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目的初步测试中文版情绪障碍快速筛查量表K6、SCL-8AD及其分量表(SCL-8、SCL-ANX4及SCL-DEP6)在综合医院内科和精神科住院患者中的适用性。方法 2011年11月-12月对四川大学华西医院内科(心脏内科、消化内科、风湿免疫科、内分泌科、神经内科)和精神科的住院患者共373例应用由K6和SCL-8AD量表构成的问卷进行自评,分析总问卷、各量表及分量表的信度及相互之间的相关性;在各科患者间进行评分结果差异性比较,并分别将内科及精神科评分结果与住院日进行相关分析。结果各量表及全问卷的Cronbach’sα系数和分半系数>0.75(内科:0.802～0.952,精神科:0.774～0.944);其中,K6及SCL-8的Cronbach’sα系数和分半系数在内科及精神科均≥0.817。总问卷、各量表及分量表相互之间均存在较高相关性(r≥0.676);其中,K6及SCL-8与问卷总分均有极高相关性(r≥0.959)。问卷总分、各量表及分量表评分内科组均低于精神科组。结论条目少、操作简便的中文版K6和SCL-8量表内部一致性高、其评定结果能较全面反应综合医院内科及精神科住院患者中不同程度的焦虑及抑郁情绪,值得对其进行更深入研究,以便推广应用于非精神科患者情绪障碍的快速筛查。
Objective To test the applicability of the Chinese version of the rapid screening test for mood disorders K6, SCL-8AD and its subscales (SCL-8, SCL-ANX4 and SCL-DEP6) in hospital and psychiatric inpatients. Methods A total of 373 cases of inpatients from Department of Internal Medicine (Cardiology, Gastroenterology, Rheumatology, Endocrinology, Neurology) and psychiatric department of West China Hospital of Sichuan University from November 2011 to December were composed of K6 and SCL-8AD scales Of the questionnaire for self-assessment, analysis of the total questionnaire, the reliability of the scales and subscales and the correlation between each other; differences in the results of the scores among patients in different subjects, and the medical and psychiatric score and hospitalization Day for the relevant analysis. Results The Cronbach’sα coefficient and the half-coefficient of each questionnaire were> 0.75 (internal medicine: 0.802 ~ 0.952, psychiatric: 0.774 ~ 0.944). Among them, the Cronbach’sα and half-coefficient of K6 and SCL-8 were Internal medicine and psychiatry were ≥0.817. The total questionnaire, scales and subscales were highly correlated with each other (r≥0.676). Among them, K6 and SCL-8 were highly correlated with the total score (r≥0.959). Questionnaire total scores, scales and subscale scores were lower in the medicine group than in the psychiatric group. Conclusions There are few entries and the internal consistency of the Chinese version K6 and SCL-8 is simple and easy to operate. The assessment results can more fully reflect the varying degrees of anxiety and depression in hospital and psychiatric inpatients, which is worth more In-depth study, in order to promote the application of non-psychiatric patients with rapid screening of emotional disorders.