布朗信念评估量表中文版在强迫症患者中的信度和效度

Reliability and Validity of Chinese Version of the Brown Assessment of Beliefs Scale

目的：评价布朗信念评估量表（BABS）中文版在中国强迫症患者中的信度和效度。方法：204名强迫症患者完成BABS中文版、耶鲁布朗强迫量表、贝克抑郁量表和状态特质焦虑问卷。结果：BABS中文版在强迫症患者中的仅系数为0．80；评分者一致性信度系数为0．93（P〈0．01），重测信度为0．71（P〈0．01）；量表总分与强迫症状严重程度、抑郁和焦虑程度相关不显著，与耶鲁布朗强迫量表辅助条目中的自知力条目得分相关显著0．70（P〈0．01）；对BABS的单因子模型进行验证性因素分析显示，）x2/da2．195，CFI=0．970，IFI=O．971，TLI=0．956，GFI=O．960，RMSEA=0．077。结论：BABS中文版在中国强迫症患者中具有良好的信度和效度，可以用于评估强迫症患者的自知力水平。

Objective： To examine the reliability and validity of the Chinese version of Brown Assessment of Beliefs Scale（BABS）. Methods： The Brown belief questionnaire, Yale-Brown Obsessive Compulsive Scale（Y-BOCS）, Beck Depression Inventory（BDI） and State Trait Anxiety Inventory（STAI） was administrated to 204 obsessive-compulsive disorders （OCD）. Results： The Cronbach＇ s a coefficient of the BABS in OCD is 0.80, the inter-rater reliability of the BABS was 0.93 （P〈0.01）, the test-retest reliability was 0.71 （P〈0.01）; Score of the BABS was not correlated with symptom severity but was correlated significantly with the score of the additional items in Y-BOCS assessing the insight（r=0.70, P〈0.01）. Indices of confirmatory factor analysis（x2=30.733, x2/d2.195, CFI=0.970, IFI=0.971, TLI=0.956, GFI=0.960, RMSEA=0.077） sug- gested that the one-factor structure met the standard of psychometrics. Conclusion： The Chinese version of brown Assess- ment of Beliefs Scale is a reliable and valid assessment of insight in obsessive-compulsive disorders.