A Chinese Version of the Milwaukee Inventory for the Dimensions of Adult Skin Picking for Adults in Taiwan

適用於台灣成年人的中文版密爾瓦基摳皮症量表

10.6550/ACP.202112_15(1_2).0002

陳盈純(Ying-Chun Chen)；蔣世光(Shih-Kuang Chiang)；胡宗明(Tsung-Ming Hu)

anxiety ； empathy ； MIDAS ； psychometric properties ； skin picking ； 焦慮 ； 同理心 ； MIDAS量表 ； 心理計量 ； 摳皮

臨床心理學刊

15卷1/2期（2021 / 12 / 01）

18 - 31

英文

Objectives: To develop a Chinese version of the Milwaukee Inventory for the Dimensions of Adult Skin Picking (C-MIDAS) and verify its psychometric properties in a Taiwanese community sample. Methods: We translated the original MIDAS into the C-MIDAS by two-way translation. Then, we included 255 adult community individuals on Facebook or public areas by purposive sampling and 16 patients with skin picking disorder (SPD) in the current study. They all completed an informed consent procedure. The primary sample (N = 255) received C-MIDAS. The subsample (n = 67) of adult community individuals received the Chinese version of the Zung Self-Rating Anxiety Scale (SAS), the Chinese version of the Interpersonal Reactivity Index (IRI), and the second time C-MIDAS two weeks later. Results: We found that a two-factor solution explained 67.55% of the variance of C-MIDAS. The C-MIDAS and its factors showed ＂good＂ to ＂excellent＂ internal constancy, test-retest reliability. The C-MIDAS showed good criterion-related validity, convergent and discriminant validities. The C-MIDAS could differentiate participants who with from without SPD showed good construct validity. The cut-off score of C-MIDAS had good sensitivity, specificity, and classification accuracy. Conclusions: We developed the first C-MIDAS with good psychometric properties. However, there were some limitations, which are discussed in the current study.

目的：本研究欲發展適用於台灣成年人的中文版密爾瓦基摳皮症量表（Chinese version of Milwaukee Inventory for the Dimensions of Adult Skin Picking, C-MIDAS），並以社區成年人樣本來驗證它的心理計量特性。方法：我們遵循雙向翻譯原則先將原英文量表翻譯為中文，並由透過臉書或現場招募的受試者中納入255位社區成年人和16位符合摳皮症診斷的病人參與研究，所有受試者皆知情同意，共有271位受試者的C-MIDAS結果被分析，其中隨機挑選的67位社區成年人受試者又接受了中文版焦慮自評量表（Zung Self-Rating Anxiety Scale, SAS）和中文版人際反應指標（Interpersonal Reactivity Index, IRI）以及C-MIDAS的兩週後第二次施測。結果：C-MIDAS呈現出兩個因素結構，這兩個因素共可解釋67.55%的變異量；C-MIDAS和它的因素，呈現出「好」到「極佳」的內部一致性、再測信度、好的聚斂、區辨效度；它能區分摳皮症病患和正常成年人也顯示其具有建構效度；C-MIDAS的切截分數具有「好」的敏感度、特異度以及分類正確性。結論：我們發展了具有良好心理計量特性的C-MIDAS，此外，我們也討論了本研究的限制。

