儿童躯体化量表中文版的初步修订

Reliability and validity of children's somatization inventory

【目的】修订儿童躯体化量表（Childreffs Somatization Inventory,CSD），分析中文版的信度和效度。【方法】选取6所学校的在校学生，从幼儿园到高二共871人，年龄417岁，由其家长填写儿童躯体化量表家长版（Parents version of the CSI，PCSI）。间隔一周的重测样本有97人。同时选取其中六年级到高二的中学生填写CSI，总共540人，年龄11～17岁。间隔一周的重测样本有96人。统计分析采用探索性因素分析等方法。【结果】PCSI保留了量表中的原有42个项目，确定了4个因子：胃肠道症状、疼痛／虚弱症状、心血管及其它症状、假神经症状，累计贡献率为28．5％。项目的因子载荷在-0．14～0.72之间。量表的Cronbach α系数为0．87，重测信度为0．82（P〈0.01）。CSI得到了与PCSI相同的四因子结构，累计贡献率为32．4％。项目的因子载荷在-0.13～0.78之间。量表的Cronbach α系数为0．90，重测信度为0．83（P〈0．01）。[结论]CSI（PCSI）中文版具有良好的信度和效度，可用于我国儿童和青少年躯体化症状的评价。

[Objective] To revise the Children＇s Somatization Inventory（CSI）into Chinese version,analyse its reliability and validity. [Methods] 871 children aged 4～17 years were selected. Their parents filled in the parents version of the CSI（PCSI）and one week interval retest was finished in 97 parents. Among them, 540 students aged 11～17 years were selected to fill in the CSI and one week interval retest was finished in 96 students. Exploratory factor analysis was adopted. [Results] All the original 42 items in PCSI were kept and the following four factors were extracted： gastrointestinal symptoms,pain/weakness symptoms, cardiovascular and other symptoms, pseudoneurological symptoms. These four factors accumulated 28.5 % of the total variance. Factor loadings of items were -0.14～0.72. The Cronbach alpha coefficient was 0.87. The test-retest reliability was 0. 82 （P〈0. 0l ）. The same four factors in CSI were extracted, accumulating 32.4% of the total variance. Factor loadings of items were 0. 13～0.78. The Cronbach alpha coefficient was 0. 90. The test-retest reliability was 0. 83（P〈0. 01）. [Conclusions] The Chinese version of CSI（PCSI）has good reliability and validity. It can be used to assess somatization symptoms of children and adolescents.