双相情感障碍功能评估简短测试韩文版的心理测量特性
Psychometric Properties of the Korean Version of Functioning Assessment Short Test in Bipolar Disorder.
作者信息
Kang Hangoeunbi, Yoon Bo-Hyun, Bahk Won-Myong, Woo Young Sup, Kim Won, Lee Jonghun, Sohn InKi, Park Sung-Yong, Jon Duk-In, Jung Myung Hun, Kim Moon-Doo, Jung Young-Eun, Sung Hyung-Mo, Park Young-Min, Lee Jung Goo, Lee Sang-Yeol, Jang Seung-Ho, Lim Eun-Sung, Shim In Hee, Lee Kwanghun, Jang Sae-Heon
机构信息
Department of Psychiatry, Naju National Hospital, Naju, Korea.
Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, Korea.
出版信息
Clin Psychopharmacol Neurosci. 2023 Feb 28;21(1):188-196. doi: 10.9758/cpn.2023.21.1.188.
OBJECTIVE
The Functioning Assessment Short Test (FAST) is a relatively specific test for bipolar disorders designed to assess the main functioning problems experienced by patients. This brief instrument includes 24 items assessing impairment or disability in 6 domains of functioning: autonomy, occupational functioning, cognitive functioning, financial issues, interpersonal relationships, and leisure time. It has already been translated into standardized versions in several languages. The aim of this study is to measure the validity and reliability of the Korean version of FAST (K-FAST).
METHODS
A total of 209 bipolar disorder patients were recruited from 14 centers in Korea. K-FAST, Young Mania Rating Scale (YMRS), Bipolar Depression Rating Scale (BDRS), Global Assessment of Functioning (GAF) and the World Health Organization Quality of Life Assessment Instrument Brief Form (WHOQOL-BREF) were administered, and psychometric analysis of the K-FAST was conducted.
RESULTS
The internal consistency (Cronbach's alpha) of the K-FAST was 0.95. Test-retest reliability analysis showed a strong correlation between the two measures assessed at a 1-week interval (ICC = 0.97; < 0.001). The K-FAST exhibited significant correlations with GAF (r = -0.771), WHOQOL-BREF (r = -0.326), YMRS (r = 0.509) and BDRS (r = 0.598). A strong negative correlation with GAF pointed to a reasonable degree of concurrent validity. Although the exploratory factor analysis showed four factors, the confirmatory factor analysis of questionnaires had a good fit for a six factors model (CFI = 0.925; TLI = 0.912; RMSEA = 0.078).
CONCLUSION
The K-FAST has good psychometric properties, good internal consistency, and can be applicable and acceptable to the Korean context.
目的
功能评估简短测试（FAST）是一种针对双相情感障碍的相对特异的测试，旨在评估患者经历的主要功能问题。这个简短的工具包括24个项目，评估功能的6个领域中的损伤或残疾情况：自主性、职业功能、认知功能、财务问题、人际关系和休闲时间。它已经被翻译成多种语言的标准化版本。本研究的目的是测量韩语版FAST（K-FAST）的效度和信度。
方法
从韩国的14个中心招募了总共209名双相情感障碍患者。对他们施测K-FAST、青年躁狂评定量表（YMRS）、双相抑郁评定量表（BDRS）、功能总体评定量表（GAF）和世界卫生组织生活质量评估简表（WHOQOL-BREF），并对K-FAST进行心理测量学分析。
结果
K-FAST的内部一致性（Cronbach's alpha）为0.95。重测信度分析显示，在1周间隔评估的两个测量之间有很强的相关性（组内相关系数ICC = 0.97；P < 0.001）。K-FAST与GAF（r = -0.771）、WHOQOL-BREF（r = -0.326）、YMRS（r = 0.509）和BDRS（r = 0.598）表现出显著相关性。与GAF的强负相关表明有合理程度的同时效度。尽管探索性因素分析显示有四个因素，但问卷的验证性因素分析对六因素模型有良好的拟合度（比较拟合指数CFI = 0.925；塔克-刘易斯指数TLI = 0.912；均方根误差近似值RMSEA = 0.078）。
结论
K-FAST具有良好的心理测量学特性、良好的内部一致性，并且在韩国背景下是适用且可接受的。
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