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[分离性精神病理学的筛查与变化测量:分离症状问卷简版(FDS - 20)的心理测量特性]

[Screening and Measurement of Change of Dissociative Psychopathology: Psychometric Properties of the Short Version of the Fragebogen zu Dissoziativen Symptomen (FDS-20)].

作者信息

Spitzer Carsten, Mestel Robert, Klingelhöfer Jürgen, Gänsicke Michael, Freyberger Harald J

机构信息

Klinik und Poliklinik für Psychiatrie und Psychotherapie der Ernst-Moritz-Arndt-Universität Greifswald im Klinikum der Hansestadt Stralsund.

出版信息

Psychother Psychosom Med Psychol. 2004 Mar-Apr;54(3-4):165-72. doi: 10.1055/s-2003-814783.

Abstract

Given the clinical and scientific relevance of dissociative experiences our study aimed to assess the psychometric properties of a short version of the German Dissociative Experience Scale (called FDS-20) as well as its ability to measure changes in dissociation. In a large sample (N = 1289) the FDS- 20 showed good internal consistency. A factor analysis indicated that the scale measures one single factor reflecting the general degree of dissociative psychopathology. Between-group-comparisons suggested a good discriminant validity between high and low dissociators; however, due to high standard deviations the FDS-20 is not well suited for an individual diagnosis and therefore, it should be used as a screening device. Low effect sizes (d < 0,3) between scores at the beginning and the end of inpatient treatment as well as low micro -indices pointed to a temporal stable construct and a trait scale, respectively. Alternatively to group comparisons, individual parameters of treatment success (statistical and clinical significance) were calculated. They proved to be more appropriate in measuring changes in dissociation.

摘要

鉴于分离体验在临床和科学上的相关性,我们的研究旨在评估德文版简短分离体验量表(称为FDS - 20)的心理测量特性及其测量分离变化的能力。在一个大样本(N = 1289)中,FDS - 20显示出良好的内部一致性。一项因素分析表明,该量表测量的是反映分离性精神病理学总体程度的单一因素。组间比较表明,高分离者和低分离者之间具有良好的区分效度;然而,由于标准差较高,FDS - 20不太适合用于个体诊断,因此,它应作为一种筛查工具使用。住院治疗开始和结束时得分之间的效应量较低(d < 0.3)以及微观指标较低,分别表明该量表具有时间稳定性且是一种特质量表。除了组间比较之外,还计算了治疗成功的个体参数(统计学和临床意义)。结果证明,它们在测量分离变化方面更合适。

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