儿童游戏治疗工具（CPTI）：描述、开发及可靠性研究
The Children's Play Therapy Instrument (CPTI). Description, development, and reliability studies.
作者信息
Kernberg P F, Chazan S E, Normandin L
机构信息
New York Hospital-Cornell Medical Center, White Plains, NY 10605, USA.
出版信息
J Psychother Pract Res. 1998 Summer;7(3):196-207.
Abstract
The Children's Play Therapy Instrument (CPTI), its development, and reliability studies are described. The CPTI is a new instrument to examine a child's play activity in individual psychotherapy. Three independent raters used the CPTI to rate eight videotaped play therapy vignettes. Results were compared with the authors' consensual scores from a preliminary study. Generally good to excellent levels of interrater reliability were obtained for the independent raters on intraclass correlation coefficients for ordinal categories of the CPTI. Likewise, kappa levels were acceptable to excellent for nominal categories of the scale. The CPTI holds promise to become a reliable measure of play activity in child psychotherapy. Further research is needed to assess discriminant validity of the CPTI for use as a diagnostic tool and as a measure of process and outcome.
摘要
本文描述了儿童游戏治疗工具（CPTI）及其开发过程和可靠性研究。CPTI是一种用于在个体心理治疗中检查儿童游戏活动的新工具。三名独立评分者使用CPTI对八个录像的游戏治疗片段进行评分。将结果与作者在初步研究中达成共识的分数进行比较。对于CPTI的有序类别，独立评分者在组内相关系数方面获得了一般良好到优秀水平的评分者间信度。同样，该量表的名义类别kappa水平从可接受至优秀。CPTI有望成为儿童心理治疗中游戏活动的可靠测量工具。需要进一步研究以评估CPTI作为诊断工具以及作为过程和结果测量工具的区分效度。
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本文引用的文献
1
Weighted kappa: nominal scale agreement with provision for scaled disagreement or partial credit.加权kappa系数：用于衡量名义尺度上的一致性，并考虑了尺度不一致或部分得分的情况。
Psychol Bull. 1968 Oct;70(4):213-20. doi: 10.1037/h0026256.
2
Intraclass correlations: uses in assessing rater reliability.组内相关系数：在评估评分者可靠性中的应用。
Psychol Bull. 1979 Mar;86(2):420-8. doi: 10.1037//0033-2909.86.2.420.
3
THE CONCEPT OF DEVELOPMENTAL LINES.发育线的概念。
Psychoanal Study Child. 1963;18:245-65. doi: 10.1080/00797308.1963.11822930.
4
Mechanisms of defense: development and research perspectives.防御机制：发展与研究视角
Bull Menninger Clin. 1994 Winter;58(1):55-87.
5
An empirically validated hierarchy of defense mechanisms.一个经过实证验证的防御机制层次结构。
Arch Gen Psychiatry. 1986 Aug;43(8):786-94. doi: 10.1001/archpsyc.1986.01800080072010.
6
Assessment of children's object-representations with the Rorschach.用罗夏墨迹测验评估儿童的客体表象。
Bull Menninger Clin. 1989 Sep;53(5):432-41.
7
Gender identity disorder and psychosexual problems in children and adolescents.儿童及青少年的性别认同障碍和性心理问题。
Can J Psychiatry. 1990 Aug;35(6):477-86. doi: 10.1177/070674379003500603.
8
The Rorschach test and the assessment of object relations.罗夏墨迹测验与客体关系评估
J Pers Assess. 1977 Feb;41(1):3-9. doi: 10.1207/s15327752jpa4101_1.
9
The measurement of observer agreement for categorical data.分类数据观察者一致性的测量。
Biometrics. 1977 Mar;33(1):159-74.
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