首页
Investigation of the Reliability and Validity of the Chinese Version of the Beck Depression Inventory-Ⅱ in Middle School Students of Yi Ethnicity in Liangshan Prefecture, China
-
摘要:目的
评估贝克抑郁量表第2版中文版（Chinese version of the Beck Depression Inventory, Second Edition, BDI-Ⅱ-C）在凉山州彝族中学生中的信度和效度。
方法采用分层整群抽样的方法选择466名凉山州彝族初一到高三共6个年级的学生完成BDI-Ⅱ-C的测试，对样本的人口学特征进行一般性描述，对样本数据进行独立样本t检验、卡方分析、信度分析，将样本随机分半分别进行探索性因子分析及验证性因子分析。
结果在凉山州彝族中学生样本中，BDI-Ⅱ-C的Cronbach's α系数为0.925。各个条目之间的相关系数在0.192～0.612之间，各个条目与总分之间的相关系数在0.492～0.761之间。探索性因子分析发现量表可分为三个维度，包括情绪症状、躯体症状和消极症状。验证性因子分析结果提示该三因子模型的各指标为χ2/df=1.604，比较拟合指数（comparative fit index, CFI）=0.940，Tucker-Lewis指数（Tucker-Lewis index, TLI）=0.932，增值拟合指数（incremental fit index, IFI）=0.941，估计误差均方根（root mean square error of approximation, RMSEA）=0.051。
结论BDI-Ⅱ-C在凉山州彝族中学生中具有良好的信效度，但是结构效度中的聚合效度较差。
-
关键词:
- 贝克抑郁量表第二版中文版 /
- 探索性因子分析 /
- 验证性因子分析 /
- 信度 /
- 效度
Abstract:ObjectiveTo assess the reliability and validity of the Chinese version of the Beck Depression Inventory, Second Edition (BDI-Ⅱ-C) among Yi middle school students in Liangshan Prefecture.
MethodsA stratified cluster sampling method was used to select 466 Yi middle and high school students in Liangshan Prefecture to respond to the BDI-Ⅱ-C. The general demographic characteristics of the samples were described, and independent sample t-test, chi-square test, and reliability analysis were conducted to analyze the data. The sample was randomly divided into 2 halves for exploratory factor analysis and confirmatory factor analysis.
ResultsThe Cronbach's alpha coefficient for BDI-Ⅱ-C was 0.925 for the sample of Yi middle school students in Liangshan Prefecture. The correlation coefficients between individual items ranged from 0.192 to 0.612, and those between individual items and total scores ranged from 0.492 to 0.761. Exploratory factor analysis found that the scale could be divided into three dimensions, including emotional symptoms, somatic symptoms, and negative symptoms. Confirmatory factor analysis results revealed that the various indicators of the three-factor model were χ2/df=1.604, comparative fit index (CFI)=0.940, Tucker-Lewis index (TLI)=0.932, incremental fit index (IFI)=0.941, and root mean square error of approximation (RMSEA)=0.051.
ConclusionBDI-Ⅱ-C exhibits good reliability and validity among Yi middle school students in Liangshan Prefecture, but the convergent validity of the structural validity is poor.
-
-
表 1 研究对象人口学特征
Table 1 Demographic characteristics of the participants
Characteristic Case (%) Sex Male 164 (35.2) Female 302 (64.8) Age/yr. 12-14 62 (13.3) 15-18 346 (74.2) ≥19 58 (12.5) Educational attainment Illiteracy 2 (0.4) Primary school 2 (0.4) Junior high school 97 (20.8) High school 365 (78.4) 
下载: 导出CSV
表 2 根据BDI-Ⅱ-C的评分标准划分的抑郁水平及对象分布
Table 2 Distribution of the depression levels of participants according the evaluation system of BDI-Ⅱ-C
Depression level Case (%) No depression 273 (58.6) Mild depression 67 (14.4) Moderate depression 79 (17.0) Severe depression 47 (10.1)
下载: 导出CSV
表 3 BDI-Ⅱ-C旋转后因子载荷矩阵（n=233）
Table 3 The rotated factor matrix of BDI-Ⅱ-C (n=233)
Item Affective
symptomsSomatic
symptomsNegative
symptomsSadness 0.533 0.284 0.090 Pessimism 0.611 0.147 0.224 Sense of failure 0.745 0.141 0.189 Loss of pleasure 0.670 0.372 0.039 Guilty feelings 0.644 0.208 0.134 Punishment 0.636 −0.025 0.406 Self-dislike 0.641 0.274 0.227 Self blame 0.619 0.251 −0.022 Suicidal ideas 0.432 0.262 0.574 Crying 0.324 0.689 0.016 Agitation 0.480 0.571 0.095 Loss of interest 0.191 0.492 0.509 Indecisiveness 0.487 0.623 0.146 Worthlessness 0.627 0.305 0.386 Loss of energy 0.531 0.476 0.290 Sleep changes 0.261 0.556 0.393 Irritability 0.137 0.697 0.092 Appetite changes 0.051 0.619 0.432 Concentration difficulties 0.475 0.438 0.305 Fatigue 0.283 0.541 0.386 Loss of sexual desire 0.120 0.117 0.799 Eigenvalue 5.155 3.939 2.411 Variance contribution rate/% 24.546 18.765 11.483 Accumulative variance
contribution rate/%24.546 43.302 54.785
下载: 导出CSV
表 4 验证性因子分析BDI-Ⅱ-C三因子模型聚合效度指标
Table 4 Confirmatory factor analysis of the aggregated validity indicators for BDI II-C 3-factor model
Factor model AVE CR Affective symptoms 0.396 0.875 Somatic symptoms 0.379 0.807 Negative symptoms 0.317 0.579
下载: 导出CSV
表 5 三因子模型的区分效度
Table 5 Differentiation validity of the 3-factor model
Item Affective
symptomsSomatic
symptomsNegative
symptomsFactor 1 0.102 Factor 2 0.171** 0.304 Factor 3 0.117*** 0.214*** 0.145 Square root of AVE 0.630 0.616 0.563 ** P<0.01, *** P<0.001.
