中文版正性负性情绪量表在乳腺癌患者中的信度和效度
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摘要
目的:评估中文版正性负性情绪量表(PANAS)在乳腺癌患者中的信度、效度。方法:505例乳腺癌患者完成中文版正性负性情绪量表、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)的评估。结果:PANAS正性情绪(PA)量表和负性情绪(NA)量表的Cronbach’sα系数分别为0.937、0.919;正、负性情绪分量表的重测信度分别为0.508、0.481;正、负性情绪分量表的条目间平均相关系数分别为0.595、0.539。正、负性情绪两因子之间的相关系数为-0.674。探索性因素分析结果显示:正性情绪各条目的因子负荷在0.635~0.831之间;负性情绪各条目的因子负荷在0.556~0.779之间。正性情绪与HAMA、HAMD的相关系数分别为-0.578、-0.264;负性情绪与HAMA、HAMD的相关系数分别为0.723、0.330。不同地区和年龄组患者在正性情绪和负性情绪两因子的得分上差异均显著(P<0.05);不同文化程度患者仅在正性情绪上有显著差异(P<0.001)。结论:中文版正性负性情绪量表(PANAS)在乳腺癌患者中具有良好的信度、效度,可有效测量乳腺癌患者的正、负性情绪。
Objective: To evaluate the reliability and validity of the Chinese version of the Positive and Negative AffectScale(PANAS) in women with breast cancer. Methods: 505 women with breast cancer were tested by Chinese version of thePositive and Negative Affect Scale, Hamilton Anxiety Scale and Hamilton Depression Scale. Results: The Cronbach's alpha coefficient of Positive Affect Scale and Negative Affect Scale were 0.937 and 0.919 respectively; the test-retest reliability of the PA and NA were 0.508 and 0.481 respectively; the inter-item correlation coefficient of the PA and NA were 0.595 and 0.539 respectively. The correlation coefficient between the PA and NA was- 0.674. The results of exploratory factoranalysis: Varimax- rotated factor loading for the PA terms ranged from 0.635 to 0.831, NA terms ranged from 0.556 to0.779. The correlation coefficients between PA and HAMA/HAMD were-0.578 and-0.264 respectively; The correlationcoefficients between NA and HAMA/HAMD were 0.723 and 0.330 respectively. The scores of the two factors of PANASwere significantly different between the urban area and the rural area(P<0.001), the scores of the two factors of PANAS weresignificantly different among the age groups(P<0.05), only the scores of PA were significantly different among the educational degree groups(P<0.001). Conclusion: The reliability and validity of the Positive and Negative Affect Scale are acceptable, and the scale can effectively detect the breast cancer patients' positive and negative affect.
Objective: To evaluate the reliability and validity of the Chinese version of the Positive and Negative AffectScale(PANAS) in women with breast cancer. Methods: 505 women with breast cancer were tested by Chinese version of thePositive and Negative Affect Scale, Hamilton Anxiety Scale and Hamilton Depression Scale. Results: The Cronbach's alpha coefficient of Positive Affect Scale and Negative Affect Scale were 0.937 and 0.919 respectively; the test-retest reliability of the PA and NA were 0.508 and 0.481 respectively; the inter-item correlation coefficient of the PA and NA were 0.595 and 0.539 respectively. The correlation coefficient between the PA and NA was- 0.674. The results of exploratory factoranalysis: Varimax- rotated factor loading for the PA terms ranged from 0.635 to 0.831, NA terms ranged from 0.556 to0.779. The correlation coefficients between PA and HAMA/HAMD were-0.578 and-0.264 respectively; The correlationcoefficients between NA and HAMA/HAMD were 0.723 and 0.330 respectively. The scores of the two factors of PANASwere significantly different between the urban area and the rural area(P<0.001), the scores of the two factors of PANAS weresignificantly different among the age groups(P<0.05), only the scores of PA were significantly different among the educational degree groups(P<0.001). Conclusion: The reliability and validity of the Positive and Negative Affect Scale are acceptable, and the scale can effectively detect the breast cancer patients' positive and negative affect.
