《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (10): 950-954.

• 临床研究 • 上一篇    下一篇

中文版剑桥前瞻性记忆测试量表计算机测量用于慢性精神分裂症患者的信效度

谢孟杰，邹义壮，王志仁，陈楠，张勇，郜肖肖，郑文静   

  1. 北京大学北京回龙观医院，精神医学研究中心心理研究室，北京市100096
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-10-25 发布日期:2014-10-25

Reliability and Validity of Computerized Chinese Version of Cambridge Prospective Memory Test in Chronic Schizophrenia

XIE Meng-jie, ZOU Yi-zhuang, WANG Zhi-ren, CHEN Nan, ZHANG Yong, GAO Xiao-xiao, ZHENG Wen-jing.
  

  1. Beijing Huilongguan Teaching Hospital of Peking University, Psychological Research Room of Psychiatry Research Centre, Beijing 100096, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-10-25 Online:2014-10-25

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被引次数

15

摘要： 目的探讨中文版剑桥前瞻性记忆测试量表(C-CAMPROMPT)计算机测量用于慢性精神分裂症患者前瞻性记忆(PM)功能评估的临床信效度。方法选取年龄、性别、受教育年限相匹配的慢性精神分裂症患者(病例组)以及健康对照(对照组)各50例。以C-CAMPROMPT计算机测量评估PM功能；以韦氏成人记忆量表第四版中文版(WMS-Ⅳ)评估逻辑记忆(LM)及视觉记忆(VR)；以威斯康星卡片分类测验(WCST)评估执行功能；以言语流畅性测验(CFT)评估处理速度；进行C-CAMPROMPT的临床信效度分析。结果该量表的重测信度和分半信度(Pearson 相关系数)分别为0.981 和0.627(均P<0.001)，内部一致性信度(Cronbach α系数)为0.742。病例组PM总分及各个因子、条目得分均低于对照组(均P<0.05)。病例组PM与LM、VR、WCST-CC、CFT正相关(r=0.34~0.89, P<0.05)。判别分析显示量表的灵敏度为86%，特异度为92%，符合率为89%。探索性因子分析将量表的所有条目聚为2个因子(累计贡献率61.46%)。结论C-CAMPROMPT计算机测量在慢性精神分裂症患者PM功能评估中具有较好的临床信效度，是一个敏感性较高、适用性较强且稳定的工具。

关键词: 精神分裂症, 前瞻性记忆, 中文版剑桥前瞻性记忆测试量表, 信度, 效度

Abstract: Objective To explore the reliability and validity of the computerized Chinese version of Cambridge Prospective Memory Test (C-CAMPROMPT) for assessment of prospective memory (PM) in chronic schizophrenia patients. Methods 50 patients and 50 healthy controls formed the study sample. PM performance was measured with computerized C-CAMPROMPT, while the Wechsler Adult Memory Scale-Forth Edition (WMS-IV), Wisconsin Card Sorting Test (WCST) and Category Fluency Test (CFT) were administered to assess logical memory (LM), visual representation (VR), executive function and processing speed. Results The test- retest reliability (0.981, P<0.001), split half reliability (0.627, P<0.001) and internal consistency reliability (0.742) of C-CAMPROMPT were satisfied. The scores of C-CAMPROMPT and its subtest in schizophrenia were lower than that in healthy control (P<0.001). The performance of PM in patients with schizophrenia closely related to the scores of LM, VR, WCST-CC and CFT (r=0.34~0.89, P<0.05). The sensitivity (86%) and specificity (92%) of the scale were satisfied. Factor analysis extracted 2 factors. Conclusion The computerized C-CAMPROMPT shows a good reliability and validity for assessment of PM function in chronic schizophrenia, and is a sensitive, adaptable, stable instrument.

Key words: schizophrenia, prospective memory, Chinese version of the Cambridge Prospective Memory Test, reliability, validity