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題名：無助指標的信效度檢定--以全身性紅斑狼瘡患者為例
書刊名：護理研究
作者：林文香／夏萍絗／楊文山
作者(外文)：Lin, Wan-shiang／Hsia, Ping-hui／Yang, Wen-shan
出版日期：1997
卷期：5:5
頁次：頁452-462
主題關鍵詞：全身性紅斑狼瘡；無助；精神症狀；無助指標；Systemic lupus erythematosus；Learned helplessness；Psychiatric symptoms；Rheumatology attitudes index
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:1
  • 點閱點閱:11
　　　　　本研究以某醫學中心98位全身性紅斑狼瘡門診病患為樣本，檢定無助指標測量全身性紅斑狼瘡患者經驗無助的信效度。研究工具有無助指標、精神症狀量表、狼瘡活動性量表及日常生活限制表。14題的無助指標內在一致性Cronbach's α=0.73，建構效度由驗證型因素分析顯示無助指標含內控因素與無助因素。外在效標效度顯示內控因素與憂鬱(r=0.26,p<0.01)相關;無助因素與焦慮(r=0.46,p<0.001)、憂鬱(r=0.56,p<0.001)、一般精神症狀(r=0.54,p<0.001)、疼痛(r=0.27,p<0.01)及社交活動受限(r=0.29,p<0.01)相關。研究結果顯示無助指標的信度及效度可做為測量全身性紅斑狼瘡患者的無助經驗。
　　　　　The Rheumatology Attitudes Index (RAI) was administered to 98 outpatients with systemic lupus erythematosus (SLE) to determine its reliability and touexamine the construct of learned helplessness in patients with this disease. The RAI, Symptom Checklist-90-Revised (SCL -90-R), SLE Activity Measure (SLAM) and Daily Activity Limitation were tools used in the study. The internal consistency of the RAI was indicated by Cronbach's α value (α= 0.73). A total of 14 items' measurement containing of arthritis internality factor and arthritis helplessness factor was confirmed through the confirmatory factor analysis. The external criterion validity of the RAI was established by identification of statistically significant correlations between the RAI score and the SLAM, daily activity limitation, and psychiatric symptom scores. A Significant correlation was observed between the arthritis internality score and depression (r=0.26, p <0.01). Significant correlations were observed between the arthritis helplessness scored and anxiety (r=0.46, p< 0.001), depression (r=0.56, p <0.001), the General Symptom Index (r=0.54, p <0.001), pain (r=0.27, p<0.01), and social activity limitation (r=0.29, p <0.01). These findings support the reliability and validity of the RAI in SLE.
期刊論文
1.林文香、楊文山、夏萍絗、陳展航、林孝義(19951000)。全身性紅斑狼瘡門診病患之精神問題調查。公共衛生，22(3)，177-187。  延伸查詢new window
2.Hay, E. M.(1994)。Psychiatric disorder and cognitive impairment in SLE。Lupus，3，145-148。  new window
3.Abramson, L. Y.、Seligman, M. E. P.、Teasdale, J. D.(1978)。Learned Helplessness in Humans: Critique and Reformulation。Journal of Abnormal Psychology，87(1)，49-74。  new window
4.Callahan, L. F.、Brooks, R. H.、Pincus, T.(1988)。Further analysis of learned helplessness in rheumatoid arthritis using a "Rheumatology attitudes index"。Journal of Rheumatology，15(3)，418-426。  new window
5.吳統雄(1985)。態度與行為研究的信度與效度：理論、應用、反省。民意學術專刊，101，29-53。  延伸查詢new window
6.Hall, R. C.、Stickney, S. K.、Gardner, E. R.(1981)。Psychiatric symptoms in patients with systemic lupus erythematosus。Psychosomatics，22(1)，15-24。  new window
7.Gans, V. H.、Gurland, B. J.、Deming, E.(1972)。The study of the psychiatric symptoms of systemic lupus erythematosus。Psychosomatic Medicine，34(3)，207-220。  new window
