儿少心理问题筛查表的编制和信效度分析

Development and Psychometric Analysis of Mental Health Screening Inventory for Child and Adolescent

目的:编制一个用于儿童和青少年的心理问题筛查表,检验其信度和效度。方法:用新编的心理问题筛查表测查全国12个省(市)9278名儿童或他们的父母和143名临床样本,间隔5周的重测样本87人,父母和儿童报告一致性检验样本56人,效标效度样本65人。用相关分析和因素分析考查量表的信度和效度。结果:新编筛查表具有较好的信度(重测信度为0.761、Crobacha系数为0.949、分半信度为0.868、评定者信度为0.799);正常儿童在筛查表上的得分显著高于临床样本的得分;新编筛查表总分和分量表与儿童行为量表总分和类似分量表有显著的相关;探索性因素分析和验证性因素分析与量表编制者的理论构想一致。结论:儿少心理健康量表具有较好的信度和效度,可以用于儿童和青少年的心理问题的筛查。

Objective： To develop Mental Health Screening Inventory for child and adolescent （MHSI-C） and assess it＇s reliability and validity. Methods： MHSI-C were administered to 9278 children and adolescent aged 6 18 years or their parents from 12 Provinces of China. 143 children with mental disorders. 87 children were re-tested with MHSI-C at interval of 5 weeks, 65 children were administered MHSI-C and Achenbach Child Behavior Checklist as criteria test, 56 children and their parents were administered MHSI-C. The reliabilities and validities of the MHSI-C were examined using Pearson＇s correlations and factor analysis. Results： The MHSI-C had good reliabilities （re-test reliability 0.761, Crobach α 0.949,spilit reliability 0.868, rater reliability 0.799）; The scores of normal children were higher than that of children with mental disorders on the MHSI-C; The MHS-C total score and subscales correlated strongly with CBCL total score and similar subscales; The factor model produced by Exploratory factor analysis was consistent with hypothesized structure, resuits of confirmatory factor analysis suggested a good fit between the sample data and hypothesized model. Conclusion： The MHSI-C had good psychometric properties and may be used in screening mental disorders of children and adolescents.