下载: 导出CSV
-
[1] 傅小兰. 中国国民心理健康发展报告(2021~2022). 北京: 社会科学文献出版社, 2023. FU X L. The National Mental Health Development Report of China (2021-2022). Beijing: Social Sciences Academic Press, 2023.
[2] 刘丽萍, 王宏. 三峡库区中学生心理健康现状及教育对策. 重庆医科大学学报, 2008, 33(7): 854-857. doi: 10.3969/j.issn.1006-2785.2009.07.034. Liu L P, Wang H. Mental health status and educational strategies for middle school students in the Three Gorges Reservoir area. J Chongqing Med Univ, 2008, 33(7): 854-857. doi: 10.3969/j.issn.1006-2785.2009.07.034.
[3] 余琴, 熊世敏, 刘方苇, 等. 毕节市某农村中学留守儿童心理健康状况调查. 遵义医学院学报, 2018, 41(2): 228-232. doi: 10.14169/j.cnki.zunyixuebao.2018.0046. YU Q, XIONG S M, LIU F W, et al. Mental health survey of left-behind children in a rural middle school in Bijie City. J Zunyi Med Univ, 2018, 41(2): 228-232. doi: 10.14169/j.cnki.zunyixuebao.2018.0046.
[4] 余水. 彝族青少年心理健康素质发展研究. 贵州民族研究, 2008(1): 93-98. doi: 10.3969/j.issn.1002-6959.2008.01.016. YU S. Research on the development of mental health quality of Yi adolescents. Guizhou Ethnic Studies, 2008(1): 93-98. doi: 10.3969/j.issn.1002-6959.2008.01.016.
[5] PARK S H, YU H Y. How useful is the center for epidemiologic studies depression scale in screening for depression in adults? An updated systematic review and meta-analysis. Psychiatry Res, 2021, 302: 114037. doi: 10.1016/j.psychres.2021.114037.
[6] BIGGS J T, WYLIE L T, ZIEGLER V E. Validity of the zung self-rating depression scale. Br J Psychiatry, 1978, 132: 381-385. doi: 10.1192/bjp.132.4.381.
[7] COSCI F, CHRISTENSEN K S, CECCATELLI S, et al. Patient health questionnaire-9: a clinimetric analysis. Braz J Psychiatry, 2024, 46: e20233449. doi: 10.47626/1516-4446-2023-3449.
[8] CARROZZINO D, PATIERNO C, FAVA G A, et al. The hamilton rating scales for depression: a critical review of clinimetric properties of different versions. Psychother Psychosom, 2020, 89(3): 133-150. doi: 10.1159/000506879.
[9] WANG Y P, GORENSTEIN C. Psychometric properties of the Beck depression inventory-Ⅱ: a comprehensive review. Braz J Psychiatry, 2013, 35(4): 416-431. doi: 10.1590/1516-4446-2012-1048.
[10] MCPHERSON A, MARTIN C R. A narrative review of the Beck depression inventory (BDI) and implications for its use in an alcohol-dependent population. J Psychiatr Ment Health Nurs, 2010, 17(1): 19-30. doi: 10.1111/j.1365-2850.2009.01469.x.
[11] BECK A T, STEER R A, BALL R, et al. Comparison of Beck depression inventories -Ⅰa and -Ⅱ in psychiatric outpatients. J Pers Assess, 1996, 67(3): 588-597. doi: 10.1207/s15327752jpa6703_13.
[12] HUANG C, CHEN J H. Meta-analysis of the factor structures of the Beck depression inventory-Ⅱ. Assessment, 2015, 22(4): 459-472. doi: 10.1177/1073191114548873.
