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儿童强迫症家长评定与自评量表的心理测量学评估:德国儿童青少年强迫症量表(OCD-CA)

Psychometric evaluation of a parent-rating and self-rating inventory for pediatric obsessive-compulsive disorder: German OCD Inventory for Children and Adolescents (OCD-CA).

作者信息

Adam Julia, Goletz Hildegard, Mattausch Svenja-Kristin, Plück Julia, Döpfner Manfred

机构信息

1School of Child and Adolescent Cognitive Behavior Therapy at the University Hospital Cologne, Pohligstr. 9, 50969 Cologne, Germany.

2Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Medical Faculty of the University of Cologne, Robert-Koch-Str. 10, 50931 Cologne, Germany.

出版信息

Child Adolesc Psychiatry Ment Health. 2019 Jun 18;13:25. doi: 10.1186/s13034-019-0286-z. eCollection 2019.

Abstract

BACKGROUND

This study assesses the psychometric properties of the German version of the Padua Inventory-Washington State University Revision for measuring pediatric OCD.

METHODS

The parent-rating and self-rating inventory is assessed in a clinical sample (CLIN: n = 342, age range = 6-18 years) comprising an OCD subsample (OCDS: n = 181) and a non-OCD clinical subsample (non-OCD: n = 161), and in a community sample (COS: n = 367, age range = 11-18 years).

RESULTS

An exploratory factor analysis yielded a four-factor solution: (1) Contamination & Washing, (2) Catastrophes & Injuries, (3) Checking, and (4) Ordering & Repeating. Internal consistencies of the respective scales were acceptable to excellent across all samples, with the exception of the self-report subscale Ordering and Repeating in the community sample. The subscales correlated highly with the total score. Intercorrelations between the subscales were mainly r ≤ .70, indicating that the subscales were sufficiently independent of each other. Convergent and divergent validity was supported. Participants in the OCD subsample scored significantly higher than those in the non-OCD clinical subsample and the COS on all scales. In the COS, self-rating scores were significantly higher than parent-rating scores on all scales, while significant mean differences between informants were only found on two subscales in the OCD subsample.

CONCLUSION

The German version of the Padua Inventory-Washington State University Revision for measuring pediatric OCD is a promising, valid and reliable instrument to assess self-rated and parent-rated pediatric OCD symptoms in clinical and non-clinical (community) populations.

摘要

背景

本研究评估了用于测量儿童强迫症的德语版帕多瓦量表-华盛顿州立大学修订版的心理测量特性。

方法

在一个临床样本(CLIN:n = 342,年龄范围6 - 18岁)中评估家长评定和自评量表,该临床样本包括一个强迫症子样本(OCDS:n = 181)和一个非强迫症临床子样本(非OCD:n = 161),以及在一个社区样本(COS:n = 367,年龄范围11 - 18岁)中进行评估。

结果

探索性因素分析得出一个四因素解决方案:(1)污染与洗涤,(2)灾难与伤害,(3)检查,以及(4)排序与重复。除社区样本中的自评子量表排序与重复外,各量表在所有样本中的内部一致性均可接受至优秀。子量表与总分高度相关。子量表之间的相互相关性主要为r≤0.70,表明子量表彼此之间具有足够的独立性。支持了聚合效度和区分效度。强迫症子样本中的参与者在所有量表上的得分显著高于非强迫症临床子样本和社区样本中的参与者。在社区样本中,所有量表上的自评得分均显著高于家长评定得分,而在强迫症子样本中仅在两个子量表上发现了信息提供者之间的显著平均差异。

结论

用于测量儿童强迫症的德语版帕多瓦量表-华盛顿州立大学修订版是一种有前景、有效且可靠的工具,可用于评估临床和非临床(社区)人群中自评和家长评定的儿童强迫症症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8a5/6582526/ed04e7889d65/13034_2019_286_Fig1_HTML.jpg

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