俄文版躯体症状障碍 B 标准量表的心理计量特性

A. Zolotareva
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引用次数: 0

摘要

背景:在国外的科学和实践中,躯体症状障碍--B 级标准量表(SSD-12)被积极用于躯体化的认知、情感和行为方面的诊断,以及普通人群和初级保健患者躯体形式障碍的筛查和监测。研究目的:在普通人群中改编俄语版 SSD-12。参与者和方法:样本由 1535 名受访者组成,除 SSD-12 外,他们还填写了一套诊断量表,评估焦虑(广泛性焦虑症-7,GAD-7)、抑郁(患者健康问卷-9,PHQ-9)和躯体化(躯体症状量表-8,SSS-8)。结果:改编后的量表具有三因素结构,可诊断躯体化的认知、情感和行为方面(SB χ2 (51) = 656,P < 0,001;CFI = 0,942;TLI = 0,925;SRR = 0,037;RMSEA = 0,088(CI 95% 0,082-0,094))。可接受的内部一致性证明了其可靠性。躯体化(SSD-12 和 SSS-8)、焦虑(GAD-7)和抑郁(PHQ-9)之间的预期相关性也证实了其有效性。使用 ROC 曲线确定了躯体化的认知、情感和行为方面的特异性和敏感性。结论:俄文版 SSD-12 在心理测量学上是一致的,可推荐用作评估普通人群躯体化的认知、情感和行为方面的诊断工具。
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Psychometric Properties of the Russian Version of the Somatic Symptom Disorder — B Criteria Scale
Background: in foreign science and practice, the Somatic Symptom Disorder — B Criteria Scale (SSD-12) is actively used in the diagnosis of cognitive, affective, and behavioral aspects of somatization, as well as in screening and monitoring of somatoform disorder in the general population and in patients seeking primary health care. The aim of study: adaptation of the Russian version of the SSD-12 in the general population. Participants and methods: the sample consisted of 1,535 respondents who filled out, in addition to the SSD-12, a set of diagnostic measures assessing anxiety (Generalized Anxiety Disorder-7, GAD-7), depression (Patient Health Questionnaire-9, PHQ-9), and somatization (Somatic Symptom Scale-8, SSS-8). Results: the adapted scale has a three-factor structure that allows diagnosing cognitive, affective, and behavioral aspects of somatization (SB χ2 (51) = 656, p < 0,001; CFI = 0,942; TLI = 0,925; SRMR = 0,037; RMSEA = 0,088 (CI 95% 0,082–0,094)). The reliability has been proven using acceptable internal consistency. The validity was confirmed by the expected correlations between somatization according to the SSD-12 and SSS-8, anxiety according to the GAD-7, and depression according to the PHQ-9. The specificity and sensitivity were determined using ROC curves for cognitive, affective, and behavioral aspects of somatization. Conclusion: the Russian version of the SSD-12 is psychometrically consistent and can be recommended as a diagnostic instrument for assessing of cognitive, affective, and behavioral aspects of somatization in the general population.
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