中国心理卫生杂志2001，Vol.15Issue(1)：9-12,4.
《患病行为问卷》的信度、效度初步测试
The Reliability amd Valldity of Illness Behavior Questionnaire- Chinese Version
摘要
Abstract
Objective: To introduce Illness Behavior Questionnaire (IBQ) into China, and test the reliability and validity of its Chinese Version. Method: The text of IBQ came from its author, Prof. Issy Pilowsky and was translated into Chinese by Shengli. The back translation was done by a Canadian psychotherapist not familiar with it. The test- retest reliability was done at an interval of 2 weeks in 25 inpatients in a cardiac ward. Based on a sample of 46 inpatients with chest pain in a cardiac ward, the criteria validity was tested. All 46 patients were interviewed by one psychiatrist. Psychiatric diagnosis was made if necessary (according to ICD - 10) . Other instruments included: General Health Questionnaire (GHQ),Hospital Anxiety and Depression Scale (HAD) . Another group sampled in psychiatric out- clinic (18 patients with anxiety disorder or neurasthnia) was used as neurotic control. Results: Judged by meaning, the consistency between back- translation and the original text was 95％. The test- retest reliability was 82.5％. From all 11 indices of IBQ, there were positive correlation between scores of indices reflecting mood ( GH, AD, I and AS) and the scores of GHQ or HAD (r = 0.5 ～ 0.6,p＜0.01) . Positive correlation also existed between them and the scores assessed by HAMA and HAMD (r=0.5～0.6, p＜0.01) . The difference of illness behavior between inpatients with chest pain with mental disorders or in sub- clinical states and those without could be reflected by IBQ, i.e. those with mental health problems had higher scores in disease conviction (DC) and Whiteley Index (WI), as well as had higher scores in negative affection staes (AS) . Compared with neurotic group, patients without mental health problem had lower score in DC, WI and AS, while tbose with such problems had similar results in DC and WI with the neurotic control, but lower AS score. The cut- off points for screening mental health problem using DC and WI were 2 ～ 3 and 6 ～ 7 respectively, similar to the cut - off points of the English version (2 ～ 3 and 7 ～ 8 respectively) . Conclusion: The reliability and validity of IBQ - Chinese Version is satisfying. It is worth of doing more work in factor analysis.关键词
患病行为信度效度分类
医药卫生引用本文复制引用
胜利,蒋宝琦,方耀奇,沈渔屯..《患病行为问卷》的信度、效度初步测试[J].中国心理卫生杂志,2001,15(1):9-12,4.
