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布朗信念评估量表中文版在强迫症患者中的信度和效度
作者:牛朝阳1  雷辉2  蔡琳3  樊洁1  刘婉婷1  李玲艳1  朱熊兆1 
单位:1. 中南大学湘雅二医院医学心理学研究所  长沙 410011 
2.
 湖南农业大学教育学院  长沙 410128 
3.
 西南民族大学社会学与心理学学院  成都 610041 
关键词:布朗信念评估量表 信度 效度 
分类号:R395.1
出版年,卷(期):页码:2016,24(1):112-115
摘要:

目的:评价布朗信念评估量表(BABS)中文版在中国强迫症患者中的信度和效度。方法:204名强迫症患者完成BABS中文版、耶鲁布朗强迫量表、贝克抑郁量表和状态特质焦虑问卷。结果:BABS中文版在强迫症患者中的α系数为0.80;评分者一致性信度系数为0.93(P<0.01),重测信度为0.71(P<0.01);量表总分与强迫症状严重程度、抑郁和焦虑程度相关不显著,与耶鲁布朗强迫量表辅助条目中的自知力条目得分相关显著0.70(P<0.01);对BABS的单因子模型进行验证性因素分析显示,χ2/df=2.195,CFI=0.970,IFI=0.971,TLI=0.956,GFI=0.960,RMSEA=0.077。结论:BABS中文版在中国强迫症患者中具有良好的信度和效度,可以用于评估强迫症患者的自知力水平。

Objective: To examine the reliability and validity of the Chinese version of Brown Assessment of Beliefs Scale(BABS).Methods: The Brown belief questionnaire, Yale-Brown Obsessive Compulsive Scale(Y-BOCS), Beck Depression Inventory(BDI) and State Trait Anxiety Inventory(STAI) was administrated to 204 obsessive-compulsive disorders(OCD).Results: The Cronbach's α coefficient of the BABS in OCD is 0.80, the inter-rater reliability of the BABS was 0.93(P<0.01), the test-retest reliability was 0.71(P<0.01);Score of the BABS was not correlated with symptom severity but was correlated significantly with the score of the additional items in Y-BOCS assessing the insight(r=0.70, P<0.01).Indices of confirmatory factor analysis(χ2=30.733, χ2/df=2.195, CFI=0.970, IFI=0.971, TLI=0.956, GFI=0.960, RMSEA=0.077) suggested that the one-factor structure met the standard of psychometrics.Conclusion: The Chinese version of brown Assessment of Beliefs Scale is a reliable and valid assessment of insight in obsessive-compulsive disorders.

基金项目:
国家自然科学基金青年项目(项目号:81401128)
作者简介:
参考文献:

