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社区评估精神体验量表-42(CAPE-42)在西班牙大学生和精神病患者中的效度验证

Validation of the Community Assessment Psychic Experiences -42 (CAPE-42) in Spanish college students and patients with psychosis.

作者信息

Fonseca-Pedrero Eduardo, Paino Mercedes, Lemos-Giráldez Serafín, Muñiz José

机构信息

Departamento de Ciencias de la Educación Universidad de La Rioja, España.

出版信息

Actas Esp Psiquiatr. 2012 Jul-Aug;40(4):169-76. Epub 2012 Jul 1.

Abstract

Psychotic-like experiences can be considered as a vulnerability marker for psychotic disorders. The psychometric assessment of the extended psychosis phenotype has advanced considerably in recent years, although it must continue to deepen the quality of self-reports available for its assessment in Spanish population. The main goal was to analyze the psychometric quality of the Community Assessment Psychic Experiences-42 (CAPE-42) in Spanish college students and patients with psychosis. The final sample was comprised of a total of 660 students (M = 20.3 years, SD = 2.6) and 97 patients with psychosis (M = 35.4 years, SD = 10.2). The goodness of fit indices resulting from the confirmatory factor analysis that tested the hypothesized three-dimensional model (Positive, Negative and Depressive) were not adequate. In contrast, the exploratory factor analysis yielded a three-dimensional solution. Internal consistency values for the three dimensions of the CAPE-42 ranged between 0.78 and 0.89 in the sample of students and between 0.84 and 0.93 in the patients with psychosis. The CAPE-42 scores correlated statistically significant with delusions and trait anxiety and state. These results show further evidence of validity of the CAPE-42 scores in samples of the Spanish population and support its use as a tool for the assessment of the extended psychosis phenotype.

摘要

类精神病体验可被视为精神障碍的一个易感性标志物。近年来,对扩展型精神病表型的心理测量评估有了很大进展,尽管在西班牙人群中,仍需继续深化用于评估的自我报告的质量。主要目标是分析社区精神体验评估量表42项(CAPE - 42)在西班牙大学生和精神病患者中的心理测量质量。最终样本共包括660名学生(平均年龄M = 20.3岁,标准差SD = 2.6)和97名精神病患者(平均年龄M = 35.4岁,标准差SD = 10.2)。对假设的三维模型(阳性、阴性和抑郁)进行验证性因素分析得出的拟合优度指数并不理想。相比之下,探索性因素分析得出了一个三维解决方案。在学生样本中,CAPE - 42三个维度的内部一致性值在0.78至0.89之间,在精神病患者样本中则在0.84至0.93之间。CAPE - 42得分与妄想、特质焦虑和状态焦虑在统计学上显著相关。这些结果进一步证明了CAPE - 42得分在西班牙人群样本中的有效性,并支持将其用作评估扩展型精神病表型的工具。

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