中文版耶魯－布朗強迫症量表(Y-BOCS)的信度與效度

Reliability and Validity of the Chinese Version of the Yale-Brown Obsessive Compulsive Scale (Y-BOCS)

湯華盛(Hwa-Sheng Tang) ； 黃政昌(Cheng-Chang Huang) ； 陳冠宇(Kuan-Yu Chen) ； 陳喬琪(Chiao-Chicy Chen)

《台灣精神醫學》 20卷4期 (2006/12) Pp. 279-289

https://doi.org/10.29478/TJP.200612.0005

摘要

目的：本研究旨在檢測Y-BOCS中文化後之信度與效度。方法：先將Y-BOCS以兩階段式翻譯成中文。選取某精神科專科醫院的門診病人進行研究。符合強迫症診斷的8位病人進行評分者信度考驗，130位進行內部一致信度考驗，51位初診病人，進行效標關連效度考驗，並且選擇36位強迫症病人與32位憂鬱症病人進行建構效度考驗。結果：全量表的評分者信度為0.99；內部一致性信度Cronbach's α=0.83；其次，在初診的強迫症組其量表平均得分的t值都高於非強迫症組，表示本量表有良好的效標關聯效度。並且強迫症組的量表平均得分的t值也都高於憂鬱症組，表示本量表有良好的建構效度。結論：中文版耶魯布朗強迫症量表經過信度與效度檢測後，顯示效果相當良好。

關鍵字

強迫症 ； 耶魯－布朗強迫症量表 ； 信度 ； 效度

並列摘要

Objective: The purpose of this study was to examine reliability and validity of the Chinese version of the Yale-Brown Obsessive Compulsive Scale (Y-BOCS). Method: The Y-BOCS was translated into Chinese in two stages. We recruited 130 patients with OCD and 32 patients with major depression from the OCD clinic at a mental health hospital. A psychiatric specialist and a psychologist interviewed patients to obtain data for the reliability and validity assessment. Results: The correlation coefficient of inter-rater reliability was 0.99. Internal consistency showed Cronbach's α=0.83. The t value of Y-BOCS total mean scores from the OCD group at first visit was higher than that of the non-OCD group, indicating the Chinese version of the Y-BOCS has good criteria-related validity. The t value of Y-BOCS total mean scores was higher in OCD group than in the depression group, indicating that the Chinese Y-BOCS has good construct validity. Conclusion: The Chinese version of the Yale-Brown Obsessive Compulsive Scale has good reliability and validity.

並列關鍵字

obsessive-compulsive disorder ； Y-BOCS ； reliability ； validity

參考文獻

American Psychiatric Association(1994).Diagnostic and Statistical Manual of Mental Disorders.Washington, DC:American Psychiatric Association.

Black DW,Kelly M,Myers C,Noyes R(1990).Tritiated imipramine binding in obsessive-compulsive volunteers and psychiatrically normal controls.Biol Psychiatry.27,319-327.

Copper J(1970).The Leyton Obsessional Inventory.Psychol Med.1,48-64.

Goodman WK,Price LH,Rasmussen SA(1989).TheYale-Brown obsessive-Compulsive Disorder Scale: I. development, use, and reliability.Arch Gen Psychiatry.46,1006-1011.

Goodman WK,Price LH,Rasmussen SA(1989).The Yale-Brown Obsessive- Compulsive Disorder Scale: II. Validity.Arch Gen Psychiatry.46,1012-1016.