心理治疗效果评定量表(简式)在中、德应用的心理测量学研究

Monitoring Psychotherapeutic Change: Psychometric Evaluation of Short-Form Outcome Questionnaires in China and Germany

419名中国和德国被试参加了本研究，并回答了若干简式心理健康量表。所选的这套量表能对心理治疗不同阶段的效果(Howard’s阶段模型：重新认识期－转变期－康复期)进行测查。本研究目的在于考察这些简式量表能否用于认知－行为治疗跨文化培训项目中的质量管理。结果显示，这些量表在中德两种文化背景下都有很高的信度和效度(聚合效度和敏感性)。尽管项目间的高相关似乎提示心理健康模型只有一个维度，但探索性因素和理论分析则更支持心理健康是一个分为８个亚维度的模型，其中每个亚维度或者与基础情绪、或者与社会性情感相连关联。本文最后就研究结果及其对心理治疗质量控制的意义进行了详细讨论。

In a cross-cultural study using samples from China and Germany (n＝419)， short forms of established mental health psychometric instruments were evaluated for their psychometric properties. These instruments were selected because they operationalize the different phases of Howard’s phase model of psychotherapy: remoralization， remediation and rehabilitation. The main goal of the study was to determine if the short forms of these instruments could serve as means for quality management in a cross-cultural training project for cognitive behavioural therapy (CBT). Sufficient reliability and validity (convergent validity and sensitivity to pathology) were found in both cultures. At first glance， high intercorrelations of the tests suggested a one-dimensional model of mental health. However， an exploratory factor analysis and theoretical considerations favoured the alternative of differentiating mental health into eight sib-dimensions， whereby each of the sub-dimensions could be linked to basic or social emotions. These findings and their implications for quality management are discussed in some detail.