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中文版本的 Snaith-Hamilton 愉悦量表(SHAPS)在非临床和临床人群中的因子结构和测量不变性。

Factor Structure and Measurement Invariance of the Chinese version of the Snaith-Hamilton Pleasure Scale (SHAPS) in Non-clinical and Clinical populations.

机构信息

Medical Psychological Center, the Second Xiangya Hospital of Central South University, Changsha, Hunan, China.

Institute of Mental Health, the Second Xiangya Hospital of Central South University, Changsha, Hunan, China.

出版信息

J Affect Disord. 2021 Feb 15;281:759-766. doi: 10.1016/j.jad.2020.11.068. Epub 2020 Nov 13.

Abstract

BACKGROUND

Anhedonia, a key symptom of depression and schizophrenia, has emerged as a potential endophenotype. The aim of this study was to evaluate the psychometric properties of a Chinese version of the Snaith-Hamilton Pleasure Scale(SHAPS), a self-report anhedonia scale, in a non-clinical sample and clinical sample inclusive of major depressive disorder (MDD), schizophrenia, or a personality disorder.

METHODS

A total of 4,722 undergraduate students and 352 clinical patients participated in this study. Internal consistency was assessed by calculating Cronbach's α and mean inter-item correlation (MIC) values. Test-retest reliability and convergent validity were assessed with Pearson r coefficients. The best fitting of six potential factor-structure models was determined by confirmatory factor analysis (CFA). Measurement invariance across genders and samples was determined by multi-group CFA.

RESULTS

Internal consistency of the Chinese version of the SHAPS was acceptable in non-clinical (Cronbach's α = 0.90) and clinical (Cronbach's α = 0.91) samples. Four-week interval test-retest reliability was 0.60. Moreover, the Spanish four-factor structure had the best fit indexes in both samples. Scalar invariance was established across genders as well as across non-clinical sample and clinical sample. SHAPS was significantly related with the Temporal Experience of Pleasure Scale (TEPS) and Beck Depression Inventory (BDI).

LIMITATIONS

There was a restricted scope of convergent validity and the size of clinical sample is relatively small, psychometric properties in elderly sample is also required.

CONCLUSION

The Chinese version of the SHAPS is a reliable, effective, simple and convenient tool for assessing and screening for anhedonia.

摘要

背景

快感缺失是抑郁和精神分裂症的一个关键症状,已成为一个潜在的内表型。本研究旨在评估斯奈思-汉密尔顿快感量表(SHAPS)中文版的心理测量特性,该量表是一种自我报告的快感缺失量表,适用于非临床样本和包括重性抑郁障碍(MDD)、精神分裂症或人格障碍在内的临床样本。

方法

共有 4722 名本科生和 352 名临床患者参与了这项研究。内部一致性通过计算 Cronbach's α 和平均项目间相关(MIC)值来评估。测试-重测信度和聚合效度通过 Pearson r 系数进行评估。通过验证性因子分析(CFA)确定六个潜在因素结构模型的最佳拟合。通过多组 CFA 确定性别和样本间的测量不变性。

结果

中文版 SHAPS 在非临床样本(Cronbach's α=0.90)和临床样本(Cronbach's α=0.91)中的内部一致性是可以接受的。四周间隔的重测信度为 0.60。此外,西班牙四因素结构在两个样本中都具有最佳的拟合指数。在性别和非临床样本与临床样本之间都建立了标量不变性。SHAPS 与时间体验快感量表(TEPS)和贝克抑郁量表(BDI)显著相关。

局限性

收敛效度的范围有限,临床样本的规模相对较小,也需要对老年样本的心理测量特性进行研究。

结论

中文版 SHAPS 是一种可靠、有效、简单、方便的评估和筛查快感缺失的工具。

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