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精神病患者耻辱感半结构化访谈量表(SIMS):心理测量特性评估

Semi-structured Interview Measure of Stigma (SIMS) in psychosis: Assessment of psychometric properties.

作者信息

Wood Lisa, Burke Eilish, Byrne Rory, Enache Gabriela, Morrison Anthony P

机构信息

North East London Foundation Trust, Goodmayes Hospital, Barley Lane, Ilford IG3 8XJ, United Kingdom; University of Manchester, School of Psychological Sciences, Zochonis Building, Manchester M13 9PL, United Kingdom.

University of Manchester, School of Psychological Sciences, Zochonis Building, Manchester M13 9PL, United Kingdom.

出版信息

Schizophr Res. 2016 Oct;176(2-3):398-403. doi: 10.1016/j.schres.2016.06.008. Epub 2016 Jul 14.

Abstract

Stigma is a significant difficulty for people who experience psychosis. To date, there have been no outcome measures developed to examine stigma exclusively in people with psychosis. The aim of this study was develop and validate a semi-structured interview measure of stigma (SIMS) in psychosis. The SIMS is an eleven item measure of stigma developed in consultation with service users who have experienced psychosis. 79 participants with experience of psychosis were recruited for the purposes of this study. They were administered the SIMS alongside a battery of other relevant outcome measures to examine reliability and validity. A one-factor solution was identified for the SIMS which encompassed all ten rateable items. The measure met all reliability and validity criteria and illustrated good internal consistency, inter-rater reliability, test retest reliability, criterion validity, construct validity, sensitivity to change and had no floor or ceiling effects. The SIMS is a reliable and valid measure of stigma in psychosis. It may be more engaging and acceptable than other stigma measures due to its semi-structured interview format.

摘要

耻辱感是精神病患者面临的一个重大难题。迄今为止,尚未开发出专门用于检测精神病患者耻辱感的结果测量方法。本研究的目的是开发并验证一种针对精神病耻辱感的半结构化访谈测量方法(SIMS)。SIMS是一项由11个项目组成的耻辱感测量方法,是在与有精神病经历的服务使用者协商后制定的。本研究招募了79名有精神病经历的参与者。他们接受了SIMS以及一系列其他相关结果测量方法的测试,以检验其信度和效度。SIMS确定了一个单因素解决方案,涵盖了所有十个可评分项目。该测量方法符合所有信度和效度标准,具有良好的内部一致性、评分者间信度、重测信度、效标效度、结构效度、对变化的敏感性,且没有地板效应或天花板效应。SIMS是一种可靠且有效的精神病耻辱感测量方法。由于其半结构化访谈形式,它可能比其他耻辱感测量方法更具吸引力且更容易被接受。

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