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使用社会行为量表评估精神分裂症患者的社区功能。

Measuring community functioning in schizophrenia with the Social Behaviour Schedule.

作者信息

Cella Matteo, Stratta Paolo, Chahal Kamel, Huddy Vyv, Reeder Clare, Wykes Til

机构信息

Institute of Psychiatry, King's College London, UK.

Institute of Psychiatry, King's College London, UK; Department of Mental Health, ASL 1, L'Aquila, Italy.

出版信息

Schizophr Res. 2014 Mar;153(1-3):220-4. doi: 10.1016/j.schres.2013.12.016. Epub 2014 Jan 22.

DOI:10.1016/j.schres.2013.12.016
PMID:24461563
Abstract

BACKGROUND

Current emphasis on community integration requires reliable and valid measures of social behaviour; existing assessments largely overlap with symptoms or provide little detail on functioning. This study aims to re-assess the Social Behaviour Schedule (SBS) to fulfil this measurement role.

METHODS

Internal consistency, construct validity and test-retest reliability were investigated in 421 community out-patients with schizophrenia. Concurrent validity was assessed against the Life Skill Profile (LSP), in 143 additional patients.

RESULTS

A 17-item SBS supported the construct validity of four factors: Antisocial Behaviour, Depressed Behaviour, Social Withdrawal and Thought Disturbance. It showed good test-retest reliability and rated significant social behaviour in a community sample. Weak correlations were observed with positive and negative symptoms. With the exception of Depressed Behaviour, the SBS factors showed strong correlations with the LSP.

CONCLUSION

SBS-17 is a valid measure assessing relevant community social functioning factors with relatively few items. The SBS could be useful both in research and in clinical settings.

摘要

背景

当前对社区融合的重视需要可靠且有效的社会行为测量方法;现有的评估大多与症状重叠,或者在功能方面提供的细节很少。本研究旨在重新评估社会行为量表(SBS)以发挥这一测量作用。

方法

对421名社区精神分裂症门诊患者进行了内部一致性、结构效度和重测信度调查。对另外143名患者,根据生活技能概况(LSP)评估了同时效度。

结果

一个包含17个条目的SBS支持了四个因素的结构效度:反社会行为、抑郁行为、社交退缩和思维紊乱。它显示出良好的重测信度,并对社区样本中的重要社会行为进行了评分。与阳性和阴性症状的相关性较弱。除抑郁行为外,SBS各因素与LSP显示出强相关性。

结论

SBS - 17是一种有效的测量方法,用相对较少的条目就能评估相关的社区社会功能因素。SBS在研究和临床环境中可能都有用。

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