder patients and to examine the reliability and validity of the scale.Methods: a. The primary Involvement-Detachment Scale (IDS) that included 13 items was developed based on the theory of Daoistic Cognitive Therapy, experts counseling, and group discussion.b. Preliminary test was carried out in 152 college students who were re-examined after 3 months to examine the content validity and stability coefficients.c. A community sample was tested by IDS, affective scale, and type A behavior scale to examine the internal consistency, construction validity, and empirical validity of IDS.d. 76 anxiety disorder patients who met one of the diagnostic criteria of general anxiety disorder, panic disorder, obsessive-compulsive disorder, and phobic disorder of CCMD-3 were tested by IDS, SCL-90, EPQ, and type A behavior scale and the results were compared with those of 76 normal paired controls derived from the community sample for the further examination of empirical validity of IDS.Results: a. One item was excluded based on the results of item analysis. Then the formal version of IDS was consisted of 12 items.b. Two factors were extracted in the factor analysis. The correlations between the items and the scale ranged from 0.297-0.581 and the correlations between the factors and there composites ranged from 0.337-0.655. The correlations between the IDS and the affective scale, type A behavioral scale were statistically significant. The stability coefficients and Cronbach’s a coefficients of IDS and the two factors were 0.5247, 0.6735, 0.3890 and 0.6486, 0.6498, 0.4139, respectively.c. Score of IDS of patients was statistically significant lower than that of the controls while the standard deviation was higher. The score ofIDS of patients was negatively correlated to the score of type A behavior scale and SCL-90 (r=-0.312, -0.306, P<0.05), and the standard deviation of IDS was positively correlated to the scores of SCL-90 and N score of EPQ and negatively correlated to the P score of EPQ (r=0.373, 0.424, -0.339, P<0.05).Conclusion: The reliability and validity of IDS are good and meet the psychometric standard.更多还原