[13] 杨文辉, 刘绍亮, 周烃, 等. 贝克抑郁量表第2版中文版在青少年中的信效度. 中国临床心理学杂志, 2014, 22(2): 240-245. doi: 10.16128/j.cnki.1005-3611.2014.02.018. YANG W H, LIU S L, ZHOU T, et al. Reliability and validity of the Chinese version of the Beck Depression Inventory-Ⅱ among adolescents. Chin J Clin Psychol, 2014, 22(2): 240-245. doi: 10.16128/j.cnki.1005-3611.2014.02.018.
[14] 杨文辉, 吴多进, 彭芳. 贝克抑郁量表第2版中文版在大一学生中的试用. 中国临床心理学杂志, 2012, 20(6): 762-764. doi: 10.16128/j.cnki.1005-3611.2012.06.020. YANG W H, WU D J, PENG F. Application of the Chinese version of the Beck Depression Inventory-Ⅱ among first-year college students. Chin J Clin Psychol, 2012, 20(6): 762-764. doi: 10.16128/j.cnki.1005-3611.2012.06.020.
[15] 王振, 苑成梅, 黄佳, 等. 贝克抑郁量表第2版中文版在抑郁症患者中的信效度. 中国心理卫生杂志, 2011, 25(6): 476-480. doi: 10.3969/j.issn.1000-6729.2011.06.014. WANG Z, YUAN C M, HUANG J, et al. Reliability and validity of the Chinese version of the Beck Depression Inventory-Ⅱ in patients with depression. Chin Ment Health J, 2011, 25(6): 476-480. doi: 10.3969/j.issn.1000-6729.2011.06.014.
[16] BENTLER P M. Comparative fit indexes in structural models. Psychol Bull, 1990, 107(2): 238-246. doi: 10.1037/0033-2909.107.2.238.
[17] DOW B, LIN X, PACHANA N A, et al. Reliability, concurrent validity, and cultural adaptation of the geriatric depression scale and the geriatric anxiety inventory for detecting depression and anxiety symptoms among older chinese immigrants: an australian study. Int Psychogeriatr, 2018, 30(5): 735-748. doi: 10.1017/S1041610217002332.
[18] THAPAR A, EYRE O, PATEL V, et al. Depression in young people. Lancet, 2022, 400(10352): 617-631. doi: 10.1016/S0140-6736(22)01012-1.
[19] OSMAN A, BARRIOS F X, GUTIERREZ P M, et al. Psychometric properties of the beck depression inventory-Ⅱ in nonclinical adolescent samples. J Clin Psychol, 2008, 64(1): 83-102. doi: 10.1002/jclp.20433.
[20] 魏艳艳, 尹璐, 徐海婷, 等. 中文版双相抑郁评估量表信效度及最佳界值. 中国神经精神疾病杂志, 2021, 47(12): 710-715. doi: 10.3969/j.issn.1002-0152.2021.12.002. WEI Y Y, YIN L, XU H T, et al. Reliability, validity, and optimal cutoff value of the Chinese version of the Bipolar Depression Rating Scale. Chin J Nerv Mental Dis, 2021, 47(12): 710-715. doi: 10.3969/j.issn.1002-0152.2021.12.002.
[21] FERREIRA-MAIA A P, GORENSTEIN C, WANG Y P. Comprehensive investigation of factor structure and gender equivalence of the beck depression inventory-ii among nonclinical adolescents. Eur Child Adolesc Psychiatry, 2024. doi: 10.1007/s00787-024-02478-8.
[22] CHEN S, CHI C, LUO L, et al. Factor structure of the chinese version of emotion regulation goals scale. Front Psychol, 2024, 15: 1392879. doi: 10.3389/fpsyg.2024.1392879.
[23] SERAFINI G, COSTANZA A, AGUGLIA A, et al. Overall goal of cognitive-behavioral therapy in major psychiatric disorders and suicidality: a narrative review. Med Clin North Am, 2023, 107(1): 143-167. doi: 10.1016/j.mcna.2022.05.006.
[24] SMÁRASON O, SKARPHEDINSSON G, STORCH E A. Cognitive behavioral therapy for anxiety and depression in children and adolescents. Psychiatr Clin North Am, 2024, 47(2): 311-323. doi: 10.1016/j.psc.2024.02.002.
-
期刊类型引用(0)
其他类型引用(3)
开放获取 本文遵循知识共享署名—非商业性使用4.0国际许可协议（CC BY-NC 4.0），允许第三方对本刊发表的论文自由共享（即在任何媒介以任何形式复制、发行原文）、演绎（即修改、转换或以原文为基础进行创作），必须给出适当的署名，提供指向本文许可协议的链接，同时标明是否对原文作了修改；不得将本文用于商业目的。CC BY-NC 4.0许可协议详情请访问 https://creativecommons.org/licenses/by-nc/4.0
计量
- 文章访问数: 122
- HTML全文浏览量: 29
- PDF下载量: 3
- 被引次数: 3
