怀特利指数中文版的信度效度分析

doi:10.3969/j.issn.1006-7795.2019.05.002

首都医科大学学报 ›› 2019, Vol. 40 ›› Issue (5): 671-676.doi: 10.3969/j.issn.1006-7795.2019.05.002

• 临床心理研究进展与实践 • 上一篇下一篇

怀特利指数中文版的信度效度分析

苏雪^1,2,3, 李占江^1,2, 龙鲸³, 祖思⁴, 张燕波⁵, 徐波⁶

1. 首都医科大学附属北京安定医院国家精神心理疾病临床医学研究中心精神疾病诊断与治疗北京市重点实验室, 北京 100088;
2. 首都医科大学人脑保护高精尖创新中心, 北京 100069;
3. 天津市安定医院心理门诊, 天津 300222;
4. 首都医科大学附属北京朝阳医院心理科, 北京 100020;
5. 首都医科大学附属北京同仁医院心理科, 北京 100730;
6. 清华大学玉泉医院临床心理科, 北京 100040

收稿日期:2019-07-04 出版日期:2019-09-21 发布日期:2019-12-16
通讯作者: 李占江 E-mail:Lizhj8@ccmu.edu.cn
基金资助:
首都卫生发展科研专项项目（2016-1-2121），高等学校博士学科点专项科研基金（20131107110012110102001100），北京市医院管理局临床医学发展专项“扬帆”计划（ZYLX201815）。

Reliability and validity of the whiteley index-Chinese version

Su Xue^1,2,3, Li Zhanjiang^1,2, Long Jing³, Zu Si⁴, Zhang Yanbo⁵, Xu Bo⁶

1. The National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China;
2. Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China;
3. Outpatient Department of Psychology, Tianjin Anding Hospital, Tianjin 300222, China;
4. Department of Clinical Psychology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China;
5. Department of Clinical Psychology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China;
6. Department of Clinical Psychology, Tsinghua University Yuquan Hospital, Beijing 100040, China

Received:2019-07-04 Online:2019-09-21 Published:2019-12-16
Supported by:
This study was supported by Capital Health Development Scientific Research Project (2016-1-2121), Specialized Research Fund for the Doctoral Program of Higher Education of China(20131107110012110102001100),Beijing Municipal Administration of Hospitals Clinical medicine Development of Special Funding (ZYLX201815).

摘要/Abstract

摘要： 目的评估怀特利指数中文版（Whiteley Index-Chinese Version，WI-CV）的心理测量学特征。方法依据ICD-10诊断标准选取抑郁症、广泛性焦虑障碍、惊恐障碍、强迫症、躯体形式障碍共291例，以及正常被试190例，填写WI-CV、疾病态度量表中文版（Illness Attitude Scale-Chinese Version，IAS-CV）、贝克抑郁量表第二版（Beck Depression Inventory-Ⅱ，BDI-Ⅱ）和贝克焦虑量表（Beck Anxiety Inventory，BAI）。结果 WI-CV探索性因子分析产生3个因子，分别是疾病信念，疾病恐惧和躯体先占观念；WI-CV总分和IAS-CV、BAI、BDI-Ⅱ得分呈正相关（r=0.69、0.50、0.38，P<0.01）；躯体形式障碍组WI-CV得分高于抑郁症组、其他焦虑障碍组、强迫症组和正常被试组［（7.24±2.89）分vs（4.77±2.99）分、（5.07±3.05）分、（5.91±2.73）分、（2.52±2.58）分，均P<0.05］。WI-CV总分和各因子的Pearson相关为0.91、0.76、0.76；WI-CV总分的Cronbach's α系数为0.82，各因子Cronbach's α系数为0.53~0.71，WI-CV分半系数为0.83，各因子的分半系数为0.59~0.74。结论 WI-CV具有良好的心理测量学特性，可在临床和研究工作中试用。

关键词: 怀特利指数, 信度, 效度

Abstract: Objective To the psychometric characteristics of patients bothered by anxiety disorder with the Chinese Version of the scale Whiteley Index (WI-CV). Methods Totally we enrolled 291 patients with somatoform disorders, major depressive disorder, generalized anxiety disorder, panic disorder, and obsessive-compulsive disorder diagnosed with ICD-10 from five hospitals in Beijing, and 190 normal people were enrolled as the control. They were assessed with WI-CV, Chinese Version of Illness Attitude Scale(IAS-CV), Beck Depression Inventory-Ⅱ(BDI-Ⅱ), and Beck Anxiety Inventory(BAI). Results The exploratory factor analysis resulted in 12 items and finally three factors, disease conviction, disease phobia, and bodily preoccupation. The total score of WI-CV was correlated with IAS-CV scores (r=0.69, P<0.01), BAI scores (r=0.50, P<0.01) and BDI-Ⅱ scores (r=0.38, P<0.01). Factor disease convince was correlated with IAS-CV scores (r=0.60, P<0.01), BAI scores (r=0.51, P<0.01) and BDI-Ⅱ scores (r=0.39, P<0.01). Factor disease phobia was correlated with IAS-CV scores (r=0.60, P<0.01), BAI scores (r=0.25, P<0.01) and BDI-Ⅱ scores (r=0.14, P>0.01).Factor bodily preoccupation was correlated with IAS-CV scores (r=0.49, P<0.01), BAI scores (r=0.41, P<0.01) and BDI-Ⅱ scores (r=0.37, P<0.0 1). Patients with somatoform disorders (7.24±2.89) had higher scores than patients with other disorder, such as depression (4.77±2.99), anxiety (5.07±3.05), obsessive compulsive disorder (5.91±2.73), and normal controls (2.52±2.58). Obsessive compulsive disorder had higher scores than other four disorders. Normal controls get the lowest score than other patients. The Cronbach's α coefficients were 0.82 for WI-CV total score and 0.53-0.71 for each subscale. Pearson coefficient measured between total score and factor score were 0.91, 0.76, and 0.76. Split-half coefficient of WI-CV was 0.83, and Split-half coefficient of subscales were 0.59-0.74. Conclusion It suggested that the WI-CV has good psychometric features and it may be trialed in clinical practice and research in China.

Key words: Whiteley Index, reliability, validity

中图分类号:

R749

苏雪, 李占江, 龙鲸, 祖思, 张燕波, 徐波. 怀特利指数中文版的信度效度分析[J]. 首都医科大学学报, 2019, 40(5): 671-676.

Su Xue, Li Zhanjiang, Long Jing, Zu Si, Zhang Yanbo, Xu Bo. Reliability and validity of the whiteley index-Chinese version[J]. Journal of Capital Medical University, 2019, 40(5): 671-676.

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怀特利指数中文版的信度效度分析

Reliability and validity of the whiteley index-Chinese version

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