Guangzhou Medical University, Guangzhou, China.
BMC Psychiatry. 2012 Oct 31;12:184. doi: 10.1186/1471-244X-12-184.
The Snaith-Hamilton-Pleasure-Scale (SHAPS) is a self-reported scale evaluating anhedonia for neuropsychiatric disorders. It has demonstrated with impressive psychometric properties and advantages in its applicability over other similar instruments. However, very few studies have been conducted to examine the clinical utility of the SHAPS in the context of Chinese settings. The current study aimed to examine the clinical utility of the translated version of the SHAPS in the Chinese clinical settings.
A Chinese version of SHAPS was administered to 336 college students to examine the internal consistency and test-retest reliability at a 4-week interval. Moreover, the translated SHAPS was also administered to 141 patients with major depression, 72 patients with schizophrenia, and 72 healthy controls to examine its clinical discrimination.
The internal consistency of the SHAPS for the non-clinical sample and test-retest reliability at a 4- week interval were 0.85 and 0.64, respectively. Moreover, the SHAPS also showed an excellent internal consistency (alpha was 0.93) and a one-factor solution with the first factor accounted for 51.53% of the variance in the clinical psychiatric samples. ANOVA of the SHAPS total score indicated that the patients with depression scored significantly more anhedonia than the patients with schizophrenia and healthy controls (p<0.001), and the patients with schizophrenia scored significantly more anhedonia than the healthy controls (P<0.02).
These findings suggest that the Chinese version of the SHAPS is a useful and promising instrument in assessing anhedonia for clinical patients and non-clinical individuals in the Chinese settings.
Snaith-Hamilton-Pleasure-Scale（SHAPS）是一种自评量表，用于评估神经精神障碍患者的快感缺失。它具有令人印象深刻的心理测量学特性和应用优势，优于其他类似的工具。然而，很少有研究探讨 SHAPS 在中文环境下的临床实用性。本研究旨在检验 SHAPS 中文版在中文临床环境下的临床实用性。
对 336 名大学生进行中文版 SHAPS 测试，以检验 4 周间隔的内部一致性和重测信度。此外，还对 141 名抑郁症患者、72 名精神分裂症患者和 72 名健康对照者进行了翻译后的 SHAPS 测试，以检验其临床区分度。
非临床样本的 SHAPS 内部一致性和 4 周间隔的重测信度分别为 0.85 和 0.64。此外，SHAPS 在临床精神科样本中也表现出极好的内部一致性（alpha 为 0.93）和单因素结构，第一因素占方差的 51.53%。SHAPS 总分的方差分析表明，抑郁症患者的快感缺失得分明显高于精神分裂症患者和健康对照组（p<0.001），精神分裂症患者的快感缺失得分明显高于健康对照组（P<0.02）。
这些发现表明，中文版 SHAPS 是一种在中文环境下评估临床患者和非临床个体快感缺失的有用和有前途的工具。
