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用于测量精神分裂症患者功能的自评量表的开发——图形化个人与社会表现量表的自评版本(SRG-PSP量表)

The development of a self-reported scale for measuring functionality in patients with schizophrenia--self-reported version of the graphic Personal and Social Performance (SRG-PSP) scale.

作者信息

Bai Ya Mei, Hsiao Chih Yin, Chen Kao Chin, Huang Kai-Lin, Lee I Hui, Hsu Ju-Wei, Chen Po See, Yang Yen Kuang

机构信息

Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Psychiatry, College of Medicine, National Yang-Ming University, Taipei, Taiwan.

Department of Psychiatry, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Addiction Research Center, National Cheng Kung University, Tainan, Taiwan.

出版信息

Schizophr Res. 2014 Nov;159(2-3):546-51. doi: 10.1016/j.schres.2014.08.024. Epub 2014 Sep 23.

DOI:10.1016/j.schres.2014.08.024
PMID:25257944
Abstract

BACKGROUND

The Personal and Social Performance (PSP) scale is used for the assessment of patient function by mental health professionals. This study aimed to evaluate the internal reliability and validity of a self-reported graphic version of the PSP (SRG-PSP) scale and its correlations with psychiatric symptoms, daily life ability and quality of life.

METHODS

The SRG-PSP scale was developed following the four PSP domains: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. In total, 108 patients with schizophrenia were enrolled. All participants completed the SRG-PSP, the Activities of Daily Living Rating Scale II (ADLRS-II), and the World Health Organization Quality of Life-BREF (WHOQOL). They were also assessed using the PSP and the Positive and Negative Syndrome Scale (PANSS). Spearman's ρ was used to examine the correlations between SRG-PSP scores and other variables.

RESULTS

The results of the SRG-PSP were significantly correlated to those of their corresponding criteria on the PSP. The global score of the SRG-PSP and the scores of three domains, socially useful activities, personal and social relationships, and self-care, were positively correlated with most sub items of the ADLRS-II and WHOQOL, and were negatively correlated with the PANSS scores. The disturbing and aggressive behavior domain of the SRG-PSP was negatively correlated with most sub items of the ADLRS-II and WHOQOL (ρ=-0.19 to -0.36, all p<0.05) and positively correlated with the PANSS (ρ=0.24-0.30, all p<0.05), with the exception of negative symptoms (ρ=0.09, p=0.40).

CONCLUSION

The SRG-PSP is a valid self-reported scale for the assessment of functionality in patients with schizophrenia.

摘要

背景

个人与社会功能(PSP)量表用于心理健康专业人员评估患者功能。本研究旨在评估PSP自填式图形量表(SRG - PSP)的内部信效度及其与精神症状、日常生活能力和生活质量的相关性。

方法

SRG - PSP量表基于PSP的四个领域开发:社会有益活动、个人与社会关系、自我照料以及扰乱和攻击性行为。共纳入108例精神分裂症患者。所有参与者均完成SRG - PSP量表、日常生活能力评定量表II(ADLRS - II)和世界卫生组织生活质量简表(WHOQOL)。他们还接受了PSP量表和阳性与阴性症状量表(PANSS)评估。采用Spearman秩相关系数ρ检验SRG - PSP得分与其他变量之间的相关性。

结果

SRG - PSP结果与其在PSP上相应标准的结果显著相关。SRG - PSP的总分以及社会有益活动、个人与社会关系和自我照料这三个领域的得分与ADLRS - II和WHOQOL的大多数子项目呈正相关,与PANSS得分呈负相关。SRG - PSP量表的扰乱和攻击性行为领域与ADLRS - II和WHOQOL的大多数子项目呈负相关(ρ = - 0.19至 - 0.36,均p < 0.05),与PANSS呈正相关(ρ = 0.24 - 0.30,均p < 0.05),阴性症状除外(ρ = 0.09,p = 0.40)。

结论

SRG - PSP是一种有效的自填式量表,用于评估精神分裂症患者的功能。

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