上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2018, Vol. 38 ›› Issue (12): 1494-.doi: 10.3969/j.issn.1674-8115.2018.12.018

• 短篇论著 • 上一篇    下一篇

中文版工作同盟量表简版修订版在住院精神分裂症患者中的 信度和效度研究

陈如梦，陈剑华，徐一峰   

  1. 上海交通大学医学院附属精神卫生中心，上海 200030
  • 出版日期:2018-12-28 发布日期:2019-01-27
  • 通讯作者: 徐一峰，电子信箱：hyyyyb@gmail.com。
  • 作者简介:陈如梦（1993—），女，硕士生；电子信箱： rumeng1024day@163.com。
  • 基金资助:
    国家重点研发计划“重大慢性非传染性疾病防控研究”重点专项（ 2016YFC1306900）；上海申康医院发展中心“市级医院新兴前沿技术联合攻关项目”（ SHDC12016115）；上海申康医院发展中心临床科技创新项目（ SHDC12017X12）；上海市综合医院中西医结合专项建设项目（ ZHYY-ZXYJHZX-2-201709）

Reliability and validity of Chinese version of Working Alliance Inventory-Short Form Revised in the inpatients with schizophrenia

CHEN Ru-meng, CHEN Jian-hua, XU Yi-feng   

  1. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
  • Online:2018-12-28 Published:2019-01-27
  • Supported by:
    National Key Research and Development Program of China, 2016YFC1306900; Foundation of Shanghai Hospital Development Center for New Frontier Technologies Joint Tackling Project in Municipal Hospitals, SHDC12016115; Clinical Science and Technology Innovation Project of Shanghai Hospital Development Center, SHDC12017X12; Special Construction Project of Integrated TCM and Western Medicine in Shanghai General Hospital, ZHYY-ZXYJHZX-2-201709

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摘要： 目的 ·评价中文版工作同盟量表简版修订版（ Working Alliance Inventory-Short Form Revised，WAI-SR）在住院精神分裂症群体中的信度和效度。方法 ·采用方便抽样的方法选取上海市精神卫生中心符合《国际疾病分类（第 10版）》诊断的住院精神分裂症患者 132名，获得有效量表 124份。使用总样本进行条目分析、内部一致性信度分析、结构效度分析以及校标效度分析等，选用医患关系问卷（ Patient-Doctor Relationship Questionnaire-15，PDRQ-15）和维克森林医师信任量表（ Wake Forest Physician Trust Scale，WFPTS）中文修订版为校标。结果 ·探索性因子分析结果显示中文版 WAI-SR具有“目标任务”和“情感联结” 2个维度，累计方差贡献率为 63.99%；验证性因子分析结果显示二因子模型拟合度良好。量表总分及维度得分与 2个校标量表总分均呈正相关（r0.324～ 0.726，均 P<0.01）。信度检验结果显示中文版 WAI-SR的 Cronbachs α系数为 0.864，分半信度系数为 0.919。结论 ·中文版 WAI-SR在住院精神分裂症群体中有较好的信度和效度，可用于评估精神分裂症住院患者的医患工作同盟。

关键词: 工作同盟量表, 精神分裂症, 住院患者, 信度, 效度

Abstract:

Objective · To investigate the reliability and validity of Chinese version of Working Alliance Inventory-Short Form Revised (WAI-SR) in the hospitalized schizophrenics. Methods · A sample of 124 inpatient schizophrenics who were diagnosed according to International Classification of Diseases 10th Revision in Shanghai Mental Health Center and collectedconvenience sampling, were interviewedquestionnaire. Item analysis, internal consistency, construct validity and criterion validity were tested using total sample. Patient-Doctor Relationship Questionnaire-15 (PDRQ-15) and Chinese version of Wake Forest Physician Trust Scale (WFPTS) were used as criteria to test criterion validity. Results · Exploratory factor analysis extracted two dimensions labeled “goal and task” and “affective bond”, and the cumulative variance contribution rate was 63.99%. Confirmatory factor analysis showed that the two-factor model had higher adjusted goodness of fit index. The scores of scale and its two dimensions exhibited positive correlations with PDRQ-15 and WFPTS (r0.324-0.726, P<0.01). The internal consistency of the scale (Cronbachs α coefficient) was 0.864, and split-half reliability was 0.919. Conclusion · The Chinese version of WAI-SR is accepin reliability and validity and can be recommended for alliance assessment in the inpatients with schizophrenia.

Key words: Working Alliance Inventory, schizophrenia, inpatient, reliability, validity

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