引文
1 Tellegen A,Watson D,Clark LA.On the dimensional and hierarchical structure of affect.Psychological Science,1999,10(4):297-303
2 Russell JA.Core affect and the psychological construction of emotion.Psychological Review,2003,110(1):145-172
3 Watson D,Wiese D,Vaidya J,et al.The two general activation systems of affect:Structural findings,evolutionary considerations,and psychobiological evidence.Journal of Personality and Social Psychology,1999,76(5):820-838
4 Tellegen A.Structures of mood and personality and their relevance to assessing anxiety,with an emphasis on selfreport.In:Tuma AH,Maser JD.Anxiety and the anxiety disorders.Hillsdale,NJ:Erlbaum,1985.681-706
5 Clark L,Watson D.Tripartite model of anxiety and depression:Psychometric evidence and taxonomic implications.Journal of Abnormal Psychology,1991,100(3):316-336
6 Joiner TE,Lonigan CJ.Tripartite model of depression and anxiety in youth psychiatric inpatients:Relations with diagnostic status and future symptoms.Journal of Clinical Child Psychology,2000,29(3):372-382
7 Glaser R,Kiecolt-Glaser JK.Stress-induced immune dysfunction:Implications for health.Nature Reviews Immunology,2005,5(3):243-251
8 Sally NA,Temidayo O,Clement A.Emerging breast cancer epidemic:Evidence from Africa.Breast Cancer Research,2010,12(S4):8
9 Sandra Pérez,Andrea Conchado,Yolanda Andreu,et al.Acute stress trajectories 1 year after a breast cancer diagnosis.Support Care Cancer,2015,24(4):1671-1678
10 Lyons MA,Jacobson SS,Prescott B,et al.Women’s experiences during the first year following diagnosis of breast cancer.Southern Online Journal of Nursing Research,2002,3(1):1-26
11 Cousineau N,Mc Dowell I,Hotz S,et al.Measuring chronic patients’feelings of being a burden to their caregivers:Development and preliminary validation of a scale.Med Care,2003,41(1):110-118
12 Bower JE,Meyerowitz BE,Desmond KA,et al.Perceptions of positive meaning and vulnerability following breast cancer:Predictors and outcomes among long-term breast cancer survivors.Annals of Behavioral Medicine,2005,29(3):236-245
13 Pretrie KJ,Eooth RJ,Elder H,et al.Psychological influences on the perception of immune function.Psychological Medicine,1999,29(2):391-397
14 Groenvold M,Petersen MA,Idler E,et al.Psychological distress and fatigue predicted recurrence and survival in primary breast cancer patients.Breast Cancer Research and Treatment,2007,105(2):209-219
15 Weihs KL,Enright TM,Simmens SJ.Close relationships and emotional processing predict decreased mortality in women with breast cancer:Preliminary evidence.Psychosomatic Medicine,2008,70(1):117-124
16 Pressman SD,Cohen S.Does positive affect influence health?Psychological Bulletin,2005,131(6):925-971
17 Fredrickson BL.The role of positive emotions in positive psychology.The broaden-and-build theory of positive emotions.American Psychologist,2001,56(3):218-226
18 Cohen S,Alper CM,Doyle WJ,et al.Positive emotional style predicts resistance to illness after experimental exposure to rhinovirus or influenza A virus.Psychosomatic Medicine,2006,68(6):809-815
19 Watson D,Clark LA,Tellegen A.Development and validation of brief measures of positive and negative affect:the PANAS scales.Journal of Personality and Social Psychology,1988,54(6):1063-1070
20 Manne S,Schnoll R.Measuring cancer patients psychological distress and well-being:a factor analytic assessment of the mental health inventory.Psychological Assessment,2001,13(1):99-109
21黄丽,杨廷忠,季忠民.正性负性情绪量表的中国人群适用性研究.中国心理卫生杂志,2003,17(1):54-56
22 Brown GW,Harris T.Social origins of depression:A study of psychiatric disorder in women.Routledge,1978,168(9):375-389
23汪向东,王希林,马弘.心理卫生评定量表手册(增订版).北京:中国心理卫生杂志社,1999.88-94
24 Briggs SR,Cheek JM.The role of factor analysis in the development and evaluation of personality scales.Journal of Personality,1986,54(1):106-148670
25 Burgess C,Cornelius V,Love S,et al.Depression and anxiety in women with early breast cancer:Five year observational cohort study.British Medical Journal,2005,330(7493):702
26李玲艳,朱熊兆,王瑜萍,等.女性乳腺癌患者情绪抑制对其抑郁症状的影响.中国临床心理学杂志,2015,23(5):915-918
27 Jemal A,Bray F,Center MM,et al.Global cancer statistics.CA-A Cancer Journal for Clinicians,2011,61(2):69-90
28 Wenzel LB,Fairclough DL,Brady MJ et al.Age related differences in the quality of life of breast carcinoma patients after treatment.Cancer,1999,86(9):1768-1774
