中国临床心理学杂志

中文版正性负性情绪量表在乳腺癌患者中的信度和效度

单位：1. 中南大学湘雅二医院医学心理学研究所长沙 410011
2. 西安交通大学人文社会科学学院西安 710049

分类号：R395.1

出版年,卷(期):页码：2016,24(4):671-674

摘要：

目的：评估中文版正性负性情绪量表（PANAS）在乳腺癌患者中的信度、效度。方法：505例乳腺癌患者完成中文版正性负性情绪量表、汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）的评估。结果：PANAS正性情绪（PA）量表和负性情绪（NA）量表的Cronbach's α系数分别为0.937、0.919；正、负性情绪分量表的重测信度分别为0.508、0.481；正、负性情绪分量表的条目间平均相关系数分别为0.595、0.539。正、负性情绪两因子之间的相关系数为-0.674。探索性因素分析结果显示：正性情绪各条目的因子负荷在0.635～0.831之间；负性情绪各条目的因子负荷在0.556～0.779之间。正性情绪与HAMA、HAMD的相关系数分别为-0.578、-0.264；负性情绪与HAMA、HAMD的相关系数分别为0.723、0.330。不同地区和年龄组患者在正性情绪和负性情绪两因子的得分上差异均显著（P<0.05）；不同文化程度患者仅在正性情绪上有显著差异（P<0.001）。结论：中文版正性负性情绪量表（PANAS）在乳腺癌患者中具有良好的信度、效度，可有效测量乳腺癌患者的正、负性情绪。

Objective: To evaluate the reliability and validity of the Chinese version of the Positive and Negative Affect Scale (PANAS) in women with breast cancer.Methods: 505 women with breast cancer were tested by Chinese version of the Positive and Negative Affect Scale,Hamilton Anxiety Scale and Hamilton Depression Scale.Results: The Cronbach's alpha coefficient of Positive Affect Scale and Negative Affect Scale were 0.937 and 0.919 respectively;the test-retest reliability of the PA and NA were 0.508 and 0.481 respectively;the inter-item correlation coefficient of the PA and NA were 0.595 and 0.539 respectively.The correlation coefficient between the PA and NA was -0.674.The results of exploratory factor analysis:Varimaxrotated factor loading for the PA terms ranged from 0.635 to 0.831,NA terms ranged from 0.556 to 0.779.The correlation coefficients between PA and HAMA/HAMD were -0.578 and -0.264 respectively;The correlation coefficients between NA and HAMA/HAMD were 0.723 and 0.330 respectively.The scores of the two factors of PANAS were significantly different between the urban area and the rural area (P<0.001),the scores of the two factors of PANAS were significantly different among the age groups (P<0.05),only the scores of PA were significantly different among the educational degree groups (P<0.001).Conclusion: The reliability and validity of the Positive and Negative Affect Scale are acceptable,and the scale can effectively detect the breast cancer patients' positive and negative affect.

基金项目：

国家“十一五”科技支撑计划课题（2009BA177B06）基金资助

作者简介：

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