8.Engle, E. W.、Callahan, L. F.、Pincus, T.、Hochberg, M. C.(1990)。Learned helplessness in systemic lupus erythematosus: Analysis using the rheumatology attitudes index。Arthritis Rheumatism，33(2)，281-286。  new window
9.Liang, M. H.、Socher, S. A.、Larson, M. G.、Schur, P. H.(1989)。Reliability and validity of six systems for the clinical assessment of disease activity in systemic lupus erythematosus。Arthritis Rheumatism，32(9)，1107-1118。  new window
10.Liang, M. H.、Roger, M.、Larson, M. G.、Eaton, H. M.、Murawski, B. J.、Taylor, J. E.、Swafford, J.、Lartin, M. G.(1984)。The psychosocial impact of systemic lupus erythematosus and rheumatoid arthritis。Arthritis Rheumatism，27(1)，13-19。  new window
11.Kuper, B. C.、Failla, S.(1994)。Shedding new light on lupus。American Journal of Nursing，94(11)，26-32。  new window
12.Kleinman, A. M.(1977)。Depression, somatization and the "new cross-cultural psychiatry"。Social Science & Medicine，11，3-10。  new window
13.Nicassio, L. F.、Wallston, K. A.、Callahan, L. F.、Herbert, M.、Pincus, T.(1985)。The measurement of helplessness in rheumatoid arthritis: The development of the Arthritis Helplessness Index。Journal of Rheumatology，12(3)，462-467。  new window
14.Miller, I. W.、Norman, W. H.(1979)。Learned helplessness in humans: A review and attribution-theory model。Psychological Bulletin，86(1)，93-118。  new window
15.Maier, S.、Seligman, E. P.(1976)。Learned helplessness: Theory and evidence。Journal of Experimental Psychology: General，105(1)，3-46。  new window
16.林文香、楊文山、林孝義(19951000)。Prednisolone Non-Compliance and Its Related Factors in Patients with Systemic Lupus Erythematosus。中華醫學雜誌，56(4)，244-251。  延伸查詢new window
17.Stein, M. J.、Wallston, K. A.、Nicassio, P. M.(1988)。Factor structure of the arthritis helplessness index。The Journal of Rheumatology，15(3)，427-432。  new window
18.Parker, J.、Smarr, K.、Anderson, S.、Hewett, J.、Walker. A. B.、Caldwell, C.(1992)。Relationship of changes in helplessness and depression to disease activity in rheumatoid arthritis。The Journal of Rheumatology，19(12)，1901-1905。  new window
19.Wekking, E. M.(1993)。Psychiatric symptoms in systemic lupus erythematosus: An update。Psychosomatic Medicine，55，219-228。  new window
20.林文香、夏萍絗(19931200)。由無助理論談全身性紅斑狼瘡患者的心理社會功能失調。榮總護理，10(4)，455-460。new window  延伸查詢new window
圖書
1.Derogatis, L. R.(1992)。SCL-90-R: Administration, scoring & procedures manual。Baltimore：Clinical Psychometric Research Inc.。  new window
2.Kim, J.、Mueller, C. W.(1978)。Factor analysis: Statistical methods and practical issues。Sage。  new window
3.Sharma, S.(1996)。Applied Multivariate Techniques。New York, NY：John Wiley & Sons。  new window
4.Nunnally, J. C.、Bernstein, I. H.(1993)。Psychometric theory。New York：McGraw-Hill。  new window
5.Stevens, J. P.(1992)。Applied multivariate statistics for the social sciences。Lawrence Erlbaum Associates, Inc.。  new window
圖書論文
1.Lin, T. Y.(1982)。Mental disorders and psychiatric in Chinese culture: Characteristic features and major issues。Chinese culture and mental health。Orlando：Academic Press。  new window
 
 
 
 
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