中国临床心理学杂志

多维强迫量表在中国大学生中的修订

作者：王辰怡¹ 王建平¹ 唐谭¹ 张双宇¹ Thr?stur Bj?rgvinsson²

单位：1. 北京师范大学心理学院应用实验心理北京市重点实验室北京 100875
2. Department of Psychiatry McLean Hospital/Harvard Medical School USA 02215

分类号：R395.1

出版年,卷(期):页码：2012,20(3):315-319

摘要：

目的: 将多维强迫量表(DOCS)引入中国,检验其在中国大学生中的因素结构及信效度。方法: 通过方便取样对1787名大学生进行测查;严格按照双盲方法对DOCS进行翻译;选用强迫量表修订版、焦虑自评量表以及流调中心用抑郁量表作为效度量表。结果: 验证性因素分析发现原有四因素模型不能良好拟合;经探索性因素分析得到五个因素,分别为"对称"、"不可接受的想法"、"责任感"、"污染"及"症状占用时间",共解释总变异的63.15%;总量表内部一致性系数为0.906,各分量表内部一致性系数为0.639到0.839;重测信度系数为0.908,效标效度较好。结论: DOCS原四因素模型在中国大学生样本中不适用,五因素的结果符合心理测量学的标准,但需要扩大样本和增加临床样本进一步检验。

Objective: To revise the Dimensional Obsessive-compulsive Scale(DOCS) in a Chinese college student sample to find out an empirically justifiable factor structure and explore the distribution characteristics. Methods: A sample of 1787 students was tested with a measuring battery including DOCS: Obsessive Compulsive Inventory-Revised (OCI-R),Center for Epidemiologic Studies Depression Scale(CES-D) and Zung Self-Rating Anxiety Scale(SAS). Results: Confirmatory factor analysis suggested that the 4 theoretically derived subscales model of DOCS fitted poorly. Exploratory factor analysis extracted five factors, Symmetry, Unacceptable obsessional thoughts, Responsibility, Contamination and Time occupied by obsessions and compulsions. Tests of the reliability and validity turned out to be excellent. Analysis on the scores showed that the average total score was 1.07. The average score on the subscale of Symmetry turned out to be the lowest and Unacceptable obsessional thoughts to be the highest. Conclusion: The results of this research have proved that the five-factor DOCS has good reliability and validity applied to college student sample in China.

基金项目：

作者简介：

参考文献：

[1] American Psychiatry Association. Diagnostic and statistical manual of mental disorders[M].Washington,DC:Author,2000.
[2] Horwath E,Weissman MM. The epidemiology and crossnational presentation of obsessive-compulsive disorder[J].Psychiatric Clinics of North America,2000,(03):493-507.
[3] 12地区精神疾病流行学调查协作组. 国内12地区精神疾病流行病学调查的方法学及资料分析[J].中华神经精神科杂志,1986,(02):65-69.
[4] 郭慧荣,肖泽萍,张海音. 强迫症流行病学研究进展[J].上海精神医学,2003,(03):179-182.doi:10.3969/j.issn.1002-0829.2003.03.019.
[5] Abramowitz JS,Deacon BJ,Olatunji BO. Assessment of obsessive-compulsive symptom dimensions:Development and evaluation of the dimensional obsessive-compulsive scale[J].Psychological Assessment,2010,(01):180-198.
[6] Foa EB,Kozak MJ,Salkovskis PM. The validation of a new obsessive-compulsive disorder scale:The obsessive-compulsive inventory[J].Psychological Assessment,1998.206-214.
[7] Foa EB,Huppert JD,Leiberg S. The Obsessive-compulsive inventory:Development and validation of a short version[J].Psychological Assessment,2002.485-496.
[8] 唐苏勤,王建平,唐谭,赵丽娜. 强迫量表修订版在中国大学生中应用的信效度[J].中国临床心理学杂志,2011,(05):619-621.
[9] 陶明,高静芳. 修订焦虑自评量表的信都及效度[J].中国神经精神疾病杂志,1994,(05):301-303.doi:10.1111/j.1365-2818.2008.03101.x.
[10] Radloff LS. The CES-D scale:A self-report depression scale for research in the general population[J].Applied Psychological Measurement,1977.385-401.
[11] 刘平. 流调中心用抑郁量表[J].中国心理卫生杂志,1999,(增刊):200-202.doi:10.1111/j.1460-9568.2009.06965.x.
[12] 吴明隆. 结构方程模型-AMOS的操作与应用[M].重庆:重庆大学出版社,2009.212-262.
[13] 袁勇贵. 焦虑和抑郁障碍共病的研究现状[J].中国临床康复杂志,2002,(17):2518-2519.doi:10.3321/j.issn:1673-8225.2002.17.007.
[14] 袁勇贵. 焦虑障碍共病研究[J].中国临床康复杂志,2004,(33):7544-7547.doi:10.3321/j.issn:1673-8225.2004.33.105.
[15] 江开达. 精神病学[M].北京:人民卫生出版社,2010,(4):168-186.doi:10.1016/j.yjmcc.2008.02.273.
[16] 曾昭祥,刘琳. 强迫症患者的防御方式及其家庭因素研究[J].四川精神卫生,2006,(04):193-196.doi:10.3969/j.issn.1007-3256.2006.04.001.
[17] Gibbs NA. Nonclinical populations in research on obsessive-compulsive disorder:A critical review[J].Clinical Psychology Review,1996,(08):729-773.

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