《牛津抑郁问卷中文版：一项针对心境障碍患者的效度研究》
The Chinese Version of Oxford Depression Questionnaire: A Validation Study in Patients with Mood Disorders.
作者信息
Zhu Yiyi, Wu Lingling, Ye Shuling, Fu Yaoyang, Huang Huimin, Lai Jianbo, Shi Chuan, Hu Shaohua
机构信息
School of Mental Health, Wenzhou Medical University, Wenzhou, People's Republic of China.
Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
出版信息
Neuropsychiatr Dis Treat. 2023 Mar 7;19:547-556. doi: 10.2147/NDT.S396356. eCollection 2023.
BACKGROUND
Emotional blunting is prevalent in patients with mood disorders and adversely affects the overall treatment outcome. The Oxford Depression Questionnaire is a validated psychometric instrument for assessing emotional blunting. We aimed to evaluate the reliability and validity of the Chinese version of the ODQ (ODQ) in Chinese patients with mood disorders.
METHODS
136 mood disorders patients and 95 healthy control participants were recruited at the First Affiliated Hospital of Zhejiang University, School of Medicine. Patients were assessed using the ODQ, Beck Depression Inventory-II (BDI-II), and Montgomery-Asberg Depression Rating Scale (MADRS). Internal consistency reliability and test-retest reliability were analyzed. Confirmatory factor analysis and correlation analysis were used to evaluate construct and convergent validity.
RESULTS
A total of 136 patients with mood disorders and 95 healthy controls participated in this study. Cronbach α values were 0.928 (ODQ-20) and 0.945 (ODQ-26). Test-retest reliability coefficients were 0.798 (ODQ-20) and 0.836 (ODQ-26) (p<0.05); intraclass correlation coefficient values were 0.777 (ODQ-20) and 0.781 (ODQ-26) (p<0.01). The score of ODQ was positively correlated with BDI-II and MADRS (r=0.3260.719, 0.2350.537, p<0.01). The differences in the ODQ scores between the patient and control groups were statistically significant.
CONCLUSION
The reliability, structural validity, and criterion validity of the ODQ applied to patients with mood disorders meet the psychometric requirements, and the scale can be used to assess emotional blunting in Chinese patients with mood disorders.
背景
情感迟钝在情绪障碍患者中普遍存在，并且对整体治疗效果产生不利影响。牛津抑郁问卷是一种经过验证的用于评估情感迟钝的心理测量工具。我们旨在评估中文版牛津抑郁问卷（ODQ）在中国情绪障碍患者中的信度和效度。
方法
在浙江大学医学院附属第一医院招募了136名情绪障碍患者和95名健康对照参与者。使用ODQ、贝克抑郁量表第二版（BDI-II）和蒙哥马利-阿斯伯格抑郁评定量表（MADRS）对患者进行评估。分析内部一致性信度和重测信度。采用验证性因素分析和相关分析来评估结构效度和收敛效度。
结果
共有136名情绪障碍患者和95名健康对照参与了本研究。Cronbach α值分别为0.928（ODQ-20）和0.945（ODQ-26）。重测信度系数分别为0.798（ODQ-20）和0.836（ODQ-26）（p<0.05）；组内相关系数值分别为0.777（ODQ-20）和0.781（ODQ-26）（p<0.01）。ODQ得分与BDI-II和MADRS呈正相关（r=0.3260.719，0.2350.537，p<0.01）。患者组和对照组之间ODQ得分的差异具有统计学意义。
结论
应用于情绪障碍患者的ODQ的信度、结构效度和效标效度符合心理测量学要求，该量表可用于评估中国情绪障碍患者的情感迟钝。
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