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《精神病体验问卷》:有效性和可靠性的检验。

The Questionnaire for Psychotic Experiences: An Examination of the Validity and Reliability.

机构信息

Centre for Mental Health, Swinburne University of Technology, Hawthorn, Melbourne, Australia.

Department of Psychiatry, St Vincent's Hospital, Melbourne, Australia.

出版信息

Schizophr Bull. 2019 Feb 1;45(45 Suppl 1):S78-S87. doi: 10.1093/schbul/sby148.

Abstract

Psychotic experiences are prevalent across a wide variety of psychiatric, neurological, and medical conditions. Yet current assessments are often designed for one disorder, or are limited in their examination of phenomenological features; this has hindered transdiagnostic research. This article describes an examination of the validity and reliability of the English version of a new assessment, the Questionnaire for Psychotic Experiences (QPE). This study aimed to use the QPE to examine hallucinations and delusions across a number of different conditions, and to ensure that the QPE had acceptable psychometric properties. An International Consortium on Hallucination Research working group, along with consumer groups, developed the 50-item QPE to assess the presence, severity, and phenomenology of hallucinations and delusions. Participants in the study who reported psychotic experiences included those with schizophrenia, schizoaffective disorder, bipolar affective disorder, and major depressive disorder, and those without a need for care (ie, nonclinical participants). There were 173 participants in total. Convergent and discriminant validity were assessed. Reliability was examined in terms of stability, equivalence, and internal consistency. The data confirmed that the QPE had good psychometric properties and could be put forward as an accepted measure of the transdiagnostic evaluation of psychotic experiences. Further validation is recommended with neurological and medical populations. Given its validity and reliability, comprehensive evaluation of psychotic phenomena, and relatively quick administration time, we propose that the QPE is a valuable instrument for both clinical and research settings.

摘要

幻觉体验普遍存在于多种精神科、神经科和内科疾病中。然而,目前的评估往往针对一种疾病进行设计,或者在对现象学特征的检查上受到限制;这阻碍了跨诊断研究。本文描述了对一种新评估工具——《幻觉体验问卷》(QPE)的英文版本的有效性和可靠性的检验。本研究旨在使用 QPE 来检查多种不同疾病中的幻觉和妄想,并确保 QPE 具有可接受的心理测量学特性。一个国际幻觉研究联合会工作组与消费者团体共同开发了 50 项 QPE,以评估幻觉和妄想的存在、严重程度和现象学。报告有幻觉体验的研究参与者包括精神分裂症、分裂情感障碍、双相情感障碍和重性抑郁障碍患者,以及无需护理的患者(即非临床参与者)。共有 173 名参与者。评估了聚合效度和区分效度。从稳定性、等效性和内部一致性三个方面评估了可靠性。数据证实 QPE 具有良好的心理测量学特性,可以作为一种公认的跨诊断评估幻觉体验的方法。建议在神经科和内科人群中进一步验证。鉴于其有效性和可靠性、对幻觉现象的全面评估以及相对较短的管理时间,我们建议 QPE 是临床和研究环境中一种有价值的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3077/6357974/6498965ab88e/sby14801.jpg

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