摘要
目的：评价社会适应功能评估量表（Social-Adaptive Functioning Evaluation,SAFE）在中国精神疾病患者中的适用性。 方法：采用方便取样，选择按DSM-IV诊断为精神分裂症、情感障碍及其他精神障碍的患者共200名（病例组，年龄18～70岁）及正常对照30名（正常组，年龄19～56岁）。请3名精神科专业人员使用SAFE中文版进行评估，并对其中30名患者同时评定世界卫生组织残疾评定量表II（WHO Disability Assessment Schedule， WHO-DAS-II）和自我意识量表中的社交焦虑分量表（Social Anxiety Subscale of the Self-Consciousness Scale，SAS）。 结果：SAFE中文版的重测信度为0.96~0.99，评定者一致性0.77，内部一致性0.77~0.95；SAFE中文版与WHO-DAS-II和SAS的相关分析显示，SAFE中文版具有较好聚合和区分效度；探索性因素分析将SAFE中文版聚合为4因子模型，验证性因素分析显示该模型结构合理。病例组SAFE中文版各因子评分（除基本生活技能外）均高于正常组（P〈0.005）。 结论：社会适应功能评估量表在我国使用信效度良好，可以用来评估18岁以上精神疾病患者的社会适应功能。
Objective：To test the reliability and validity of Social-Adaptive Functioning Evaluation（SAFE）in China.Methods：Totally 200 patients with schizophrenia,mood disorder,and other psychiatric disorders and 30 normal controls were recruited in this research.Their social functioning was assessed with the SAFE. Thirty patients were also assessed with the WHO Disability Assessment Schedule（WHO-DAS-II）and Social Anxiety Subscale of The Self-Consciousness Scale（SASS-CS）.Results：The test-retest reliability were 0.96~0.99,the inter-rater consistency was 0.77,and Cronbach α coefficients were 0.77~0.95.Correlation analysis showed that SAFE had good convergent and discriminant validity.The SAFE were aggregated into 4 subscales by exploratory factor analysis.And this 4-subscale-model was proved reasonable by LISREL.The patients had higher scores（P〈0.001）in SAFE than the controls. Conclusion：The Social-Adaptive Functioning Evaluation（SAFE）has adequate reliability and validity in China.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2011年第3期200-204,共5页
Chinese Mental Health Journal
基金
北京市首发基金(2007-3001)
