Mei Bai Ya, Li Cheng-Ta, Chen Mu-Hong, Kuang Yang Yen
Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Psychiatry, College of Medicine, National Yang-Ming University, Taipei, Taiwan.
Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Psychiatry, College of Medicine, National Yang-Ming University, Taipei, Taiwan.
J Affect Disord. 2017 Jun;215:256-262. doi: 10.1016/j.jad.2017.02.018. Epub 2017 Feb 20.
The self-reported graphic version of the Personal and Social Performance Scale (SRG-PSP) is the first graphic, self-reported rating scale that assesses functioning, and its reliability and validity have been documented in patients with schizophrenia. This study investigated the validity of SRG-PSP in patients with bipolar disorder (BD).
Patients with BD were recruited from psychiatric outpatient clinics, and assessed with the Young Mania Rating Scale (YMRS), the Montgomery-Åsberg Depression Rating Scale (MADRS), the Clinical Global Impression Scale (CGI)-Bipolar and CGI-Depression, the Positive and Negative Symptom Scale (PANSS), the Global assessment of function (GAF), and the PSP. All participants completed the self-rating questionnaires: the SRG-PSP, the 36-Item Short-Form Health Survey (SF-36), and the Sheehan disability Scale (SDS).
In total, 114 patients with BD were enrolled. The criterion-related validities between the SRG-PSP and the PSP were all significantly correlated with their counterparts. The global score of the SRG-PSP was significantly correlated with the scores of the YMRS, MADRS, PANSS, CGI-Depression, GAF, SF-36, and SDS. Three SRG-PSP domains (socially useful activities, personal and social relationships, and self-care) were negatively correlated with the scores of the MADRS, PANSS, CGI-depression, and SDS; and were positively correlated with the GAF, SF-36 scores. The disturbing and aggressive behavior domain was positively correlated with the scores of the YMRS, MADRS, PANSS, CGI-Bipolar, CGI-Depression, and SDS; and was negatively correlated with the GAF, SF-36 scores (all p<0.01).
The SRG-PSP is a validated self-reported scale for assessing functionality in patients with BD.
个人及社会功能量表的自我报告图形版（SRG - PSP）是首个用于评估功能的图形化自我报告评定量表，其信效度已在精神分裂症患者中得到验证。本研究调查了SRG - PSP在双相情感障碍（BD）患者中的效度。
从精神科门诊招募BD患者，使用杨氏躁狂评定量表（YMRS）、蒙哥马利 - 阿斯伯格抑郁评定量表（MADRS）、临床总体印象量表（CGI）-双相和CGI - 抑郁、阳性与阴性症状量表（PANSS）、功能总体评定量表（GAF）以及PSP对其进行评估。所有参与者完成自我评定问卷：SRG - PSP、简明健康状况调查量表（SF - 36）以及希恩残疾量表（SDS）。
共纳入114例BD患者。SRG - PSP与PSP之间的标准关联效度均与各自对应的量表显著相关。SRG - PSP的总分与YMRS、MADRS、PANSS、CGI - 抑郁、GAF、SF - 36和SDS的得分显著相关。SRG - PSP的三个领域（社会有益活动、个人及社会关系和自我照料）与MADRS、PANSS、CGI - 抑郁和SDS的得分呈负相关；与GAF、SF - 36得分呈正相关。干扰及攻击性行为领域与YMRS、MADRS、PANSS、CGI - 双相、CGI - 抑郁和SDS的得分呈正相关；与GAF、SF - 36得分呈负相关（均p<0.01）。
SRG - PSP是一个经过验证的用于评估BD患者功能的自我报告量表。
