Dubester K A, Braun B G
Department of Preventive Medicine, Northwestern University Medical School, Chicago, Illinois 60611, USA.
J Nerv Ment Dis. 1995 Apr;183(4):231-5. doi: 10.1097/00005053-199504000-00008.
The test-retest reliability of the Dissociative Experiences Scale (DES; Bernstein EM, Putnam FW [1986] Development, reliability, and validity of a dissociation scale. The Journal of Nervous and Mental Disease 174:727-735) in a clinical sample was found to be .93 for the total DES score and .95, .89, and .82 for the three subscale scores of amnesia, depersonalization-derealization, and absorption (dissociative identity disorder [DID], DSM-IV), respectively. Test-retest reliabilities within diagnostic groups of multiple personality disorder, dissociative disorder not otherwise specified, and a general other category of psychiatric diagnoses were obtained for total and subscale scores on the DES. These ranged from .78 to .96. Tests of mean scores across the two test sessions showed the total and subscale scores to be temporally stable. The DES was also found to be highly internally consistent: Cronbach's alphas of .96 and .97 were observed for the total DES scores taken at times 1 and 2, respectively. Construct validity of the DES was demonstrated by differentiation among the subscale scores in a repeated-measures analysis of variance (F[2,154] = 32.03, p < or = .001). Normality and general distribution issues were also addressed and provided a rationale for using the DES with parametric statistics. Reasons why the DES (as it was originally designed) is not appropriate as a dependent measure in outcome research are discussed, along with needed future research. Implications of the findings for the clinical usefulness of the DES as a diagnostic instrument are noted.
解离体验量表(DES;伯恩斯坦 EM,普特南 FW [1986] 一种解离量表的编制、信度和效度。《神经与精神疾病杂志》174:727 - 735)在临床样本中的重测信度,总 DES 得分是 0.93,失忆、人格解体 - 现实解体和专注(解离性身份障碍 [DID],《精神疾病诊断与统计手册》第四版)这三个分量表得分分别是 0.95、0.89 和 0.82。在多重人格障碍、未另行说明的解离障碍以及一般其他类别的精神科诊断的诊断组内,获取了 DES 总分及分量表得分的重测信度。这些范围在 0.78 至 0.96 之间。对两次测试 session 中平均得分的检验表明,总分及分量表得分在时间上是稳定的。还发现 DES 具有高度的内部一致性:在第 1 次和第 2 次获取的 DES 总分的克朗巴哈系数分别为 0.96 和 0.97。通过重复测量方差分析中分量表得分的差异(F[2,154] = 32.03,p≤0.001)证明了 DES 的结构效度。还探讨了正态性和一般分布问题,并为将 DES 用于参数统计提供了理论依据。讨论了 DES(按其最初设计)为何不适宜作为结果研究中的因变量测量指标,以及未来所需的研究。指出了这些发现对 DES 作为诊断工具的临床实用性的影响。