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[用于识别强迫症症状的AMDP模块的开发。概念化与实证结果]

[Development of the AMDP module for identification of obsessive- compulsive symptoms. Conceptualization and empirical results].

作者信息

Grabe H J, Hartschen V, Welter-Werner E, Thiel A, Freyberger H J, Kathmann N, Boerner R, Hoff P

机构信息

Klinik und Poliklinik für Psychiatrie und Psychotherapie, Friedrich-Wilhelms-Universität Bonn.

出版信息

Fortschr Neurol Psychiatr. 1998 May;66(5):201-6. doi: 10.1055/s-2007-995256.

DOI:10.1055/s-2007-995256
PMID:9653636
Abstract

Results of epidemiology and comorbidity studies have recently demonstrated the psychopathological relevance of obsessive-compulsive symptoms. Therefore the "Arbeitsgemeinschaft für Methodik und Diagnostik in der Psychiatrie" (AMDP) has started to develop a rating scale for a quick and precise assessment of obsessive-compulsive symptoms. The actual version of the scale comprises 20 items on the dimensions "description", "distress and impairment" and "emotion and cognition". The results of a first empirical study (n = 137, psychiatric in- and outpatients) demonstrated excellent internal consistency (Cronbach's alpha = 0.92), a split-half reliability of 0.89 (Spearman-Brown), a test-retest reliability of r = 0.86 and good convergent validity with the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) and the Hamburger Zwangsinventar (HZI). The factor-analytical distribution of the 20 items revealed a 4-factor structure of the scale. The results are presented and their implications on further steps of the development of the scale are discussed.

摘要

流行病学和共病研究结果最近已证明强迫症状的精神病理学相关性。因此,“精神病学方法与诊断工作小组”(AMDP)已开始制定一种用于快速、精确评估强迫症状的评定量表。该量表的现行版本包括关于“描述”“痛苦与损害”以及“情感与认知”维度的20个条目。第一项实证研究(n = 137,精神科住院和门诊患者)的结果显示出极佳的内部一致性(克朗巴哈α系数 = 0.92)、折半信度为0.89(斯皮尔曼 - 布朗)、重测信度为r = 0.86,并且与耶鲁 - 布朗强迫量表(Y - BOCS)和汉堡强迫量表(HZI)具有良好的聚合效度。这20个条目的因素分析分布揭示了该量表的四因素结构。现将结果呈现出来,并讨论其对量表进一步开发步骤的影响。

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