超越批评,敌意和情绪过度参与:精神分裂症综合表达情绪量表 (CEES) 的开发和心理测量验证
Yingzhe He1, Siu-Man Ng1, Mao-Sheng Ran2
1Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong.
Comprehensive psychiatry
|October 9, 2025
概括
这项研究引入了综合表达情绪量表 (CEES) 来衡量精神分裂症表达情绪 (EE) 的隐性维度. CEES显示出强大的心理测量特性,用于评估公开和隐蔽的EE,帮助有针对性的干预.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 临床心理学 临床心理学
背景情况:
- 表达情绪 (EE) 预测精神分裂症复发,但传统的测量可能缺乏内容有效性.
- 一个隐蔽的EE维度 (解离,冷漠) 被建议,但没有被当前的尺度所捕捉到.
- 综合表达情绪量表 (CEES) 是为了重新概念化和更广泛地测量EE而开发的.
研究的目的:
- 开发和验证一种新的自我报告尺度,CEES,用于评估精神分裂症患者表达的情绪.
- 评估CEES的心理测量特性,包括其因子结构,可靠性和有效性.
- 为了扩大EE的评估,包括隐蔽的维度.
主要方法:
- 在中国,有319名患有精神分裂症的成年人完成了CEES,家庭环境量表-中文版 (FES-CV) 和SF-12.
- 通过使用坎伯韦尔家庭采访 (CFI) 评估了十个患者家庭二元组.
- 进行了探索性和确认性因子分析,可靠性和有效性分析.
主要成果:
- 探索性因子分析支持一个三因素模型:公开 (批评,敌意),隐蔽 (分离,冷漠) 和情绪过度参与 (EOI).
- 确认因素分析证实了公开和隐蔽项目的强负载,但EOI项目的负载较弱.
- CEES显示出高内部一致性和强大的构造/并发有效性,用于总尺度和公开/隐蔽子尺度;EOI子尺度的可靠性是中等的.
结论:
- 欧盟经济与社会合作委员会 (CEES) 有效地使中国家庭的隐蔽EE有效运行,并将EE评估扩展到包括隐含冲突.
- 该尺度表现出强大的心理测量特性,表明有针对性精神分裂症干预的潜力.
- 局限性包括EOI子尺度的适度可靠性和通用性.
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