关于PANSS马德尔因子解决方案和其他因子模型在精神分裂症患者中的COSMIN审查
Maximilian Roithmeier1, Simon Geck1, Markus Bühner2,3
1Department of Psychiatry and Psychotherapy, School of Medicine and Health, Technical University of Munich, Klinikum rechts der Isar, Ismaningerstrasse 22, 81675, Munich, Germany.
Schizophrenia (Heidelberg, Germany)
|March 31, 2025
概括
马德等人针对精神分裂症症状的5因素模型 (M5M) 的结构有效性不足. 虽然构造有效性很好,但其他五因素模型显示更适合,这表明不应该推M5M.
科学领域:
- 精神病学是一个精神病学.
- 心理测量 心理测量 心理测量
- 临床心理学 临床心理学
背景情况:
- 阳性和阴性综合征量表 (PANSS) 是精神分裂症症状评估的一个关键工具.
- 马德等人的5因素模型 (M5M) 经常用于临床试验,但缺乏系统的心理测量评估.
- 基于共识的健康测量仪器选择标准 (COSMIN) 为评估测量特性提供了一个框架.
研究的目的:
- 使用COSMIN指南,系统地审查M5M-PANSS的心理测量特性.
- 评估适合替代PANSS因子模型的良性.
- 为M5M-PANSS的临床实用性提供基于证据的建议.
主要方法:
- 按照Cosmin指南进行系统的文献搜索和偏见风险评估.
- 对构造有效性,结构有效性和其他测量属性的评估.
- 确认因素分析用于比较各种PANSS因子解决方案的模型合适性.
主要成果:
- M5M-PANSS显示出良好的构造有效性,但结构有效性不足.
- 对于其他COSMIN领域 (可靠性,响应性,可解释性) 的证据基本上不存在.
- 与M5M-PANSS相比,一些替代的五因素模型表现出优越的模型适合性.
- 95个出版物被纳入了审查.
结论:
- 由于结构有效性不足,不建议根据Cosmin标准使用M5M-PANSS.
- 其他五因素模型,如Wallwork等人,需要进一步调查.
- 使用M5M-PANSS的现有研究应该谨慎地解释,考虑到模型的相似因子组成.
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