2 Russell JA.Core affect and the psychological construction of emotion.Psychological Review,2003,110(1):145-172
3 Watson D,Wiese D,Vaidya J,et al.The two general activation systems of affect:Structural findings,evolutionary considerations,and psychobiological evidence.Journal of Personality and Social Psychology,1999,76(5):820-838
4 Tellegen A.Structures of mood and personality and their relevance to assessing anxiety,with an emphasis on selfreport.In:Tuma AH,Maser JD.Anxiety and the anxiety disorders.Hillsdale,NJ:Erlbaum,1985.681-706
5 Clark L,Watson D.Tripartite model of anxiety and depression:Psychometric evidence and taxonomic implications.Journal of Abnormal Psychology,1991,100(3):316-336
6 Joiner TE,Lonigan CJ.Tripartite model of depression and anxiety in youth psychiatric inpatients:Relations with diagnostic status and future symptoms.Journal of Clinical Child Psychology,2000,29(3):372-382
7 Glaser R,Kiecolt-Glaser JK.Stress-induced immune dysfunction:Implications for health.Nature Reviews Immunology,2005,5(3):243-251
8 Sally NA,Temidayo O,Clement A.Emerging breast cancer epidemic:Evidence from Africa.Breast Cancer Research,2010,12(S4):8
9 Sandra Pérez,Andrea Conchado,Yolanda Andreu,et al.Acute stress trajectories 1 year after a breast cancer diagnosis.Support Care Cancer,2015,24(4):1671-1678
10 Lyons MA,Jacobson SS,Prescott B,et al.Women’s experiences during the first year following diagnosis of breast cancer.Southern Online Journal of Nursing Research,2002,3(1):1-26
11 Cousineau N,Mc Dowell I,Hotz S,et al.Measuring chronic patients’feelings of being a burden to their caregivers:Development and preliminary validation of a scale.Med Care,2003,41(1):110-118
12 Bower JE,Meyerowitz BE,Desmond KA,et al.Perceptions of positive meaning and vulnerability following breast cancer:Predictors and outcomes among long-term breast cancer survivors.Annals of Behavioral Medicine,2005,29(3):236-245
13 Pretrie KJ,Eooth RJ,Elder H,et al.Psychological influences on the perception of immune function.Psychological Medicine,1999,29(2):391-397
14 Groenvold M,Petersen MA,Idler E,et al.Psychological distress and fatigue predicted recurrence and survival in primary breast cancer patients.Breast Cancer Research and Treatment,2007,105(2):209-219
15 Weihs KL,Enright TM,Simmens SJ.Close relationships and emotional processing predict decreased mortality in women with breast cancer:Preliminary evidence.Psychosomatic Medicine,2008,70(1):117-124
16 Pressman SD,Cohen S.Does positive affect influence health?Psychological Bulletin,2005,131(6):925-971
17 Fredrickson BL.The role of positive emotions in positive psychology.The broaden-and-build theory of positive emotions.American Psychologist,2001,56(3):218-226
18 Cohen S,Alper CM,Doyle WJ,et al.Positive emotional style predicts resistance to illness after experimental exposure to rhinovirus or influenza A virus.Psychosomatic Medicine,2006,68(6):809-815
19 Watson D,Clark LA,Tellegen A.Development and validation of brief measures of positive and negative affect:the PANAS scales.Journal of Personality and Social Psychology,1988,54(6):1063-1070
20 Manne S,Schnoll R.Measuring cancer patients psychological distress and well-being:a factor analytic assessment of the mental health inventory.Psychological Assessment,2001,13(1):99-109
21黄丽,杨廷忠,季忠民.正性负性情绪量表的中国人群适用性研究.中国心理卫生杂志,2003,17(1):54-56
22 Brown GW,Harris T.Social origins of depression:A study of psychiatric disorder in women.Routledge,1978,168(9):375-389
23汪向东,王希林,马弘.心理卫生评定量表手册(增订版).北京:中国心理卫生杂志社,1999.88-94
24 Briggs SR,Cheek JM.The role of factor analysis in the development and evaluation of personality scales.Journal of Personality,1986,54(1):106-148670
25 Burgess C,Cornelius V,Love S,et al.Depression and anxiety in women with early breast cancer:Five year observational cohort study.British Medical Journal,2005,330(7493):702
26李玲艳,朱熊兆,王瑜萍,等.女性乳腺癌患者情绪抑制对其抑郁症状的影响.中国临床心理学杂志,2015,23(5):915-918
27 Jemal A,Bray F,Center MM,et al.Global cancer statistics.CA-A Cancer Journal for Clinicians,2011,61(2):69-90
28 Wenzel LB,Fairclough DL,Brady MJ et al.Age related differences in the quality of life of breast carcinoma patients after treatment.Cancer,1999,86(9):1768-1774