躯体形式症状筛查量表中文版的修订

The Chinese version of the screening for somatoform symptoms-7

目的修订躯体形式症状筛查量表（Screening for somatoform symptoms-7，SOMS-7）中文版。方法（1）门诊样本：在中国医科大学附属盛京医院心理门诊选取躯体形式障碍患者306例；（2）社区样本：采用方便取样法，选取广州市增城区新塘镇仙村农村居民207例、佛山市禅城区同济路社区城市居民288例，选取沈阳市皇姑区长南社区和大东区吉祥社区居民共283例。10～14d后，从社区样本中随机选择63例女性和73例男性被试进行重测。所有样本均用SOMS-7中文版和SCL-90进行调查。结果（1）SOMS一7中文版的内部一致性信度为女性0．944，男性0．945。重测信度为阳性项目数0．869，总分0．823。与SCL-90躯体化分量表的相关为阳性项目数0．805，总分0．824。（2）以DSM-ⅣV有关躯体形式障碍诊断标准作为参考绘制ROC曲线，曲线下面积为女性阳性项目数0．935、总分0．942，男性阳性项目数0．916，总分0．926。阳性项目数取女性2．5、男性1．5，总分取女性15．5分、男性14．5分时，约登指数最大。结论SOMS一7中文版具有良好的信度和效度，可以作为一个可靠和有效的工具来筛查躯体形式障碍患者。

Objective To revise the Chinese version of the screening for somatoform symptoms-7 （ SOMS- 7 ）. Methods （ 1 ） 306 patients with somatoform disorder were selected in Psychiatry Clinic of Shengjing Hospital of China Medical University. （2） With convenient sampling,207 residents were selected in Xian village of Xintang town of Zengcheng district in Guangzhou and 288 in Tongii Road community of Chancheng district in Foshan. Besides ,283 residents were selected in Changnan Community of Huanggu District and Jixiang Community of Dadong District in Shenyang. After 10 to 14 days ,63 female and 73 male of the community subjects were selected randomly to fill in the scale again. All of the subjects filled in the Chinese version of the SOMS-7. Results （ 1 ） The internal consistency of the Chinese version of the SOMS-7 was O. 944 for female and O. 945 for male. The test-retest reliability was 0. 869 for symptom count and 0. 823 for severity index. The correlation with somatization subscale of SCL-90 was 0.805 for symptom count and 0.824 for severity index. （2） Based on the diagnostic criteria of somatoform disorder in DSM-IV, ROC curves were drawn. The AUC was 0. 935 for symptom count and 0. 942 for severity index in female,while 0.916 for symptom count and 0.926 for severity index in male. When 2.5 （female） or 1.5 （male） was chosen for symptom count and 15.5 （female） or 14.5 （male） for severity index,the youden index reached a maximum. Conclusion The Chinese version of the SOMS-7 showed a good reliability and validity, being reliable and valid as a tool to screen patients with somatoform disorder.