《中国康复理论与实践》 ›› 2025, Vol. 31 ›› Issue (2): 172-183.doi: 10.3969/j.issn.1006-9771.2025.02.007

• 循证研究 • 上一篇    下一篇

内感受功能评估工具的结构、内容与心理测量特性:基于COSMIN和ICF的Scoping综述

王晓晓1, 瞿璐1,2(), 王佳欣1, 赵梅萍1, 李沐紫1, 刘巧云1,2()   

  1. 1.华东师范大学教育学部康复科学系,上海市 200062
    2.华东师范大学上海智能教育研究院,上海市 200062
  • 收稿日期:2024-10-29 修回日期:2025-01-10 出版日期:2025-02-25 发布日期:2025-02-25
  • 通讯作者: 瞿璐(1987-),女,贵州贵阳市人,博士,博士后,主要研究方向:孤独症早期诊断及干预、残障儿童动作发展、家长培训,E-mail: qlu@cs.ecnu.edu.cn;刘巧云(1979-),女,博士,教授,主要研究方向:教育康复、儿童语言与行为发展,E-mail: qyliu@spe.ecnu.edu.cn
  • 作者简介:王晓晓(2001-),女,汉族,江西九江市人,硕士研究生,主要研究方向:特殊儿童教育康复。
  • 基金资助:
    1.中国博士后科学基金面上项目(2023M731103);2.上海市教育委员会科研创新计划项目(2023SKZD07);3.国家重点研发计划专项(2022YFC2705201)

Structure, content and psychometric properties of assessment tools for interoceptive function: a scoping review based on COSMIN and ICF

WANG Xiaoxiao1, QU Lu1,2(), WANG Jiaxin1, ZHAO Meiping1, LI Muzi1, LIU Qiaoyun1,2()   

  1. 1. Department of Rehabilitation Science, Faculty of Education, East China Normal University, Shanghai 200062, China
    2. Shanghai Institute of Artificial Intelligence for Education, East China Normal University, Shanghai 200062, China
  • Received:2024-10-29 Revised:2025-01-10 Published:2025-02-25 Online:2025-02-25
  • Contact: QU Lu, E-mail: qlu@cs.ecnu.edu.cn;LIU Qiaoyun, E-mail: qyliu@spe.ecnu.edu.cn
  • Supported by:
    China Postdoctoral Science Foundation (General)(2023M731103);Shanghai Municipal Education Commission Scientific Research Innovation Plan(2023SKZD07);National Key Research and Development Program Special Project(2022YFC2705201)

摘要:

目的 基于《国际功能、残疾和健康分类》(ICF)框架,系统梳理内感受评估工具,分析其结构、内容特征和心理测量特性。

方法 系统检索中国知网、PubMed、Medline、EBSCO数据库收录的内感受评估工具相关文献;基于ICF框架对评估工具的主要结构和内容进行归纳与分析;采用COSMIN方法对评估工具的心理测量学特性进行质量评价。

结果 最终纳入13种评估工具,涉及16篇文献,包括内感受敏感性工具5种、准确性工具4种和意识工具4种。在测量内容上,内感受敏感性工具涵盖范围最广,涉及33项身体功能类目、6项活动和参与类目、1项环境因素类目;内感受准确性工具涵盖内容最少,仅涉及7项身体功能类目、2项活动和参与类目;内感受意识工具涵盖30项身体功能类目、4项活动和参与类目、3项环境因素类目。在心理测量学特性方面,内感受敏感性工具中,身体感知问卷-简版(BPQ-SF)信效度最优(合格率7/8),内感受敏感性问卷(ISQ)次之(合格率6/8);内感受准确性工具多采用标准化测量方式,但信效度验证不足;内感受意识工具信效度合格率均高于5/8,其中内感受多维评估量表(MAIA-1)和身体意识问卷(BAQ)表现优秀(合格率8/8)。

结论 推荐BPQ-SF和ISQ用于内感受敏感性评估,水负荷试验和心跳追踪任务用于内感受准确性评估,MAIA-1和BAQ用于内感受意识评估。

关键词: 内感受, 测量工具, 敏感性, 准确性, 意识, 心理测量特性, Scoping综述

Abstract:

Objective To review the interoceptive assessment tools in terms of structure, content and psychometric properties, based on the framework of the International Classification of Functioning, Disability and Health (ICF).

Methods The literature on interoceptive evaluation tools was retrieved from databases of CNKI, PubMed, Medline and EBSCO. The principal structures and contents of the assessment tools were analyzed based on the ICF framework, and the quality of the psychometric properties were appraised using COSMIN.

Results A total of 13 interoceptive assessment tools were ultimately included, involving 16 literature references. There were five interoceptive sensitivity tools, four accuracy tools and four awareness tools. In terms of content, interoceptive sensitivity tools involved 33 categories of body functions, six categories of activities and participation, and one of environmental factors; while interoceptive accuracy tools only involved seven categories of body function, and two of activities and participation items; interoceptive awareness tools involved 30 categories of body function, four categories of activities and participation, and three of environmental factors. In terms of psychometric properties, Body Perception Questionnaire-Short Form (BPQ-SF) was the sensitivity tool with the best reliability and validity (qualified rate of 7/8), followed by Interoceptive Sensitivity Questionnaire (ISQ) (qualified rate of 6/8). Most of the accuracy tools adopted standardized measurement methods, but lacked sufficient reliability and validity verification. The awareness tools were good in reliability and validity (qualified rate above 5/8), especially Multidimensional Assessment of Interoceptive Awareness (MAIA-1) and Body Awareness Questionnaire (BAQ) (qualified rate of 8/8).

Conclusion BPQ-SF and ISQ are recommended for interoceptive sensitivity assessment, Water-loading Test and Heart-beat Tracking Task for interoceptive accuracy assessment, and MAIA-1 and BAQ for interoceptive awareness assessment.

Key words: interoception, assessment, sensitivity, accuracy, awareness, psychometrics, scoping review

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