羅夏克測驗思考障礙記分系統—QAUT之信效度研究：依據固定反應數施測法

Reliability and Validity Study of the QAUT – the Scoring System of Disordered Thinking in the Rorschach Test ：Based on Fixed Response Number Rorschach Procedure

梁皓欣(Haw-Shin Liang)

指導教授 ： 李新鏘 ； 李執中

中原大學/理學院/心理學研究所/碩士(2002年)

https://doi.org/10.6840/cycu200200591

摘要

摘 要

思考障礙在羅夏克測驗裡是一個較被實徵研究驗證的一個變項，但各個主流的思考障礙記分系統存在著內在效度上的問題(未控制反應數變項的干擾)，並且對使用者而言，往往無法兼顧記分界定清楚與良好的敏感度這兩個特徵。

本研究之QAUT記分系統便是為了克服上述缺點發展而來，其衍生自容易學習並且具有相當的敏感度的TRAUT記分系統，在施測法上使用固定反應數施測法以增加內在效度，並且納入了言語表達異常的記分項目，以增加其測量上的涵蓋性。

本研究的目的旨在驗證QAUT記分系統的信效度。信度研究上由三位評分者對45份羅夏克測驗的逐字稿進行評分，並就各記分項目計算三者間的同意百分比，以及就總分計算內在類別相關係數。效度研究分成兩部分，第一個部分以類實驗設計，獨變相為組別(妄想型思考障礙組、非妄想型思考障礙組、非思考障礙組)，依變相為QAUT記分的各項總分，受測者為精神科急性病房或門診之患者，所有受測者之年齡皆在20~45歲之間，教育程度皆在國中畢業以上。效度研究的第二個部分，研究者就QAUT記分系統中的語言表達異常記分之總分與注意力之持續能力以及工作記憶之間的相關進行考驗。注意力之持續能力的測量使用連續表現測驗之忽略指標，而工作記憶之測量使用注意力廣度測驗。

信度研究的結果支持QAUT記分系統具有良好的評分者間信度。效度研究上，QAUT記分系統在各組得分間的差異之顯著性獲得支持，另外言語表達類別的得分與注意力持續表現之間的相關亦獲得支持。最後，文中亦討論了本研究可能的優缺點。

關鍵字

羅夏克測驗 ； 記分系統 ； 思考障礙

並列摘要

Abstract

The disordered thinking is one of the Rorschach variables with empirical support. The main scoring systems of disordered thinking on the Rorschach are unable to exclude a confounding vable ( i.e. the response number) and are either hard to learn to user or problematic in sensitivity.

The researcher used the QAUT scoring system to deal with these problems. The QAUT scoring system derived from the TRAUT scoring system which is characterized of nice sensitivity and easiness in learning. Futher, the QAUT scoring system used the Fixed Response Number Rorschach Procedure to control the confounding from the response number variable, and included scoring items of unusual verbalization in this system to expand the span of the measure of thought disorder.

In a word, the purpose of this research was the study of reliability and validity of the QAUT scoring system. In the reliability study, three scorers rated 45 Rorschach protocols, and the researcher counted the percentage of agreement per scoring item and the intraclass correlation coefficient to the total scores of QAUT. In the validity study, the independent variable was the group(paranoid thought-disorder group、nonparanoid thought-disorder group、non-thought-disorder group), and the dependent variable was the score of QAUT. Besides, this research investigated the correlation between the unusual verbalization and attention. All subjects in this research was sampled from acute ward and clinic of psychiatry, and at least obtained 9th grade in education ranging from 20 to 45 in age.

The result of reliability study showed good interrater reliability. The result of validity study showed that the QAUT was able to differentiate three groups and the result supported the presence of relation between scores of unusual verbalization and sustained attention. Finally, the researcher discussed the possible strength and weakness in this research.

並列關鍵字

Rorschach ； thought disorder ； scoring system

參考文獻

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