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验证韩国版本的临床阿片类药物戒断量表

Jiseon Jang¹, Taeyoung Lee^2,3, Aram Im⁴

¹Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.

Frontiers in public health

|February 16, 2026

概括

韩国版本的临床阿片类戒断量表 (K-COWS) 是评估韩国阿片类药物戒断严重程度的可靠工具. 这种经过验证的仪器帮助临床医生管理接受阿片类药物治疗的患者.

科学领域:

临床心理学临床心理学
精神病学是一个精神病学.
药理学药理学是指药理学的学科.

背景情况:

处方阿片类药物的使用在韩国显著增加.
缺乏一种标准化的韩语工具来评估阿片类药物戒断.
临床阿片类药物戒断量表 (COWS) 是一项经过验证的临床医生对阿片类药物戒断严重性的评估.

研究的目的:

将COWS翻译成韩语并文化地适应,从而创建了K-COWS.
验证K-COWS用于评估在接受阿片类药物治疗的韩国患者中阿片类药物戒断的严重程度.
评估K-COWS的心理测量特性,包括内部一致性和构造有效性.

主要方法:

11项COWS被翻译成韩语 (K-COWS),并从文化上改编为韩语.
评估了66名患有阿片类药物使用障碍的成年患者,他们经历了戒断症状.
研究了包括内部一致性,因子结构 (EFA,CFA) 和收/区分有效性 (SOWS,OCS-3,OC-VAS) 在内的心理测量属性.

主要成果:

该K-COWS显示出良好的内部一致性 (克朗巴赫的α=0.79).
探索性和确认性因子分析支持K-COWS的两因素结构.
与主观阿片类戒断量表 (SOWS) 的强相关性表明了良好的收有效性,而与渴望措施的弱相关性支持了歧视性有效性.

结论:

在韩国临床环境中,K-COWS是评估阿片类药物戒断严重程度的可靠和有效工具.
该研究建议在临床决策中使用K-COWS总得分.
未来的研究应该探索评分器间的可靠性,并证实在更大,多样化的群体中的因子结构.

关键词:

在K-COWS中,K-COWS是最重要的."阿片类药物使用障碍"阿片类药物戒断,阿片类药物戒断临床阿片类药物戒断量表.验证验证的时间

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