汉密尔顿焦虑量表的因素结构研究

Factorial structure of the Hamilton anxiety scale

目的:探索汉密尔顿焦虑量表(HAMA)的因素结构。方法:对562名门诊抑郁症、焦虑症、强迫症患者进行HAMA测评。通过探索性因素分析和验证性因素分析的方法探索和评价HAMA的因素结构。结果:探索性主成分分析结果显示,HAMA可分为7因子模型,验证性因素分析各拟合指标均达到测量标准(χ2=1.184,RMAEA=0.054,GFI=0.87,NNFI=0.90,CFI=0.94),整个模型可以接受。结论:HAMA可分为7个分量表:焦虑体验、抑郁症状、躯体神经系症状、内脏器官症状、生殖泌尿系症状、植物神经系症状和会谈表现。

Objective：To explore the factorial structure of Hamilton anxiety scale（HAMA）.Method：562 outpatients with major depressive disorder,anxiety disorders or obsessive-compulsive disorder were measured by HAMA.Exploratory and confirmatory factor analytic approaches were used to explore and evaluate the factor structure of HAMA.Results：Both factor analysis methods indicated that seven-factor models provided a fit to the data（χ2=1.184,RMAEA=0.054,GFI=0.87,NNFI=0.90,CFI=0.94）.Conclusion：HAMA may divided into seven subscales：①anxious emotions,②depressed symptoms,③somatic nervous symptoms,④ internal organ symptoms,⑤ genito-urinary symptoms,⑥autonomic symptoms,⑦behavior at interview.