Initial development and preliminary validation of a new negative symptom measure: the Clinical Assessment Interview for Negative Symptoms (CAINS).
Initial development and preliminary validation of a new negative symptom measure: the Clinical Assessment Interview for Negative Symptoms (CAINS).
复制标题
DOI：
10.1016/j.schres.2010.08.039
复制
发表时间：
2010-12
影响因子：
4.5
通讯作者：
Gur, Raquel
中科院分区：
文献类型：
--
作者：
Forbes, Courtney;Blanchard, Jack J.;Bennett, Melanie;Horan, William P.;Kring, Ann;Gur, Raquel
作为正在进行的量表开发过程的一部分，本研究提供了一种新的基于访谈的阴性症状工具的心理测量特性和有效性的初步检查，阴性症状临床评估访谈（CAINS），用于精神分裂症或分裂情感障碍门诊患者（N = 37）。该量表旨在解决现有措施的局限性，并综合评估五种基于共识的阴性症状：社会性、自发性、快感缺乏症（圆满性和预期性）、情感扁平化和痛症。结果表明，CAINS量表总分的内部一致性可靠度令人满意，评分者之间的一致性很有希望，并明确了需要改进的领域。在CAINS和其他阴性症状测量之间的总体一致性中，收敛效度是明显的。此外，CAINS子量表与相关的自我报告情绪体验测量以及社会功能显著相关。CAINS的判别效度与阳性症状、一般精神症状和抑郁之间的关系不大且不显著，这有力地支持了CAINS的判别效度。CAINS早期beta版的这些初步数据为这种新的阴性症状评估方法提供了初步支持，并为进一步开发量表指明了方向。
As part of an ongoing scale development process, this study provides an initial examination of the psychometric properties and validity of a new interview-based negative symptom instrument, the Clinical Assessment Interview for Negative Symptoms (CAINS), in outpatients with schizophrenia or schizoaffective disorder (N = 37). The scale was designed to address limitations of existing measures and to comprehensively assess five consensus-based negative symptoms: asociality, avolition, anhedonia (consummatory and anticipatory), affective flattening, and alogia. Results indicated satisfactory internal consistency reliability for the total CAINS scale score and promising inter-rater agreement, with clear areas identified in need of improvement. Convergent validity was evident in general agreement between the CAINS and alternative negative symptom measures. Further, CAINS subscales significantly correlated with relevant self-report emotional experience measures as well as with social functioning. Discriminant validity of the CAINS was strongly supported by its small, non-significant relations with positive symptoms, general psychiatric symptoms, and depression. These preliminary data on an early beta-version of the CAINS provide initial support for this new assessment approach to negative symptoms and suggest directions for further scale development.
登录
查看更多内容
影响因子：
6.6
作者：
Wykes, Til;Steel, Craig;Tarrier, Nicholas
通讯作者：
Tarrier, Nicholas
影响因子：
4.5
作者：
ADDINGTON, D;ADDINGTON, J;SCHISSEL, B
通讯作者：
SCHISSEL, B
影响因子：
6.6
作者：
Blanchard, Jack J.;Kring, Ann M.;Gur, Raquel
通讯作者：
Gur, Raquel
影响因子：
3.3
作者：
Gard, David E.;Gard, Marja Germans;John, Oliver P.
通讯作者：
John, Oliver P.
影响因子：
4.5
作者：
Addington, D;Addington, J;Atkinson, M
通讯作者：
Atkinson, M