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反思功能问卷-8 中文版的修订及信效度研究
徐莉丝 刘果 夏静 鞠晓莹 王旭梅
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摘要:
目的 将反思功能问卷(Reflective Functioning Questionary-8,RFQ-8) 引入中国,检验其在中国人群样本中的信效度。方法 选取沈阳在校大学生635 名作为学校组,填写RFQ-8、米氏边缘性人格障碍检测表(MIS-BPD)、多伦多述情障碍量表(TAS-20)、五因素正念度量表(FFMQ)。选取同期在中国医科大学附属盛京医院心理门诊就诊,用MIS-BPD 筛查所得的具有边缘型人格特质的患者75 例作为临床组,填写RFQ-8 。间隔3 周后,随机抽取47 名大学生完成重测。结果 过度心智化(RFQ-C)、心智化缺陷(RFQ-U) 分量表的一致性信度分别为0.673,0.514,重测信度分别为0.686,0.538。与TAS、FFMQ、MIS-BPD 的关联效度检验表明RFQ-8 的信效度良好。临床组RFQ-U 得分高于学校组,RFQ-C 得分低于学校组,差异均有统计学意义(P<0.01)。RFQ-U与父母教育程度呈负相关,RFQ-C与其正相关(P<0.01)。结论 修订的RFQ-8 具有良好的信度和效度,适用于中国成人反思功能的测量。研究初步显示RFQ-8 具有一定的筛查价值,需进一步在临床样本中试用。
关键词:  问卷  心智化  反思功能  信度  效度
DOI:10.3969/j.issn.1009-6574.2017.01.004
基金项目:辽宁省自然科学基金(2015020485)
Reliability and validity of Chinese Version of Reflective Functioning Questionary-8
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Abstract:
Objective  To revise the Reflective Functioning Questionary-8 (RFQ-8) and assess its reliability and validity in China. Methods  Totals of 635 students who filled the RFQ-8,McLean Screening Instrument for Borderline Personality Disorder (MIS-BPD),Toronto Alexithymia Scale (TAS-20) and FiveFacet Mindfulness Questionnaire (FFMQ) were selected as school group. 75 patients who visited Department of Psychiatry in Shengjing Hospital of China Medical University with borderline personality trait according to MIS-BPD were selected as clinical group and completed the RFQ-8. 47 students accepted the retest after three weeks randomly. Results  The internal consistency for RFQ-C and RFQ-U were 0.673 and 0.514,while the test-retest reliability were 0.686 and 0.538,respectively. The correlations with TAS,FFMQ,MIS-BPD supported its validity. The score of RFQ-U was higher in clinical group,while the score of RFQ-C was higher in school group (P <0.01). The scores of RFQ-U and DFQ-C was negatively and positively correlated with education levels of parents respectively (P <0.01). Conclusions  The revised RFQ-8 is applicable to assess the reflective function of adults in China with good reliability and validity. Future research should be done in Chinese clinical samples.
Key words:  Questionnaire  Mentalization  Reflective function  Reliability  Validity

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