中国临床心理学杂志

HIV/AIDS压力量表中文版的信效度检验

单位：1. 中南大学公共卫生学院社会医学与卫生事业管理学系长沙 410078
2. 长沙市第一医院艾滋病研究所长沙 430100
3. 湖南省疾病预防控制中心长沙 410005

关键词：HIV感染者/AIDS患者压力信度效度

分类号：R395.1

出版年,卷(期):页码：2016,24(2):254-258

摘要：

目的：对HIV/AIDS压力量表（SS-HIV）进行初步修订并在HIV感染者/AIDS患者（PLWHA）中进行信效度检验，探讨其在中国文化背景下的适用性。方法：将在中南地区某市级疾病预防与控制中心接受治疗管理服务的PLWHA作为连续样本招募入组，共得到符合入组条件的研究样本376人，采用中文版HIV/AIDS压力量表（CSSHIV）、病人健康问卷抑郁量表（PHQ-9），广泛性焦虑量表(GAD-7)等进行问卷调查。通过项目分析进行条目筛选，采用结构效度、效标效度、区分效度进行效度评价，采用分半信度、重测信度、Cronbach α系数进行信度评价。结果：①项目分析显示在原始量表的基础上剔除1个条目，保留22个条目；②探索性因子分析提示CSS-HIV共提取3个公共因子，累计方差贡献率为55.359%，验证性因子分析发现22条目的中文版量表模型拟合数据最优,各指标为χ²/df=3.066，CFI=0.892，GFI=0.866，NFI=0.849，IFI=0.893，RMSEA=0.074；有HIV相关症状的患者压力得分明显高于无症状者；CSS-HIV压力总分与抑郁得分、焦虑得分的相关系数分别为0.706、0.703。③量表分半信度为0.884，重测信度为0.845，内部一致性系数为0.932。结论：HIV/AIDS压力量表中文版具有良好的信效度，可以用于研究我国PLWHA人群的压力状况。

Objective:To revise the Chinese version of HIV/AIDS Stress Scale(CSS-HIV), and test its reliability and va-lidity in people living with HIV/AIDS(PLWHA), and assess its applicability in the Chinese cultural context. Methods:A to-tal of 376 registered PLWHA in Central South Area were recruited by consecutive sampling. The Chinese version of the HIV/AIDS Stress Scale(CSS-HIV), Patient Health Questionnaire(PHQ-9), Generalized Anxiety Disorder Scale(GAD-7) were used to collect information. The item analyses were applied to examine the discrimination of items. Construct validity, criterion validity, discriminant validity were used to evaluate the validity of the CSS-HIV. Split-half reliability, test-retest reliability, Cronbach α coefficient were used to evaluate its reliability. Results:①According to the results of the item anal-ysis, 22 items were retained.②The results of exploratory factor analysis showed that the CSS-HIV consisted of three factor, and the total variance explained 55.359%, and the scale had twenty-two-factor model with better fitting indexes of confir-matory factor analysis, χ²/df=3.066, CFI=0.892, GFI=0.866, NFI=0.849, IFI=0.893, RMSEA=0.074. Patients who had HIVrelated symptoms had significantly higher scores than the asymptomatic patients. The correlation coefficients of CSS-HIV with PHQ-9 and GAD-7 were 0.706 and 0.703. ③The split-half reliability was 0.884, the test-retest reliability was 0.845, and the internal consistency coefficient was 0.932. Conclusion:The Chinese version of the HIV/AIDS Stress Scale has good reliability and validity, which can be used to evaluate the stress of PLWHA in China.

基金项目：

国家自然科学基金（81202290）；湖南省社科基金（13WTB22）；The U. S. National Institutes of Health（D43TW009101）

作者简介：

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