认知性访谈在精神分裂症患者求助动机量表编制中的应用
Application of cognitive interviewing in the development of a help-seeking motivation scale for patients with schizophrenia
目的 应用认知性访谈对精神分裂症患者求助动机量表条目进行调整。方法 2021年12月—2022年1月，通过目的抽样选取就诊于大庆市精神专科医院的30例患者进行3轮认知性访谈。结合问题评估系统（QAS-99)编码结果及经专家小组意见对量表条目进行修改。结果 第1轮访谈，受访者认为11个条目存在句意模糊、表达不清，经讨论后部分条目进行了修改；第2轮访谈受访者认为1个条目假设不恰当，经讨论后进行修改；第3轮访谈受访者认为无条目需要修改，访谈停止。结论 认知性访谈能够有效解决精神分裂症求助动机量表编制过程中的编制者与患者之间的理解差异问题，从而提高了量表的准确性与适用性。
神经病学、精神病学医学研究方法
认知性访谈精神分裂症求助动机量表编制
马锐, 王宇, 李玉鑫, 王正君, 周郁秋.认知性访谈在精神分裂症患者求助动机量表编制中的应用[EB/OL].(2022-10-28)[2025-09-22].https://chinaxiv.org/abs/202211.00040.点此复制
Objective Cognitive interview was used to adjust the items of the help seeking Motivation Scale for schizophrenic patients. Methods A purposive sampling method was used to select 30 patients who attended a tertiary care psychiatric hospital in Daqing City from December 2021 to January 2022 as interviewees, and three rounds of cognitive interviews were conducted. Two researchers independently coded the interview data using the QAS-99 Question Assessment System, and after the coding results were collated, the scale entries were adjusted by integrating respondent feedback and expert panel comments. Results The results of the 1st round of interviews showed that 10 entries had vague and unclear sentences, which were revised after discussion. The results of the 2nd round of interviews showed that 1 entry was assumed to be inappropriate and was revised after discussion. The results of the 3rd round of interviews showed that the respondents were able to understand the entries correctly. Conclusion The cognitive interview effectively solved the problem of understanding differences and measurement errors in the development of the Schizophrenia Help-seeking Motivation Scale, thus improving the accuracy and applicability of the scale.
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