社交技能评定目录中文版在精神障碍患者中应用的信效度

Reliability and validity of the Social Skills Checklist-Chinese version in patients with mental disorders

目的：验证社交技能评定目录（SSC）中文版在我国精神障碍患者社交技能评估中的信效度。方法：选择按美国精神障碍诊断和统计手册第4版（DSM—IV）诊断为精神分裂症、情感障碍及其他精神障碍的患者共200名（病例组）及正常对照30名（正常组），请3名精神科专业人员用SSC进行评估，并对其中30名患者同时评定世界卫生组织残疾评定量表-II（WHO—DAS—II）和自我意识量表的社交焦虑分量表（SAS）。结果：SSC中文版的重测信度为0．93～0．99，评定者一致性0．92，内部一致性0．81～0．94；SSC中文版得分与WHO—DAS—II和SAS得分呈正相关（r=0．37～0．72，P〈0．05），但区分效度有待进一步验证；探索性因素分析将SSC中文版聚合为3因子模型，验证性因素分析显示该模型结构大致合理（除近似均方根误差外）。精神分裂症组SCC中文版各因子评分均高于对照组，情感障碍组的交谈和冲突处理能力评分高于对照组（P〈0．001）。结论：社交技能评定目录用于我国18岁以上精神障碍患者的社交技能评估的信效度良好，但区分效度和结构效度有待进一步验证。

Objective： To test the reliability and validity of Social Skills Checklist （SSC）-Chinese version in patients with mental disorders. Methods： Totally 200 patients （ schizophrenia or mood disorder or other psychiatric disorders） and 30 normal controls were recruited in this research. Their social functioning was assessed with the SSC by 3 psychiatrists. Thirty patients were also assessed with the WHO psychiatric Disability Assessment Schedule （WHO-DAS-II） and Social Anxiety Subscale of the Self-Consciousness Scale （SAS）. Results： Test-retest relia- bility was 0. 93 -0. 99, inter-rater consistency was 0. 92, and Cronbach＇ a coefficients were 0. 81 - 0. 94. The SSc score was positively correlated with the WHO-DAS-II and SAS score （r = 0. 37 -0. 72, P 〈 0. 05）, but discriminant validity needed further evaluation. The SSC were aggregated into 3 subscales by exploratory factor analysis. And this 3-subscale-model was proved reasonable by lisrel except the RMSEA. The patients scored higher in the SSC than the controls （P 〈 0. 001）. Conclusion： The Social Skills Checklist generally has adequate reliability and validity in assessment of social skills of Chinese patients with mental disorders except construct validity and discriminant validity.