Gau Susan S F, Liu Chia-Yih, Lee Chau-Shoun, Chang Jung-Chen, Chang Ching-Jui, Li Chang-Fang, Chen Chiao-Chicy, Cheng Andrew T A
Department of Psychiatry, College of Medicine, National Taiwan University and National Taiwan University Hospital, Taipei, Taiwan.
Alcohol Clin Exp Res. 2005 Jul;29(7):1172-9. doi: 10.1097/01.alc.0000172167.20119.9f.
Measurement of craving is an important component in the investigation of the etiology and clinical pictures of alcoholism and dependence of other substances in different cultures. The aim of this study was to develop a Chinese version of the Yale-Brown Obsessive Compulsive Scale for heavy drinking (YBOCS-hd-C), the instrument most frequently used in assessing the severity of alcohol craving in Taiwan.
Four hundred twenty Han Chinese (220 with alcohol use disorders) and 218 Bunun aborigines (150 with alcohol use disorders) in Taiwan were interviewed by mental health professionals with the YBOCS-hd-C and a Chinese version of the World Health Organization Schedules for Clinical Assessment in Neuropsychiatry to establish the psychiatric diagnosis. Validity and reliability of the YBOCS-hd-C were examined.
The YBOCS-hd-C was found to have acceptable interrater reliability (intraclass correlation, 0.89-0.96), internal consistency (Cronbach's alpha = 0.99), construct validity, concurrent validity, and cross-cultural validity. The correlations between 10 items of the YBOCS-hd-C and 11 items of the World Health Organization Schedules for Clinical Assessment in Neuropsychiatry adjusted for age, gender, and ethnicity ranged from 0.39 to 1.00. The YBOCS-hd-C also discriminated effectively among individuals with alcohol dependence, alcohol abusers, and normal drinkers.
This study demonstrated that the YBOCS-hd-C is a reliable and valid instrument for assessing the extent of craving for alcohol in Taiwanese Han and Bunun individuals.
在不同文化中，对渴望程度的测量是酗酒及其他物质依赖的病因学和临床症状研究的重要组成部分。本研究的目的是开发中文版的耶鲁-布朗强迫量表用于重度饮酒（YBOCS-hd-C），这是台湾评估酒精渴望严重程度最常用的工具。
台湾的420名汉族（220名有酒精使用障碍）和218名布农族原住民（150名有酒精使用障碍）接受了心理健康专业人员使用YBOCS-hd-C和中文版世界卫生组织神经精神疾病临床评估表的访谈，以确立精神疾病诊断。对YBOCS-hd-C的有效性和可靠性进行了检验。
发现YBOCS-hd-C具有可接受的评分者间信度（组内相关系数，0.89 - 0.96）、内部一致性（Cronbach's α = 0.99）、结构效度、同时效度和跨文化效度。经年龄、性别和种族调整后，YBOCS-hd-C的10个项目与世界卫生组织神经精神疾病临床评估表的11个项目之间的相关性在0.39至1.00之间。YBOCS-hd-C也能有效区分酒精依赖者、酗酒者和正常饮酒者。
本研究表明，YBOCS-hd-C是评估台湾汉族和布农族个体酒精渴望程度的可靠且有效的工具。
