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韩国精神分裂症患者分离体验量表的信度与效度

Reliability and Validity of the Dissociative Experiences Scale Among South Korean Patients With Schizophrenia.

作者信息

Oh Hyun Young, Kim Daeho, Kim Yangsuk

机构信息

a Department of Psychiatry , Hanyang University Medical School , Seoul , South Korea.

b Department of Psychiatry , Yaesarang Hospital , Gimpo , South Korea.

出版信息

J Trauma Dissociation. 2015;16(5):577-91. doi: 10.1080/15299732.2015.1037040.

Abstract

The Dissociative Experiences Scale (DES) is the most widely used self-report tool for use with the general population and various clinical entities, including those with schizophrenia. This preliminary study tested the reliability of the DES, especially temporal stability and validity, in patients diagnosed with schizophrenia receiving inpatient or outpatient treatment. The DES was administered at a university-affiliated training hospital in South Korea to a total of 68 patients (39 inpatients and 29 outpatients) whose diagnosis of schizophrenia was confirmed using the Structured Clinical Interview for DSM-IV Axis Disorders. Internal consistency, 4-week test-retest reliability, and validity were calculated. Participants also completed the Childhood Trauma Questionnaire, the Beck Depression Inventory, and the Symptom Checklist-Posttraumatic Stress Disorder Scale. Four-week test-retest reliability was moderate (r = .69) and internal consistency was good (Cronbach's α = .95). Total score on the DES was correlated with childhood trauma (r = .69, p < .001), posttraumatic symptoms (r = .50, p < .001), and depression (r = .52, p < .001), demonstrating the convergent validity of the scale. Our study confirms the psychometric soundness of the DES among patients with schizophrenia after the acute stage of illness (e.g., 3 weeks after admission), supporting use of the scale for screening and evaluating dissociative symptoms within this population.

摘要

分离体验量表(DES)是用于普通人群和包括精神分裂症患者在内的各种临床群体的最广泛使用的自我报告工具。这项初步研究测试了DES在接受住院或门诊治疗的精神分裂症患者中的可靠性,尤其是时间稳定性和有效性。DES在韩国一家大学附属医院对总共68名患者(39名住院患者和29名门诊患者)进行了施测,这些患者的精神分裂症诊断通过《精神疾病诊断与统计手册》第四版轴I障碍的结构化临床访谈得以确认。计算了内部一致性、4周重测信度和效度。参与者还完成了儿童创伤问卷、贝克抑郁量表和症状清单-创伤后应激障碍量表。4周重测信度中等(r = 0.69),内部一致性良好(克朗巴哈α系数 = 0.95)。DES总分与儿童创伤(r = 0.69,p < 0.001)、创伤后症状(r = 0.50,p < 0.001)和抑郁(r = 0.52,p < 0.001)相关,证明了该量表的聚合效度。我们的研究证实了DES在疾病急性期后(如入院3周后)精神分裂症患者中的心理测量稳健性,支持在该人群中使用该量表筛查和评估分离症状。

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