目的:探讨认知扭曲问卷(CDQ)中文版在抑郁症人群中的效度和信度.方法:选取抑郁症患者347例,其中145例(样本1)用于条目分析与探索性因子分析,202例(样本2)用于验证性因子分析;对所有样本进行信度分析,功能失调性态度量表(DAS)、负性自动思维问卷(ATQ)、贝克抑郁量表-Ⅱ(BDI-Ⅱ)、贝克焦虑量表(BAI)测评用以检验效标效度.选取样本1中48人间隔2周重测.结果:条目与总分相关均有统计学意义(均P＜0.001);探索性因子分析获得3个公因子,累积贡献率为50.84％;三因子模型优于单因子模型(IFI=0.93,TLI = 0.91,CFI = 0.93,FMIN =0.76,RMSEA =0.06);CDQ 总分与 DAS、ATQ、BDI-Ⅱ、BAI 总分均正相关(r=0.51、0.64、0.62、0.39,均P＜0.01).总量表的Cronbach α系数为0.85,3个因子的α分别为0.84、0.62、0.58;总量表重测相关系数(ICC)为0.85,3个因子的ICC分别为0.83、0.86、0.92.结论:认知扭曲问卷(CDQ)中文版测评抑郁症人群具有良好的效度和信度.

Background The aim of this study was to evaluate the reliability and validity of the Chinese version of the Cognitive Distortions Questionnaire (CD-Quest) among Chinese college students. Material/Methods A total of 460 college students from Jining were recruited in the study. Sample 1, including 239 college students, was tested for item analysis and exploratory factor analysis. Sample 2, including 221 college students, was tested for confirmatory factor analysis and criterion validity. The criterion validity was tested using the Negative Automatic Thoughts questionnaire (ATQ) and Dysfunctional Attitudes Scale (DAS). Test-retest reliability was evaluated in 40 college students from sample 1 with 4 weeks interval. Results The corrected item-total correction (ITC) ranged from 0.675 (emotional reasoning) to 0.829 (unfair comparison). Exploratory factor analysis revealed the variance of the CD-Quest items was unidimensional, and it explained 55.261% of the data variance. Confirmatory factor analysis indicated all regression coefficients were higher than 0.4. The criterion validity was excellent, as shown by the relationships among CD-Quest, DAS, and ATQ (r=0.447, 0.566, respectively). Cronbach’s α coefficient was 0.941 and the test-retest reliability was 0.928. Conclusions The Chinese version of CD-Quest had good reliability and validity, suggesting it is a reliable tool to evaluate cognitive distortion of Chinese college students.

Objective Investigate and study the coping style and mental health of the schizophrenic pa-tients during catabesis and with corresponding psychological instruction to help them more adapt the life after dis-ease and reduce the disease relapse rate.Methods Coping instruction and cognition adjustment and other psy-chological instruction ways for 4 weeks were given to all 60 schizophrenic patients during catabasis,and SCL-90 and coping style questionnaire were distributed to these patients before and after psychological instruction.Results The SCL-90 factors of inter-personal sensitivity,anxiety,depression,somatization,hostility and compul-sion,and the coping style factors of avoidance,illusion,problem-resolving and seeking-help were significant difference between before and after psychological instruction for 4 weeks (P < 0.001).Conclusion It is effec-tive and necessary that corresponding coping style and cognition adjust and other psychological iustruction ways were given to the 60 schizophrenic patients during catabasis.