用疾病态度量表筛查疑病症。

Screening for hypochondriasis with the Illness Attitude Scales.

机构信息

Department for Clinical Psychology and Psychotherapy, University of Frankfurt, Frankfurt, Germany.

出版信息

J Pers Assess. 2010 May;92(3):260-8. doi: 10.1080/00223891003670216.

PMID:20408026

Abstract

The Illness Attitude Scales (IAS; Kellner, 1986, 1987) may prove highly useful for the screening of hypochondriasis. We expected the IAS subscales to be equally as effective as the 7-item short version of the Whiteley Index (Whiteley-7; Fink et al., 1999), which has previously been shown to be useful in screening for somatoform disorders. We investigated participants of a German population (n = 1,575) and 61 patients with the Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994) diagnosis of hypochondriasis. The Bodily Preoccupations (BP) subscale showed high sensitivity (.92) and specificity (.90) as well as demonstrating convergent and discriminant validity. We found evidence for the superiority of the BP subscale over the Whiteley-7 in the screening of hypochondriasis.

摘要

疾病态度量表（Illness Attitude Scales，IAS；Kellner，1986，1987）可能非常有助于筛选疑病症。我们预计 IAS 子量表与之前已被证明在筛查躯体形式障碍方面有用的怀特利指数 7 项简短版（Whiteley-7；Fink 等人，1999）同样有效。我们调查了德国人群（n=1575）和 61 名被诊断为疑病症的精神障碍诊断与统计手册（第 4 版）（DSM-IV；美国精神病学协会，1994）的患者。躯体关注（Bodily Preoccupations，BP）子量表具有较高的敏感性（.92）和特异性（.90），并表现出收敛和判别效度。我们发现，在疑病症的筛查中，BP 子量表优于 Whiteley-7。