1 贾竑晓,朱虹,韩世辉,等. 精神分裂症自知力的自我参照效应研究. 中国临床心理学杂志,2008,16(5):503-505
2 Neziroglu F, McKay D, Yaryura-Tobias JA. Overlapping and distinctive features of hypochondriasis and obsessivecompulsive disorder. Journal of Anxiety Disorders, 2000, 14(6):603-614
3 Eisen JL, Rasmussen SA, Phillips KA, et al. Insight and treatment outcome in obsessive-compulsive disorder. Comprehensive Psychiatry, 2001, 42(6):494-497
4 Phillips KA. Psychosis in body dysmorphic disorder. Journal of Psychiatric Research, 2004, 38(1):63-72
5 Konstantakopoulos G, Varsou E, Dikeos D, et al. Delusionality of body image beliefs in eating disorders. Psychiatry Research, 2012, 200(2-3):482-488
6 Eisen JL, Rasmussen SA. Obsessive compulsive disorder with psychotic features. The Journal of Clinical Psychiatry, 1993, 54(10):373-379
7 Foa EB, Kozak MJ, Goodman WK. DSM-IV field trial:Obsessive-compulsive disorder. The American Journal of Psychiatry, 1995, 152(1):90-96
8 Kozak MJ, Foa EB. Obsessions, overvaluedideas, and delusions in Obsessive-compulsive disorder. Behavior Research and Therapy, 1994, 32(3):343-353
9 Pigott TA, L'Heureux F, Dubbert B, et al. Obsessive compulsive disorder:Comorbid conditions. The Journal of Clinical Psychiatry, 1994, 55(15-27):28-32
10 Ravi KV, Samar R, Janardhan RY, et al. Clinical characteristics and treatment response in poor and good insight obsessive-compulsive disorder. European Psychiatry:the Journal of the Association of European Psychiatrists, 2004, 19(4):202-208
11 Alonso, Menchón JM, Segalàs C, et al. Clinical implications of insight assessment in obsessive-compulsive disorder. Comprehensive Psychiatry, 2008, 49(3):305-312
12 Marazziti D, Dell'Osso L, Di Nasso E, et al. Insight in obse-ssive-compulsive disorder:a study of an Italian sample. European Psychiatry:the Journal of the Association of European Psychiatrists, 2002, 17(7):407-410
13 Matsunaga H, Kiriike N, Matsui T, et al. Obsessive-compulsive disorder with poor insight. Comprehensive Psychiatry, 2002, 43(2):150-157
14 Türksoy N, Tükel R, Özdemir Ö, et al. Comparison of clinical characteristics in good and poor insight obsessive-compulsive disorder. Journal of Anxiety Disorders, 2002, 16(4):413-423
15 Catapano F, Perris F, Fabrazzo,M, et al. Obsessive-compulsive disorder with poor insight:a three-year prospective study. Progress in neuro-psychopharmacology and Biological Psychiatry, 2010, 34(2):323-330
16 Association, American Psychiatric, et al. Diagnostic and statistical manual of mental disorders(DSM-5). American, American Psychiatric Pub, 2013
17 Eisen JL, Phillips KA, Baer L,et al.The Brown Assessment of Beliefs Scale:Reliability and validity. The American Journal of Psychiatry, 1998, 155(1):102-108
18 Phillips KA, Hart AS, Menard W, et al. Psychometric evaluation of the Brown Assessment of Beliefs Scale in body dysmorphic disorder. The Journal of Nervous and Mental Disease, 2013, 201(7):640-643
19 Buhlmann U. The German version of the Brown Assessment of Beliefs Scale(BABS):Development and evaluation of its psychometric properties. Comprehensive Psychiatry, 2014, 55(8):1968-1971
20 Vigne P, de Menezes GB, Harrison BJ, et al. A study of poor insight in social anxiety disorder. Psychiatry Research, 2014, 219(3):556-561
21 Faragian S, Kurs R, Poyurovsky M. Insight into obsessivecompulsive symptoms and awareness of illness in adolescent schizophrenia patients with and without OCD. Child Psychiatry and Human Development, 2008, 39(1):39-48
22 Kaplan GB, Phillips KA, Vaccaro A, et al. Assessment of insight into delusional beliefs in schizophrenia using the Brown Assessment of Beliefs Scale. Schizophrenia Research, 2006, 82(2-3):279-281
23 Phillips KA, Pinto A, Hart AS, et al. A comparison of insight in body dysmorphic disorder and obsessive-compulsive disorder. Journal of Psychiatric Research, 2012, 46(10):1293-1299
24 Goodman WK, Price LH, Rasmussen SA, et al. The Yalebrown obsessive compulsive scale. I. Development, use, and reliability. Archives of General Psychiatry, 1989, 46(11):1006-1011
25 Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression. Archives of General Psychiatry, 1961, 4:561-571
26 杨文辉,吴多进,彭芳. 贝克抑郁量表第2版中文版在大一学生中的试用. 中国临床心理学杂志,2012,20(6):762-764
27 叶瑞繁,耿庆山,陈剑,等. 医院焦虑抑郁量表与Beck抑郁问卷在综合医院门诊病人中评定抑郁的比较. 中国临床心理学杂志,2013,21(1):48-50
28 Spielberger CD. Manual for the State-Trait Anxiety Inventory STAI(form Y)("self-evaluation questionnaire"). Consulting Psychologists Press Inc Palo Alto, 1983. 577
29 Shek DTL. The Chinese version of the State-Trait Anxiety Inventory:It's relationship to different measures of psychological well-being. Journal of Clinical Psychology, 1993, 49(3):349-358
30 Eisen JL, Phillips KA, Coles ME, et al. Insight in obsessive compulsive disorder and body dysmorphic disorder. Comprehensive Psychiatry, 2004, 45(1):10-15

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