Department of Psychiatry, Kaohsiung Medical University Hospital, and Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Child Psychiatry Hum Dev. 2010 Jun;41(3):342-52. doi: 10.1007/s10578-010-0172-7.
The aims of this study were to examine the factor structure, internal consistency 1 month test-retest reliability and the discriminant validity for the diagnosis of anxiety disorder of the Taiwanese version of the Multidimensional Anxiety Scale for Children (MASC-T). A total of 12,536 Taiwanese children and adolescents in the community were recruited to examine the adequacy of the original four-factor structure of the MASC-T by confirmatory factor analysis and the internal-consistency reliability by Cronbach's alpha across gender and age. The 1 month test-retest reliability was examined using intraclass correlation coefficients (ICC) in 105 children and adolescents in the community. The discriminant validity of the MASC-T for the diagnosis of anxiety disorder was examined in 132 children and adolescents from clinical units. The results of this study supported the four-factor structure of the MASC-T in Taiwanese children and adolescents and the four-factor structure was invariant across gender and age. The 1 month test-retest reliability of the MASC-T was in the satisfactory to excellent range and the internal consistency reliability of the Physical Symptoms, Harm Avoidance, and Social Anxiety scales was acceptable. The discriminant validity of the total MASC-T and the anxiety disorder index for the diagnosis of any anxiety disorder was also confirmed. These results indicate that the MASC-T is appropriate for assessing anxiety in Taiwanese children and adolescents.
本研究旨在检验多维焦虑量表儿童版（MASC-T）台湾版的因子结构、内部一致性、1 个月重测信度以及对焦虑障碍的诊断区分效度。共招募了 12536 名台湾社区儿童和青少年，通过验证性因子分析来检验 MASC-T 的原始四因子结构是否充分，并通过克朗巴赫α系数在性别和年龄上检验其内部一致性信度。在 105 名社区儿童和青少年中使用组内相关系数（ICC）检验 1 个月重测信度。在来自临床单位的 132 名儿童和青少年中检验 MASC-T 对焦虑障碍的诊断区分效度。本研究结果支持 MASC-T 在台湾儿童和青少年中的四因子结构，且该结构在性别和年龄上具有不变性。MASC-T 的 1 个月重测信度处于满意到优秀的范围，身体症状、回避和社交焦虑量表的内部一致性信度可接受。总 MASC-T 和焦虑障碍指数对任何焦虑障碍的诊断区分效度也得到了确认。这些结果表明，MASC-T 适合评估台湾儿童和青少年的焦虑。
