摘要
目的:根据中医七情理论编制七情评定量表(QAS),检验其效度和信度,并检验其对中医七情状态的评价能力,为临床提供中医七情定量测量的工具。方法:在核心小组讨论和中医专家咨询的基础上设计调查大纲,通过预试-分析筛选-测试-项目分析修订-再次测试等环节,确定量表最终条目。选取2家医院的医务人员、住院患者及4个社区居民共509人施测QAS,检验结构效度及信度;其中前150人同时进行症状自评量表(SCL-90)测定(收回有效问卷148份),以评定效标效度;另外选取其中30人间隔2周进行QAS重测,以评定重测信度。结果:量表共42个条目,由7个因子组成,产生2个主成分,共解释总方差的78.61%,其中主成分Ⅰ的方差解释值为63.85%,与"忧、思、悲、恐、惊、怒"6个因子有关,主要指向阴性情绪表达;主成分Ⅱ的方差解释值为14.76%,与"喜"因子有关,主要指向阳性情绪表达;QAS总分及怒、忧、思、悲、恐、惊6个因子得分与SCL-90总分及各因子分均呈正相关(r=0.42~0.59,均P<0.01),而喜因子得分与SCL-90总分及各因子分均呈负相关(r=-0.18^-0.32,P<0.05或0.01)。总量表的Cronbachα系数为0.91,7个因子的α系数在0.69~0.80之间;总量表的重测信度为0.96,各因子的重测系数均在0.70以上。结论:由喜怒忧思悲恐惊7个因子构成的七情评定量表,达到心理学测量标准的要求,可用于临床七情状态的评估。
Objective： To develop a Qiqing Assessment Scale （QAS） according to the Qiqing （seven emotions） theory of the Traditional Chinese Medicine （TCM）, and test its validity and reliability and further evaluate its capacity of Qiqing measurements in the hope of providing clinical practice with ＂ruler＂ and ＂tool＂ to quantify TCM seven emotions. Methods： The outline items of the QAS were designed based on the core group discussions and TCM theory expert consultation. To finalize the items of QAS, the stages of pilot, screen, test, revision and retest were processed. Totally 509 subjects were assessed with the QAS to test the structural validity and reliability in 2 hospitals （staff and inpatients） and 4 communities （residents） among whom the first recruited 150 subjects （ 148 valid subjects） were simultaneously assessed with the Symptom Checklist-90 （SCL-90） to test the criteria validity and another 30 subjects were selected to test the test-retest reliability of the QAS with a two-week interval. Results： The QAS was composed of 42 items, 7 factors and generated 2 components accounting for 78.61% of the total vari- ances. The component 1, accounting for 63.85%, was associated with 6 factors-Nu （Anger）, You （Anxiety）, Si （contemplation）, Bei （sorrow）, Kong （Fear） and Jing （Fright） and represented negative expressions of emo-tion. The component 2, accounting for 14. 76%, was associated with the factor-Xi （Joy） and represented positive expressions of emotion. The QAS scores were positively correlated with the SCL-90 scores （ r = 0.42 - 0. 59, Ps 〈 0. 01）, while Xi （Joy） scores were negatively correlated with the SCL-90 scores （r = -0. 18 - -0. 32, P 〈0. 05 or 0. 01）. The Cronbach scores were 0. 91 for the whole QAS and 0. 69 -0. 80 for the 7 factors. The intraclass coef- ficients （ICC） of test-retest of the QAS were 0.96 for the total score and above 0.70 for the factor scores. Conclusion： The Qiqing Assessment Scale which consists of 7 factors has met the requirement of the standards of psychological measurements and could be clinically used to evaluate status of the seven emotions.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2014年第8期572-577,共6页
Chinese Mental Health Journal
基金
浙江省中医药科技计划项目(2012ZB005)
关键词
七情评定量表
编制
效度
信度
心理测量学
Qiqing Assessment Scale
development
validity
reliability
psychometrics
作者简介
通信作者：冯怡fyfengyi@163．com
