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| 題名: | 建構在糖尿病患者之臨床憂鬱症狀評估量表 |
| 作者: | 許藍方 |
| 貢獻者: | 護理學研究所 |
| 日期: | 2010 |
| 上傳時間: | 2010-10-21 10:05:54 (UTC+8) |
| 摘要: | 本研究檢定中文版臨床憂鬱症狀評估量表（A clinical useful
depression outcome scale, CUDOS）之心理計量特性。
CUDOS 包含了18 個項目，包含所有精神疾病診斷與統計手冊第四版（DSM-IV）內的重鬱症及輕鬱症之症狀，並評估罹病所造成的心理社會障礙與對生活品質的影響。
本研究將CUDOS 翻譯成中文版本後，檢定量表之內在一致性、再
測信度、對照組效度、聚合效度及同時效標效度。本研究以貝克焦慮量表作為聚合效度之檢定工具，以貝克憂鬱量表作為效標效度之檢定工具。研究中並測試CUDOS 與台灣版簡明世界衛生組織生活品質問卷之預測能力。
研究對象共127 名糖尿病患者，其中包括112 位無憂鬱症診斷之糖尿病患及15 位同時有憂鬱症診斷之糖尿病患，研究結果其內在一致性之信度係數Cronbach’s Alpha（α）值為 .932，其一週後之再測信度在統計學上並無顯著差異（p = .332），且前後兩次之相關係數為 .842（p < .001）。CUDOS 與貝克焦慮量表間之聚合效度相關係數為 .736（P < .001）。在已知組別比較方法下，本量表採兩種不同之分組來進行效度檢驗其對照組效度，結果均有顯著差異（p < .001）。CUDOS 與中文版貝克憂鬱量表第二版之同時效標效度相關係數為 .876（p < .001），並可獨立預測簡明世
界衛生組織生活品質問卷之得分（F＝2.885, p= .006; Adjusted R2= .115）。
本研究結果支持此含18 題的中文版臨床憂鬱症狀量表具良好的信度
與效度。
The purpose of this study was to test the psychometric properties of the Clinical Useful Depression Outcome Scale (CUDOS), which was developed by Mark Zimmerman et. al, in Taiwanese diabetic patients. CUDOS contains 18 items including all the major depression and minor depression sypmtoms in the Diagnostic and Statistical Manual of Psychiatric Disorders, 4th edition, psychosocial disability, and impact on daily life.
This study examined the internal consistency, test-retest reliability, convergent validity, concurrent validity, and predictive ability of the CUDOS for the World Health Organization Quality of Life brief version after
translating the CUDOS into Chinese version.
Included in this study were 127 diabetic patients including 112 patients without depression and 15 patients with a depression diagnosis. The Cronbach’s Alpha (α) was .932 for the CUDOS. The CUDOS scores between
the two testings were not significantly different (p= .332). The test-retest Spearman’s correlation coefficient was .842 (p< .001). The correlation between the CUDOS and the Beck Anxiety Inventory was .736 (p< .001). The CUDOS scores between the depressive and non-depressive groups were significantly different. The Spearman’s correlation coefficient between the CUDOS and the Beck Depression Inventory was .876 (p< .001). The CUDOS score could independently predict quality of life after adjusting for confourdes (F＝2.885, p= .006; Adjusted R2= .115).
The result of this study indicated that The Chinese version of the CUDOS had satisfactory reliability and validity for use in Taiwanese diabetic patients. |
| 關聯: | 63頁 |
| 描述: | (一)論文目次
致 謝......................................................I
中文摘要.................................................IVV
英文摘要................................................ VII
目 錄..................................................VIIII
圖表目次..................................................XI
第一章 緒論............................................... 1
第一節 研究動機與重要性................................... 1
第二節 研究目的........................................... 7
第三節 名詞定義............................................8
第二章 文獻查證.......................................... 11
第一節 糖尿病族群........................................ 11
第二節 糖尿病、憂鬱症與生活品質.......................... 14
第三節 憂鬱症及憂鬱症狀評估工具………………………………….17
第三章 研究方法.......................................... 25
第一節 研究設計.......................................... 25
第二節 研究場所及對象.................................... 26
第三節 研究工具.......................................... 27
第四節 量表的翻譯........................................ 34
第五節 研究步驟.......................................... 35
第六節 資料分析......................................... .37
第四章 結果與分析....................................... .39
第一節 中文版臨床憂鬱症預後評量表之描述性統計分析……….…39
第二節 中文版臨床憂鬱症預後評量表之信效度檢測.............45
第五章 討論與建議....................................... .48
第一節 討論............................................. .48
第二節 研究限制與建議................................... .52
第三節 結論............................................. .53
第四節 臨床上的應用..................................... .55
第六章 參考資料………………………………………………………..................…..56
中文參考資料…………………………………………………………........................56
英文參考資料…………………………………………………………........................56
第七章 附錄……………………………………………………………….......................64
附錄一 研究同意書…………………………………………………….64
附錄二 個案病史及用藥資料………………………………………….................68
附錄三 中文版臨床憂鬱症預後評量表（CUDOS）…………………..69
附錄四 中文版貝克憂鬱量表第二版（BDI-II）……………...……70
附錄五 中文版貝克焦慮量表（BAI）…………………………………71
附錄六 台灣版簡明世界衛生組織生活品質問卷…………………….72
(二)參考文獻
第六章 參考資料
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