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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 潘璦琬(Ay-Woan Pan) | |
dc.contributor.author | Chia-Fang Wu | en |
dc.contributor.author | 吳佳芳 | zh_TW |
dc.date.accessioned | 2021-06-17T06:42:19Z | - |
dc.date.available | 2020-08-31 | |
dc.date.copyright | 2018-08-31 | |
dc.date.issued | 2018 | |
dc.date.submitted | 2018-08-15 | |
dc.identifier.citation | Americam Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washinton, D.C.: Americam Psychiatric Association.
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/72433 | - |
dc.description.abstract | 個案自陳成效資訊系統(Patient-reported outcome measurement information system, PROMIS) 已被廣泛使用並有多國語言翻譯版本,當中包含生理、心理及社會健康等領域,適用於精神疾患者主觀地表達與疾病健康相關的生活品質概況。本研究的目的即驗證中文版PROMIS憂鬱、焦慮、生氣、睡眠困擾和睡眠相關障礙等五份量表應用於台灣精神疾患者的效度。
本研究的樣本來源有二、其一來自於某醫學中心不同醫療層級之精神疾病患者(101位)參與研究,簡式智能量表≥24分方進行PROMIS五份量表及台大症狀量表。其二為來自於社區精神疾患者及健康者。總樣本數共720人,精神疾患者多半為思覺失調症(51.1%)及無業(68.7%),平均年齡為45.45歲,健康者為27.93歲,就業者居多。運用羅序分析針對720位受試者進行量表之建構效度及項目差異功能分析。 本研究結果顯示除了PROMIS睡眠相關障礙量表1題嚴重違反項目單向度檢驗外,經調整後的PROMIS睡眠相關障礙量表為15題和其餘PROMIS量表皆具有良好的內在一致性和可接受的建構效度。PROMIS負向情緒量表各出現極少數的年齡DIF。PROMIS五量表具可接受的收斂效度及區辨效度,與生活品質分數及台大症狀量表達中度相關,五量表可區分不同症狀程度之精神疾患者。急性比日間病患明顯有睡眠困擾問題。 本研究結果顯示PROMIS憂鬱、焦慮、生氣、睡眠困擾量以及刪題後的睡眠相關障礙量表具有良好的內在一致性及建構效度,可用來測量精神疾患者以及健康者的情緒和睡眠相關的症狀問題。 | zh_TW |
dc.description.abstract | The Patient-reported outcome measurement information system (PROMIS) was developed to provide proper tools to measure quality of life related characteristics for persons with chronic illness. Many of its scales were translated into several languages and were applied in clinical work and research. The purposes of the study were to examine the validity of these five scales, including depression, anxiety, anger, sleep disturbance and sleep-related impairment.
Methods The study includes samples from two sources; one was collected from various ward settings of a medical center; the other one was from community setting including persons with mental illness and normal subjects. Therefore, a total of 720 subjects were collected. The subjects collected from the first source were collected on PROMIS scales, MMSE (>24) and a symptom checklist. The subjects collected from the second source were tested on PROMIS only. Both studies were approved by the institutioanl review board of related instititution (IRB-TPEVGH NO.:2017-06-001C). The data were analyzed with Rasch measurement model for construct validity. We also studied the convergent and discriminitive validity using traditional analysis. Results- The five scales of PROMIS showed acceptable construct validity, which each scale demonstrated good fit to the Rasch model. The difficulty of the items were on target for all scales. The results showed acceptable convergence validity by correlating with life