- 期刊
「中文版解離症狀量表」在臺灣年輕成人之心理計量特性
The Psychometrics of Chinese Version of the Dissociative Symptom Scale among Young Adults in Taiwan
摘要
本研究之目的乃在編修適用於臺灣年輕成人之「中文版解離症狀量表」（DSS-C），目的一為檢驗量表的心理計量特性，目的二為探討解離症狀與創傷的關聯性。本研究採用273位參與者進行信效度檢驗，其中有220位參與者自陳報告曾經歷過至少一件創傷，進一步針對最受困擾的創傷事件，評量其創傷後壓力症狀嚴重度和創傷後成長程度；最後，再以91位參與者於四週後進行再測。研究結果如下：首先，驗證性因素分析結果顯示四因素結構是較佳的模式，包括：失自我感與失現實感、意識或記憶斷裂、感官錯覺、解離式再經驗。其次，四因素和全量表的內部一致性信度係數介於.73至.92之間，間隔四週的再測信度係數介於.66至.90之間，顯示DSS-C具有良好的內部一致性信度與時間的穩定性。此外，四因素分數分別與憂鬱、焦慮及壓力分數有顯著正相關，也可顯著預測四週後的憂鬱、焦慮及壓力分數，具有良好的效標關聯效度。四因素與創傷後壓力症狀嚴重度分數有顯著正相關，與權威孝道分數以及創傷後成長分數沒有顯著相關，具有良好的收斂效度和區辨效度。最後，曾經歷過童年不當對待經驗者的解離症狀分數顯著高於未經歷者。綜上結果，顯示DSS-C在臺灣年輕成人樣本具有良好的心理計量特性，可作為未來在臺灣測量解離症狀與探索解離相關研究之用。
並列摘要
The current study aimed to examine the application of the Chinese version of the Dissociative Symptom Scale (DSS-C) to young adults in Taiwan. The first objective was to test the psychometric properties of the DSS-C, and the second objective was to explore the relationship between dissociative symptoms and trauma. In the current study, 273 participants were recruited to investigate the reliability and validity of the DSS-C. Of all, 220 participants who experienced at least one traumatic experience reported their severity of post-traumatic stress symptoms (PTSS) and their level of posttraumatic growth for the most disturbing traumatic event. Finally, 91 participants were re-tested four weeks later. The results are as follows: First, confirmatory factor analysis showed that the four-factor structure is a better-fit model, including depersonalization/derealization, gaps in awareness or memory, sensory misperceptions, and dissociative reexperiencing. Second, the internal consistency coefficients of the scores of four factors and the total scores were .84, .81, .73, .75, .92, respectively, and the reliability of the retest at four-week intervals were .74, .57, .70, .66, .90, indicating that the DSS-C had good reliability. Four factors were significantly correlated with depression, anxiety, and stress, and predicted depression, anxiety, and stress four weeks later, indicating that the DSS-C had good criterion-related validity. Four factors were significantly correlated with the severity of PTSS, but not with authoritative filial piety and posttraumatic growth, indicating that DSS-C had good convergence and discriminant validity. Finally, the dissociative symptoms of those who experienced childhood maltreatment were significantly higher than those who did not experience childhood maltreatment. In summary, DSS-C is a suitable scale to assess dissociation symptoms in Taiwan.