EVALUATION OF THE PLEASURE SCALE IN THE ASSESSMENT OF ANHEDONIA IN CHILDREN
EVALUATION OF THE PLEASURE SCALE IN THE ASSESSMENT OF ANHEDONIA IN CHILDREN
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DOI：
10.1097/00004583-198905000-00010
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发表时间：
1989-05-01
影响因子：
13.3
通讯作者：
KAZDIN, AE
中科院分区：
文献类型：
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作者：
KAZDIN, AE
对儿童快乐量表进行了评估，该量表是为评估学龄儿童快感缺失而开发的。对 232 名儿童精神病住院儿童（6-13 岁）及其父母进行了心理测量特性和同时效度的评估。根据之前对成年人的研究，预测被诊断为重度抑郁症的儿童会在量表上表现出更大的快感缺乏，而快感缺乏的儿童（快乐量表得分较低）会在奖励经历方面表现出负面归因风格。结果表明，愉悦量表内部一致，项目总分具有中等到高的相关性，似乎反映了单一维度，并且与其他愉悦情感指标呈显着正相关。抑郁症儿童表现出更大的快感缺乏，这反映在较低的快乐量表总分以及他们对量表中各个项目的反应模式上。快感缺乏症严重的儿童，无论其诊断如何，都表现出不太积极地寻求奖励，对负面结果的期望更高，并且更有可能将无奖励的结果归因于自己的行为而不是外部原因。总体而言，结果为量表的结构效度提供了初步支持。简要讨论了评估非临床样本、制定替代评估策略、检查报告愉快经历的发育差异以及研究快感缺乏与抑郁症亚型和临床病程的关系的进一步研究。
The Pleasure Scale for Children, a measure developed to assess anhedonia in school-age children, was evaluated. Psychometric properties and concurrent validity of the scale were evaluated with 232 child psychiatric inpatient children (ages 6–13) and their parents. Based on prior research with adults, predictions were made that children with a diagnosis of major depression would evince greater anhedonia on the scale and that anhedonic children (low Pleasure Scale scores) would show a negative attributional style in relation to rewarding experiences. The results indicated that the Pleasure Scale was internally consistent, yielded moderate to high item-total score correlations, appeared to reflect a single dimension, and correlated positively and significantly with other measures of pleasurable affect. Depressed children showed greater anhedonia, as reflected in lower total Pleasure Scale scores and in their pattern of responding to individual items on the scale. Children high in anhedonia, independently of their diagnosis, showed less active involvement in seeking rewards, were higher in their expectations of negative outcomes, and were more likely to attribute unrewarding outcomes to their own behavior than to external causes. Overall, the results provide initial support for the construct validity of the scale. Further research to evaluate nonclinic samples, to develop alternative assessment strategies, to examine developmental differences in reporting pleasurable experiences, and to study the relation of anhedonia to subtypes and clinical course of depression is briefly discussed.