中文版公众对精神疾病患者歧视态度量表的信效度研究

Reliability and validity of Chinese version of Attitudes about Mental Illness Associated Stigma Scale

目的翻译对精神疾病患者歧视态度量表(Attitudes about Mental Illness Associated Stigma Scale,AMIASS),并评价其在我国应用的信度和效度。方法遵循Jone S翻译模式,翻译并形成中文版AMIASS,然后对广州市居民1088名进行问卷调查,对其进行信度、结构效度、区分度及效标关联效度的评价。结果探索性因子分析显示,中文版AMIASS可提取3个公因子,3个公因子累积解释58.95%的方差。第3个因子仅有1个条目,合并入第1个因子中。中文版AMIASS总的Cronbach'sα系数为0.75,消极刻板印象因子和治疗预后因子Cronbach'sα系数分别为0.71和0.73。量表总分与消极刻板印象、治疗预后因子得分的相关系数为0.703和0.896。2个因子之间的相关系数为0.314。中文版AMIASS总分与贬低-歧视感知量表得分成正相关(r=0.328,P<0.001)。中文版AMIASS能区分不同接触程度人群对精神疾病的态度。结论中文版AMIASS条目简单、易操作,接受性较好,具有较好的测量性能,可用于评估我国内地公众对精神疾病患者歧视态度的研究。

Objective To develop the Chinese version of Attitudes about Mental Illness Associated Stigma Scale and test its reliability and validity. Methods According to Jones＇ translation model,the English version of Attitudes about Mental Illness Associated Stigma Scale（AMIASS） was translated into Chinese（AMIASS-C）. The internal consistency reliability,construct validity,criterion-related validity and discriminant validity were tested. Results Exploratory factor analysis identified three factors,which could explain 58.95% of the total variance. The Coronach＇s αcoefficient of AMIASS-C was 0.75; the Coronach＇s α coefficients of negative stereotype factor and treatment/prognosis factor were 0.71 and 0.73,respectively. The correlation coefficients between the total score with negative stereotype factor score and treatment/prognosis factor score were 0.703 and 0.896,respectively. The correlation coefficient between two factors was 0.314. The total score of AMIASS-C was positively correlated with the score of Perceived Devaluation-Discrimination Scale and was able to distinguish the different attitude towards mental illness and the patients in different contact levels. Conclusion AMIASS-C is a simple,quick,easy-to-administer evaluating measurement,which can be used in the research of stigma of mental illness in mainland of China.