satisfaction and symptom checklist. Patients in acute ward have a severe sleep disturbance compared with those who stay in day ward. Conclusions- The depression, anxiety, anger, sleep disturbance and the sleep-related impairment scale of PROMIS demonstrated acceptable internal consistency and construct validity. Based on the evidence, they can be used to measure mental health and sleep quality for persons with mental illness. | en |
dc.description.provenance | Made available in DSpace on 2021-06-17T06:42:19Z (GMT). No. of bitstreams: 1 ntu-107-R97429004-1.pdf: 5875944 bytes, checksum: 3fff3ad002f700f56906e3e68286b7b9 (MD5) Previous issue date: 2018 | en |
dc.description.tableofcontents | 目錄
致謝 I 中文摘要 III Abstract IV 圖目錄 IX 表目錄 XI 附錄目錄 XIII 第一章 研究背景和動機 1 第一節 精神疾患者之情緒及睡眠問題 1 第二節 個案情緒及睡眠問題相關之自陳式評估工具 3 第一項 憂鬱相關自陳式評估工具 4 第二項 焦慮相關自陳式評估工具 6 第三項 生氣相關自陳式評估工具 9 第四項 睡眠問題相關自陳式評估工具 11 第三節 個案自陳成效評量系統(Patient Reported Outcome Measure Information System, PROMIS) 15 第四節 應用現代項目反應理論於工具發展 17 第二章 研究目的 21 第三章 研究假設 22 第四章 研究方法 23 第一節 研究對象 23 第二節 研究程序 23 第三節 評估工具 24 第一項 個案自陳成效資訊系統(Patient-Reported Outcomes Measurement Information System) 24 第二項 簡式智能量表(Mini-Mental State Examination, MMSE) 25 第三項 台大症狀量表(Taita symptom checklist, TSCL) 26 第五章 資料分析 27 第一節 敘述性統計分析 27 第二節 PROMIS五量表之建構效度 27 第三節 收斂效度 30 第四節 區辨效度(known group validity) 31 第五節 人口學特質、疾病狀態與心理生活品質之關係 32 第六章 結果 33 第一節 人口學變項統計 33 第一項 精神疾患者 33 第二項 健康者 34 第二節 PROMIS五量表之建構效度 34 第一項 PROMIS情緒困擾-憂鬱量表 34 第二項 PROMIS 情緒困擾-焦慮量表 37 第三項 PROMIS情緒困擾-生氣量表 40 第四項 PROMIS 睡眠困擾量表 42 第五項 PROMIS 睡眠相關障礙量表 44 第三節 收斂效度 48 第四節 區辨效度(known group validity) 49 第一項 精神疾患者與健康者於PROMIS五量表之差異 49 第二項 接受不同醫療狀況之病患於PROMIS五量表之差異 49 第三項 不同症狀嚴重度的精神疾患者於PROMIS五量表之差異 49 第五節 人口學資料與PROMIS五量表相關性 51 第一項 精神疾患者人口變項與情緒、睡眠問題及生活品質之關係 51 第二項 健康者人口變項與情緒、睡眠問題及生活品質之關係 52 第七章 討論 53 第八章 結論 62 參考文獻 63 附錄 120 | |
dc.language.iso | zh-TW | |
dc.title | 應用個案自陳資訊系統(PROMIS)的憂鬱,焦慮,生氣,睡眠困擾,以及睡眠相關障礙量表於台灣精神疾病患者之效度研究 | zh_TW |
dc.title | Validity Study of The depression, anxiety, anger, sleep disturbance, and sleep related impairment scales of the PROMIS for Persons with Mental Illness in Taiwan | en |
dc.type | Thesis | |
dc.date.schoolyear | 106-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 賴金雪(Jin-Shei Lai),李正達(Cheng-Ta Li) | |
dc.subject.keyword | 個案自陳成效資訊系統,憂鬱,焦慮,生氣,睡眠困擾,睡眠相關障礙,羅序分析,心理計量,精神疾患, | zh_TW |
dc.subject.keyword | Patient-reported outcome measurement information system (PROMIS),depression,anxiety,anger,sleep disturbance,sleep related impairment,Rasch Analysis,Psychometrics,Mental Disorders, | en |
dc.relation.page | 131 | |
dc.identifier.doi | 10.6342/NTU201803307 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2018-08-15 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 職能治療研究所 | zh_TW |
顯示於系所單位: | 職能治療學系 |
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