摘要
目的:引进简明幸福与生活质量满意度问卷(Quality of Life Enjoyment and Satisfaction Ques-tionnaire,Short Form,Q-LES-Q-SF),评估其在中国精神障碍患者中的信效度和适用性。方法:在山东省精神卫生中心2007年7月-2008年1月的门诊和住院患者中,按照就诊或住院的先后顺序,选取385例符合《ICD-10精神与行为障碍分类》诊断标准的精神分裂症(n=193)和心境障碍患者(n=192);按1∶2的比例选取与其相匹配的健康对照者196例。对所有对象进行Q-LES-Q-SF初次测评,30天后进行重测,对原始测评结果进行信度分析。以世界卫生组织生活质量量表(World Health Organization Quality of Life,WHO-QOL-100)为效标变量评价患者和健康对照者效标效度并进行区分效度分析。结果:信度分析显示量表的Cronbacnα系数为0.920,重测信度为0.785。总量表评分与WHOQOL-100总分及6个领域和24个方面均具有较高的相关性(心境障碍,r=0.22～0.71;精神分裂症,r=0.24～0.70;健康对照,r=0.17～0.73;Ps<0.01)。精神分裂症组和心境障碍组患者的幸福与生活质量满意度总分及各条目分均低于健康对照组[如总分,(46.42±8.36)vs.(54.34±8.11),(46.20±10.12)vs.(54.34±8.11),Ps<0.01]。结论:简明幸福与生活质量满意度问卷在中国精神障碍患者中有较好的信效度,适用于精神障碍患者生活质量的量化评估。
Objective： To assess the psychometric properties of the Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form （Q-LES-Q-SF） in Chinese psychotics. Methods： A total of 385 patients who met ICD- 10 criteria for schizophrenia （ n = 193 ） and mood disorder （ n = 192 ） were collected from Shandong Mental Health Center between July 2007 and January 2008. Totally 196 healthy controls matched according to the ratio of 1：2 were recruited from Jinan. They were assessed with the Q-LES-Q-SF and World Health Organization Quality of Life （WHOQOL-100） and assessed with the Q-LES-Q-SF 30 days later for test-retest reliability. Criterion validity and discriminant validity were also tested with WHOQOL-100. Results： The Cronbach＇ s α coefficient was 0. 920 and the test-retest reliability was 0. 785. The total score of Q-LES-Q-SF had high correlation with the total score and the scores of six areas and 24 items of WHOQOL-100 （ for mood disorder, r =0. 22 -0. 71, schizophrenia, r =0. 24 ± 0. 70, health control r = 0. 17 - 0. 73, Ps 〈 0. 01 ） . The total scores and the means of every item of Q-LES-Q-SF in patients with schizophrenia and mood disorder were significantly lower than that in healthy controls. [ For example, the total score （46.42±8.36） vs. （54.34 ±8.11）, （46.20 ±10.12） vs. （54.34 ±8.11）, Ps 〈 0. 01 ] . Conclusion： These results demonstrate that the Q-LES-Q-SF is a reliable and valid instrument for assessing quality of life in Chinese psychotics.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2010年第9期680-684,共5页
Chinese Mental Health Journal
关键词
简明幸福与生活质量满意度问卷
精神障碍患者
信度
效度
Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form （ Q-LES-Q-SF）
patients with mental disorders
reliability
validity
