Options
中國文化下神經衰弱量表的編制
Author(s)
Date Issued
2025
Publisher
Sciscan Publishing Limited
Journal
ISSN
2664-1798
2664-1801
Citation
中國心理學前沿 , 2025年, 第7輯, 第7期, 第953-959頁.
Description
Open access
Type
Peer Reviewed Journal Article
Abstract
在抑鬱大流行的中國社會,神經衰弱作為一種具有文化特異性的精神障礙常常被忽視,而專門測量工具的缺失也制約了對其開展評估與乾預效果檢驗.本研究基於中國精神障礙分類與診斷標準(CCMD-,透過系統性的文獻分析以及專家評議,以大學生群體為研究對象,編制了適用於中國文化背景的神經衰弱量表,透過探索性與驗證性因素分析確立四因子結構.量表包含23個項目,涵蓋不適感(身體疲勞與生理不適)精神興奮(思考過度活躍)睡眠困難(睡眠品質問題)及負性情緒(焦慮易激惹等負性情緒)四個因子.信度檢定顯示,總量表內部一致性信度分半信度及重測信度均達心理測量標準.效標效度分析表明,量表總分及各維度與憂鬱焦慮及神經質呈顯著正相關.未來研究需在臨床樣本中進一步驗證,並探討神經衰弱症狀因子間的心理病理網路.
Amid the rising prevalence of depression in Chinese society, neurasthenia—a culturally specific mental disorder—often remains underrecognized, while the lack of specialized measurement tools has hindered its assessment and intervention evaluation. Based on the Chinese Classification of Mental Disorders (CCMD-3), this study developed a culturally adapted neurasthenia scale through systematic literature review, expert consultation, and empirical validation among college students. Exploratory and confirmatory factor analyses identified a four-factor structure, comprising 23 items that assess: (1) Physical discomfort (somatic fatigue and physiological symptoms), (2) Mental excitation (hyperactive thinking), (3) Sleep disturbances (poor sleep quality), (4) Negative affectivity (anxiety, irritability). Reliability tests confirmed satisfactory internal consistency, split-half reliability, and test-retest reliability. Criterion validity analyses demonstrated significant positive correlations between total/domain scores and measures of depression, anxiety, and neuroticism. Future research should validate the scale in clinical populations and investigate network interactions among symptom factors.
Amid the rising prevalence of depression in Chinese society, neurasthenia—a culturally specific mental disorder—often remains underrecognized, while the lack of specialized measurement tools has hindered its assessment and intervention evaluation. Based on the Chinese Classification of Mental Disorders (CCMD-3), this study developed a culturally adapted neurasthenia scale through systematic literature review, expert consultation, and empirical validation among college students. Exploratory and confirmatory factor analyses identified a four-factor structure, comprising 23 items that assess: (1) Physical discomfort (somatic fatigue and physiological symptoms), (2) Mental excitation (hyperactive thinking), (3) Sleep disturbances (poor sleep quality), (4) Negative affectivity (anxiety, irritability). Reliability tests confirmed satisfactory internal consistency, split-half reliability, and test-retest reliability. Criterion validity analyses demonstrated significant positive correlations between total/domain scores and measures of depression, anxiety, and neuroticism. Future research should validate the scale in clinical populations and investigate network interactions among symptom factors.
Loading...
Availability at HKSYU Library
