摘要
目的检验功能检测简版(FAST)在精神分裂症患者中的信效度,丰富精神分裂症总体功能的评估方法。方法采用抽签法,在天津市安定医院选取4个病区的患者(患者组)共135例进行测评,按照患者组年龄和性别1:1匹配健康对照组。采用独立样本t检验、Pearson相关分析、克朗巴赫一致性方法对FAST在精神分裂症患者中的信效度进行分析。结果患者组与对照组的婚姻状况(χ~2=98.76,P<0.01)、职业状况(χ~2=65.84,P<0.01)差异均有统计学意义;FAST重测性α=0.944;FAST评分与阳性和阴性症状量表(PANSS)评分相关性α=0.676,FAST与总体功能评估(GAF)相关性α=-0.890;FAST内部一致性α=0.812;长、短病程患者FAST评分差异有统计学意义(t=-10.71,P<0.01)。结论 FAST对精神分裂症患者的评定具有良好的稳定性,信效度俱佳。
Objective To investigate the reliability and validity of Functioning Assessment Short Test（FAST） in patients with schizophrenia. Methods Using simple random method to draw participants from 4 wards of Tianjin Anding Hospital （ patients group）. In total, 135 patients were recruited, according to the patients age and gender 1 1 matched healthy controls in this program. The data was analyzed by Independent Sample t test, Pearson correlation and Cronbach s a analysis. Results The research showed significant differences in marriage （x^2 =98. 76, P 〈 0. 01） and occupation （x^2 =65. 84, P 〈 0 . 0 1 ） between patients group and health controls group. The test - retest coefficient was 0. 944, the correlation coefficient between FAST score and Positive and Negative Syndome Scale （PANSS） score was 0.676 and the correlation coefficient between FAST and Global Assessment of Functioning（ G AF ） was -0 . 8 9 0 . The internal consistency of FAST was 0. 812. There was a significant difference between patients with long course and short course by FAST （t = -10. 71, P 〈0.01）. Conclusion FAST has good stability and it is worthy promoting for evaluating of schizophrenia patients.
出处
《四川精神卫生》
2017年第1期58-63,共6页
Sichuan Mental Health
关键词
精神分裂症
功能检测简版
信效度
Schizophrenia
Functioning Assessment Short Test
Reliability and validity
