立陶宛思维与语言功能障碍量表(TALD)的一些心理测量特征

Karolina Petraškaitė, Neringa Grigutytė
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引用次数: 0

摘要

思维障碍是精神分裂症的主要症状之一,尽管它的迹象也出现在其他疾病中,如分裂情感障碍或抑郁症,所以找到评估症状的最佳方法并利用它们来区分不同的疾病是很重要的。思维与语言障碍量表(TALD)是一种最新的、基于经验的工具,它不仅可以帮助评估各种精神疾病中客观观察到的思维障碍迹象,也可以帮助评估主观表达的思维障碍迹象。本文旨在分析立陶宛版TALD在不同精神障碍中的一些心理测量特征。研究共纳入129人(男性73人,女性56人,年龄M = 34.28, SD = 9.95),其中精神分裂症39人,分裂情感性障碍27人,抑郁症31人,对照组32人。采用探索性因素分析和验证性因素分析,确定了四个思维障碍症状因素,分别反映了阳性、阴性、客观和主观症状维度。量表具有适当的信度特征。临床组的总分和各维度得分均显著高于对照组。所有维度和整体评估的结果可以很好地区分精神健康障碍患者和非精神健康障碍患者,客观阳性症状可以最有效地区分精神分裂症或分裂情感性患者和抑郁症患者。虽然对心理测量特性的进一步研究很重要,但当与精神诊断中的其他研究方法结合使用时,该工具可能是有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Some Psychometric Properties of Lithuanian Thinking and Language Dysfunction Scale (TALD)
Thought disorder is one of the main symptoms of schizophrenia, although signs of it are also found in other disorders, such as schizoaffective disorder or depression, so it is important to find the best ways to assess symptoms and use them to differentiate between different disorders. Thought and Language Dysfunction Scale (TALD) is one of the newest and empirically based instruments that can help assess not only objectively observed but also subjectively expressed signs of thought disorder in various mental illnesses. This article aims to analyse some psychometric characteristics of the Lithuanian version of TALD in different psychiatric disorders. 129 individuals participated in the study (73 men, 56 women, age M = 34.28, SD = 9.95), of which 39 had schizophrenia, 27 schizoaffective disorder, 31 depression diagnoses, and 32 belonged to the control group. Using exploratory and confirmatory factor analysis, four thought disorder symptom factors were confirmed, which reflect dimensions of positive, negative, objective, and subjective symptoms. The scale has appropriate reliability characteristics. The results of both the total score and the different dimensions are significantly higher in the clinical groups compared to the controls. The results of all dimensions and the overall assessment allow excellent separation of those who suffer from mental health disorders from those who not, and the objective positive symptoms can differentiate schizophrenia or schizoaffective patients from depression ones the most effectively. Although further research on psychometric properties is important, the instrument may be useful when used in conjunction with other research methods in the psychodiagnostics.
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