摘要
:探讨北京地区的住院精神分裂症患者家属情感表达方式及测查方法的实用性、测查工具应用的一致性。方法 :经过训练的研究人员 ,采用费氏修订的CFI -CV访谈提纲 ,对 171例住院精神分裂症患者家庭的 2 84位家属进行访谈和录音 ,并将录音打印成文字资料。第一测评员即访谈者进行直接评定 ;第二测评员根据录音及文字资料进行评定。两名测评员按相同测评标准进行独立评定为高或低情感表达。结果 :测评员之间有较高一致性 ,一致率 89% ( 2 52 / 2 84 ) ,Kappa值为 0 .774 ( 95%CI 0 .658-0 .891;Z =2 2 .3 ,P <0 .0 0 1)。结论 :在北京地区 ,用CFI-CV问卷 ,测评员之间测评结果一致性良好 ;并易被精神分裂症住院患者家属所接受 ,可供医疗部门及社区医务工作者用于测评家庭情感种类 。
Objective: To assess the applicability and interrater reliability of different methods for evaluating expressed emotion in the family members of hospitalized schizophrenic patients in Beijing. Methods: The study was conducted by trained researchers using Phillips' Chinese Version of the Camberwell Family Interview (CFI-CV). The first rater (interviewer) assessed based directly on the interview. The second rater assessed based on audiotape or typed transcript of the audiotape. The expressed emotion was classified as 'high' or 'low' according to the same standard. Results: High interrater consistency (89%, 252/284) was found for the scale, with a Kappa value 0.774 (95% CI 0.658-0.891; Z=22.3, P<0.001). Conclusions: The CFI-CV possesses good interrater consistency in Beijing and is applicable in the family members of schizophrenic inpatients. It can provide information for psychological intervention of family members.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2000年第3期161-163,共3页
Chinese Mental Health Journal
基金
香港Keswick基金会
Kadoorie慈善基金会
关键词
精神分裂症
亲属
情感表达
评定工具
一致性
schizophrenia family members expressed emotion consistency applicability