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一种用于评估严重精神障碍患者自我和他人功能失调性工作模式(DWM-S)的新量表的开发与初步应用

Development and preliminary application of a new scale for assessing dysfunctional working models of self and others (DWM-S) in severely disturbed patients.

作者信息

Perris C, Fowler D, Skagerlind I, Olsson M, Thorsson C

机构信息

Department of Psychiatry, Umeå University and WHO Collaborating Centre for Research and Training in Mental Health, Sweden.

出版信息

Acta Psychiatr Scand. 1998 Sep;98(3):219-23. doi: 10.1111/j.1600-0447.1998.tb10070.x.

Abstract

Although several suggestions have been made concerning the content and characteristics of cognitive/emotive schemata held by people with different disorders, there is still a scarcity of suitable instruments for verifying or measuring such constructs. This is particularly true of schemata postulated to be present in patients with personality disorders or a schizophrenic disorder. This article deals with the development of a new scale for assessing dysfunctional internal working models of self and others (DWM-S) in psychiatric patients. Preliminary results obtained in a sample of patients (n=110) and healthy subjects (n=40) suggest that the scale has a highly satisfactory internal consistency (Cronbach's alpha=0.97), and satisfactory test-retest reliability (rho coefficient=0.90 in healthy subjects and 0.86 in patients). Moreover, the DWM-S is able to discriminate between patients and healthy subjects and between patients suffering from various disorders. Further studies are in progress to assess the cross-national generalizability of the findings obtained so far.

摘要

尽管针对患有不同疾病的人群所拥有的认知/情感图式的内容和特征已经提出了若干建议,但用于验证或测量此类结构的合适工具仍然匮乏。对于假定存在于人格障碍或精神分裂症患者中的图式而言,情况尤其如此。本文探讨了一种用于评估精神病患者自我和他人功能失调的内部工作模型(DWM-S)的新量表的开发。在一组患者样本(n = 110)和健康受试者样本(n = 40)中获得的初步结果表明,该量表具有高度令人满意的内部一致性(克朗巴哈系数α = 0.97),以及令人满意的重测信度(健康受试者的rho系数 = 0.90,患者的rho系数 = 0.86)。此外,DWM-S能够区分患者与健康受试者,以及患有各种疾病的患者。目前正在进行进一步的研究,以评估迄今为止所获研究结果的跨国普遍性。

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