中文迁延悲伤量表修订版的效度和信度Validity and reliability of the Chinese version of the Prolonged Grief-13 Revised
霍平乐;李然立;孙芸;陈新英;PRIGERSON Holly G;CHOU S Patricia;陈光东;禚传君;黄春海;
摘要(Abstract)：
目的:评价中文迁延悲伤量表修订版(PG-13-R)的效度和信度。方法:招募符合DSM-5-TR迁延悲伤障碍(PGD)诊断标准的患者200例为研究对象，进行迁延悲伤量表修订版评定，计算组内相关系数(ICC)评价评定者之间的一致性；计算Cronbach α系数评价量表的内部一致性，采取主成份方法计算条目的因子载荷考评量表的结构效度。通过计算PG-13-Revised量表的评分与社会适应量表(WSAS)评分和自评抑郁量表(SDS)的相关性来考察PG-R-13效标效度。以DSM-5-TR诊断标准为依据，计算受试者可接受曲线下面积(AUC)来判断量表的区分效度以及划定量表的划界分。结果:评定者一致性系数ICC为0.97;各个分条目之间的相关系数在0.85～0.99之间。量表总Cronbach α系数为0.85。在PG-13-R的13个条目中，采用主成分分析法算出1个主因子，贡献率达78.98%,高于结构效度检验的标准50%。以临床评估标准为参考，在区分轻度迁延悲伤障碍时划界分为≥25时灵敏度和特异度最好，分别为93.3%和78.2%,AUC为0.82,区分中度迁延悲伤障碍，划界分≥37时灵敏度和特异度最高，分别为92.5%、 90.7%,AUC为0.92;在区分重度迁延悲伤障碍时，划界分≥46时灵敏度和特异度最高，分别为95.47%、92.18%,AUC为0.96。结论:中文迁延悲伤量表修订版(PG-13-R)有良好的效度和信度，能够早期测评迁延悲伤障碍的严重程度。
关键词(KeyWords)： 迁延悲伤量表;效度;信度
基金项目(Foundation): 国家自然科学基金资助(81871052,82171503);; 温州市科技局基金(Y2020446)
作者(Authors): 霍平乐;李然立;孙芸;陈新英;PRIGERSON Holly G;CHOU S Patricia;陈光东;禚传君;黄春海;
参考文献(References)：
- [1] Zisook S,Reynolds CF,Pies R,et al.Bereavement,complicated grief,and DSM,part 1:depression[J].J Clin Psychiatry.2010,71(7):955-956.
- [2] Cozza SJ,Shear MK,Reynolds CF,et al.Optimizing the clinical utility of four proposed criteria for a persistent and impairing grief disorder by emphasizing core,rather than associated symptoms [J].Psychol Med,2020,50(3):438-445.
- [3] World Health Organization.International Classification of Diseases 11th Revision [EB/OL].(2018-8-17)[2021-5].https://icd.who.int/browse11.
- [4] Prigerson HG,Boelen PA,Xu J,et al.Validation of the new DSM-5-TR criteria for prolonged grief disorder and the PG-13-Revised (PG-13-R) scale [J].World Psychiatry,2021,20(1):96-106.
- [5] 许又新.精神病理学[M].北京：北京大学出版社，1993:22-85.
- [6] 马文军，潘波.问卷的信度和效度以及如何用SAS软件分析 [J].中国卫生统计，2000,17(6):364-365.
- [7] 姚贵忠，钱英，耿彤.社会适应功能评估量表在精神疾病患者中的信效度[J].临床精神病学，2011,25(3):200-204.
- [8] 舒良.自评抑郁量表和抑郁状态问卷(Self-Rating Depression Scale and Depression Status Inventory)[J].中国心理卫生杂志，1999,(增刊):194-196.
- [9] Morina N,Rudari V,Bleichhardt G,et al.Prolonged grief disorder,depression,and posttraumatic stress disorder among bereaved Kosovar civilian war survivors:a preliminary investigation [J].Int J Soc Psychiatry,2010,56(3):288-297.
- [10]汤毓华.汉密顿抑郁量表(Hamilton Depression Rating Scale for Depression,HRSD)[J].中国心理卫生杂志，1999,(增刊):220-223.
- [11]侯彩兰，李凌江，贾福军，等.临床用创伤后应激障碍诊断量表[J].中国行为医学科学，2008,17(9):851-852.
- [12]Prigerson HG,Horowitz MJ,Jacobs SC,et al.Prolonged grief disorder:psychometric validation of criteria proposed for DSM-V and ICD-11 [J].PLoS Med,2009,6(8):e1000121.doi:10.1371/journal.pmed.1000121.
- [13]Wright AA,Keating NL,Balboni TA,et al.Place of death:correlations with quality of life of patients with cancer and predictors of bereaved caregivers' mental health [J].J Clin Oncol,2010,28(29):4457-4464.
- [14]Maciejewski PK,Maercker A,Boelen PA,et al."Prolonged grief disorder" and "persistent complex bereavement disorder",but not "complicated grief",are one and the same diagnostic entity:an analysis of data from the Yale Bereavement Study [J].World Psychiatry,2016,15(3):266-275.
- [15]Pohlkamp L,Kreicbergs U,Prigerson HG,et al.Psychometric properties of the Prolonged Grief Disorder-13 (PG-13) in bereaved Swedish parents [J].Psychiatry Res,2018,267:560-565.doi:10.1016/j.psychres.2018.06.004.