Margraf J, Ehlers A, Taylor C B, Arnow B, Roth W T
Department of Psychology, Philipps-University, Marburg, West Germany.
Br J Clin Psychol. 1990 Feb;29(1):37-41. doi: 10.1111/j.2044-8260.1990.tb00846.x.
The Fear and Avoidance Scales (FAS) is an 11-item questionnaire consisting of two subscales that measure features of agoraphobia and claustrophobia and that were demonstrated to be valid Guttman scales in a British clinical population. The purposes of the study reported here were to replicate the scale characteristics in the United States and to determine if improvement during treatment would follow the sequence predicted by the hierarchy implied in the scales. The FAS was given to 25 female agoraphobics before and after behavioural treatment. A principal components analysis replicated the agoraphobia and claustrophobia factors established in the British sample. Scalogram analyses showed that the Claustrophobia subscale of the FAS was a valid Guttman scale in the US sample whereas the Agoraphobia subscale yielded a high coefficient of reproducibility but a low coefficient of scalability. Treatment reduced the patients' fears and avoidances in the predicted sequence since for both scales the hierarchy of items remained unchanged following treatment.
恐惧与回避量表(FAS)是一份包含11个条目的问卷,由两个分量表组成,用于测量广场恐惧症和幽闭恐惧症的特征,并且在英国临床人群中被证明是有效的古特曼量表。本文报告的研究目的是在美国复制该量表的特征,并确定治疗期间的改善是否会遵循量表所隐含的等级结构预测的顺序。对25名女性广场恐惧症患者在行为治疗前后进行了FAS测试。主成分分析复制了英国样本中确立的广场恐惧症和幽闭恐惧症因素。量表分析表明,FAS的幽闭恐惧症分量表在美国样本中是有效的古特曼量表,而广场恐惧症分量表的再现系数较高,但可扩展性系数较低。治疗按照预测的顺序减轻了患者的恐惧和回避行为,因为对于两个量表而言,治疗后项目的等级结构保持不变。