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社會適應能力量表之發展

The Development of the Social Adaptive Function Scale

摘要


目的:本研究主要是要發展「社會適應能力量表」,提供心理衛生工作者對於精神疾病患者功能之評估依據。方法:由心理師、社工師、職能治療師等進行題目發展與量表修定,並以精神科專科醫院108名患者為樣本,施測社會適應能力量表,其中75名樣本並完成魏式智力測驗第三版,進行信效度分析。結果:本量表經探索性因素分析發現三個主要因素為:(1)職業能力、(2)自理能力、(3)社交能力,內部一致性Chronbach α分別為.90、.88、.90。職業能力與社會角色指標有關,自理能力與自我照顧指標有關以及社交能力與人際互動指標有關。個體的整體智力、語文智力以及操作智力與社交能力以及職業能力有關。結論:本量表具有良好信效度,可簡便地評估病患之社會適應能力,以提供治療計畫之參考。

並列摘要


Objective: The goal of the present study was to develop ”the Social Adaptive Function Scale” for clinical utilization.Method: The scale was developed by the focus groups. One hundred and eight psychiatric patients completed the Social Adaptive Function Scale, and 75 of the 108 subjects completed WAIS-III assessed by a clinical psychologist.Result: Exploratory factor analysis revealed a three-factor structure comprising of vocational function, self-care function and interpersonal function. The internal consistency reliability was .90, .88, .90, respectively. The vocational function scale was correlated with social role index; the self-care function was related to self-care index, and the interpersonal function was related to the interpersonal index. The IQ index was related to the social adaptive function.Discussion: This scale showed adequate psychometric properties in terms of reliability and validity. It may simplify measurement process in assessing clients' social function and provide useful information for further treatment planning.

參考文獻


宋麗玉(2001)。精神病患社會功能量表之發展與驗證:以實務應用為取向。中華心理衛生學刊,14,33-65。
陳榮華、陳心怡(2002)。魏式成人智力量表第三版。台灣:中國行為科學社。
American Psychiatric Association(2000). Diagnostic and Statistical Manual of Mental Disorders(4th ed.-TR). Washington: APA.
Burns, T. & Patrick, D.(2007). Social functioning as an outcome measure in schizophrenia studies. Acta Psychiatrica Scandinavica, 116, 403-418.
Lecomte, T., Corbiere, M., & Briand, C.(2008).Assessment of psychosocial functioning. In Mueser, K. T. & Jeste, D. V.(Eds.), Clinical Handbook of Schizophrenia(pp.135-144). New York: Guilford.

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