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中国自然灾难幸存者创伤后应激反应量表的初步编制
其他题名The development of a Chinese PTSD Inventory for Natural Disaster Victims
刘寅
学位类型硕士
导师张雨青
2012-05
学位授予单位中国科学院研究生院
学位授予地点北京
学位专业心理学
关键词创伤后应激障碍 自然灾难 自评量表开发 文化局限性
摘要创伤后应激障碍(Posttraumatic Stress Disorder,PTSD)是自然灾难之后最为常见的一种心理障碍。高质量的评估工具是PTSD研究工作以及PTSD临床工作的基础。目前,国内PTSD研究中依据的诊断标准与评估工具主要是西方国家制定开发的。然而,由于PTSD的研究源于以美国为主的西方国家,其诊断标准的确定以及评估工具的开发都是根据西方的文化背景,适用于西方人群。因此,国外开发的量表翻译之后用于中国人群时存在一定的文化局限性。本研究以中国文化为背景,编制“中国自然灾难幸存者创伤后应激反应量表”,以解决国外量表的文化适用性问题。 研究一,依据对四川地震成人幸存者深度访谈的内容的分析结果,从访谈转录的内容中获取量表题目,并参照DSM-IV-TR(APA,2000)进行题目选择,最后初步形成具有31道题目的预测量表。 研究二,将预测量表初步施测于四川地震极重灾区的313名地震灾难幸存者,之后对回收数据进行探索性因素分析,并对题目进行筛选。最终根据探索性因素分析结果删除4道题目,得到具有27道题目的正式量表。同时获得5因素结构,这5个因素分别是闯入、回避、情绪痛苦、高警觉和身体反应。 研究三将正式量表施测于舟曲泥石流灾难幸存者,对量表进行验证性因素分析和信度和效度的检验。样本为227名泥石流灾难幸存者,并从中随机抽取31人作为重测信度样本。验证性因素分析结果显示,各拟合指数达到较为理想的水平,可以证明研究二中得到的结构模型是一个比较理想的模型。信度检验的结果显示,量表的内部一致性系数和重测信度表现良好。效度检验中量表表现出良好的相容效度与构念效度。 之后,针对新编量表的特点,着重对新编量表的因素结构和身体反应这一维度进行了讨论。文章的最后指出了本研究的不足之处和未来研究的方向。
其他摘要Victims of natural disasters are likely to suffer from many mental health problems, such as posttraumatic stress disorder (PTSD), anxiety,depression and sleep disorder. Among them, PTSD is a common mental health problem in the aftermath of natural disasters so that there are a large number of potential victims in need to provide psychological screening. Thus, a good screening and assessment instrument of PTSD symptoms is very important for victims as well as clinicians and researchers of PTSD. However, the most commonly used criterion to define and establish psychiatric disorders and most of the instruments used in China were based on Western people and culture which is very different from that of Eastern like Chinese. Therefore, we decided, on the basis of our interview study, taken Chinese culture-specific symptoms into account, using Chinese’ own experiences, words and meanings as the foundation for the items, to develop an indigenous self-report scale - Chinese PTSD Inventory (CPI) as an instrument assessing PTSD among Chinese after natural disasters. Study one is a process of generating items for the initial inventory. Based on the coding result of interviews and taken the PTSD diagnostic criteria in the DSM-IV-TR into account, 31 items were selected to make up the initial inventory. Study two is an item analysis and exploratory factor analysis study to form the formal questionnaire by administering the initial scale to a convenience sample of 313 adults from two temporary camp communities two years after the Sichuan earthquake. Finally, the formal scale was developed consisting of five dimensions which are intrusion, avoidance, dysphosia, hyperarsoual and somatization, and including 27 items with 4 items removed. Study three is aimed to test the reliability and validity of the formal scale and to examine the stability of its factor structure by using confirmatory factor analysis. A convenience sample of 227 adults two months after a large-scale debris flow participated in the investigation with 31 participants randomly selected to do the test again after two weeks for test-retest reliability. The The development of a Chinese PTSD Inventory for Natural Disaster Victims results of confirmatory factor analysis (CFA) showed the fit index for the five factor structure was satisfactory which demonstrated the good stability of the factor structure of the scale. Meanwhile, the internal consistency reliability coefficient of total scale is high and the test-retest reliability is acceptable. And the strong correlation between the total PCL-C and CPI scores proves the good convergent validity of the scale. Then, the characteristics of this scale were discussed with focus on the factor structure of the scale and one important factor for Chinese-Somatization. At last, limitations of this research were addressed and directions for further research were suggested.
学科领域应用心理学
语种中文
文献类型学位论文
条目标识符http://ir.psych.ac.cn/handle/311026/20307
专题健康与遗传心理学研究室
作者单位中国科学院心理研究所
推荐引用方式
GB/T 7714
刘寅. 中国自然灾难幸存者创伤后应激反应量表的初步编制[D]. 北京. 中国科学院研究生院,2012.
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