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中国文化下神经衰弱量表的编制

Development of a Neurasthenia Scale in the Chinese Cultural Context

Psychology of China / 2025,7(7): 955-961 / 2025-07-30 90 21

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• Authors: 吕仁慧¹ 谭雅倩²
• Information:

  1．北京科技大学社会学系，中国；
  2．香港树仁大学心理学系，中国香港

• Keywords:
  Neurasthenia; Scale development; Cultural adaptation; Psychometric validation
  神经衰弱; 量表编制; 文化适应性; 信效度检验
• Abstract: 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. 在抑郁大流行的中国社会，神经衰弱作为一种具有文化特异性的精神障碍常常被忽视，而专门测量工具的缺失也制约了对其开展评估与干预效果检验。本研究基于《中国精神障碍分类与诊断标准》（CCMD-3），通过系统的文献分析以及专家评议，以大学生群体为研究对象，编制了适用于中国文化背景的神经衰弱量表，通过探索性与验证性因素分析确立四因子结构。该量表包含23个项目，涵盖不适感（躯体疲劳与生理不适）、精神兴奋（思维过度活跃）、睡眠困难（睡眠质量问题）及负性情绪（焦虑、易激惹等负性情绪）四个因子。信度检验显示，总量表内部一致性信度、分半信度及重测信度均达心理测量学标准。效标效度分析表明，量表总分及各维度与抑郁、焦虑及神经质呈显著正相关。未来研究需在临床样本中进一步验证，并探索神经衰弱症状因子间的心理病理学网络。
• DOI: https://doi.org/10.35534/pc.0707153
• Cite: 吕仁慧, 谭雅倩. (2025). 中国文化下神经衰弱量表的编制. 中国心理学前沿, 7 (7), 955-961.