1. American Psychiatric Association(2013).Diagnostic and statistical manual of mental disorders.
2. Arnold, L. M.,Auchenbach, M. B.,McElroy, S. L.(2001).Psychogenic excoriation: Clinical features, proposed diagnostic criteria, epidemiology and approaches to treatment.CNS Drugs,15(5),351-359.
3. Beaton, D. E.,Bombardier, C.,Guillemin, F.,Ferraz, M. B.(2000).Guidelines for the process of cross-cultural adaptation of self-report measures.Spine,25(24),3186-3191.
4. Bohne, A.,Wilhelm, S.,Keuthen, N. J.,Baer, L.,Jenike, M. A.(2002).Skin picking in German students: Prevalence, phenomenology, and associated characteristics.Behavior Modification,26(3),320-339.
5. Calikusu, C.,Kucukgoncu, S.,Tecer, Ö.,Bestepe, E.(2012).Skin picking in Turkish students: Prevalence, characteristics, and gender differences.Behavior Modification,36(1),49-66.
6. Chang, C. H.,Chen, S. Y.,Tsai, S. T.,Tsai, H. C.(2017).Compulsive skin-picking behavior after deep brain stimulation in a patient with refractory obsessive-compulsive disorder: A case report.Medicine,96(36),e8012.
7. Chiang, S.-K.,Hua, M.-S.,Tam, W.-C.,Chao, J.-K.,Shiah, Y.-J.(2014).Developing an alternative Chinese version of the Interpersonal Reactivity Index for normal population and patients with schizophrenia in Taiwan.Brain Impairment,15(2),120-131.
8. Cohen, J.(1988).Statistical power analysis for the behavioral sciences.Lawrence Earlbaum Associates.
9. D’Orazio, D. M.(2004).The journal’s publication of research the incorrectly employs Davis’ Interpersonal Reactivity Index.Sexual Abuse,16(2),173-174.
10. Davis, M. H.(1983).Measuring individual differences in empathy: Evidence for a multidimensional approach.Journal of Personality and Social Psychology,44(1),113-126.
11. Davis, M. H.(1980).A multidimensional approach to individual differences in empathy.JSAS Catalog of Selected Documents in Psychology,10,85.
12. Fontenelle, L. F.,Soares, I. D.,Miele, F.,Borges, M. C.,Prazeres, A. M.,Rangé, B. P.,Moll, J.(2009).Empathy and symptoms dimensions of patients with obsessive-compulsive disorder.Journal of Psychiatric Research,43(4),455-463.
13. Gallinat, C.,Moessner, M.,Haenssle, H. A.,Winkler, J. K.,Backenstrass, M.,Bauer, S.(2019).An internet-based self-help intervention for skin picking (SaveMySkin): Pilot randomized controlled trial.Journal of Medical Internet Research,21(9),e15011.
14. Grant, J. E.,Odlaug, B. L.,Chamberlain, S. R.,Keuthen, N. J.,Lochner, C.,Stein, D. J.(2012).Skin picking disorder.American Journal of Psychiatry,169(11),1143-1149.
15. Grant, J. E.,Odlaug, B. L.,Kim, S. W.(2007).Lamotrigine treatment of pathologic skin picking: An open-label study.The Journal of Clinical Psychiatry,68(9),1384-1391.
16. Grant, J. E.,Stein, D. J.,Woods, D. W.,Keuthen, N. J.(2012).Trichotillomania, skin picking, and other body-focused repetitive behaviors.American Psychiatric Publishing.
17. Hair, J. F., Jr.,Anderson, R. E.,Tatham, R. L.,Black, W. C.(1998).Multivariate data analysis.Prentice-Hall.
18. Hayes, S. L.,Storch, E. A.,Berlanga, L.(2009).Skin picking behaviors: An examination of the prevalence and severity in a community sample.Journal of Anxiety Disorders,23(3),314-319.
19. Keuthen, N. J.,Deckersbach, T.,Wilhelm, S.,Engelhard, I.,Forker, A.,O’Sullivan, R. L.,Jenike, M. A.,Baer, L.(2001).The Skin Picking Impact Scale (SPIS): Scale development and psychometric analyses.Psychosomatics,42(5),397-403.
20. Keuthen, N. J.,Deckersbach, T.,Wilhelm, S.,Hale, E.,Fraim, C.,Baer, L.,O’Sullivan, R. L.,Jenike, M. A.(2000).Repetitive skin-picking in a student population and comparison with a sample of self-injurious skin-pickers.Psychosomatics,41(3),210-215.
21. Keuthen, N. J.,Jameson, M.,Loh, R.,Deckersbach, T.,Wilhelm, S.,Dougherty, D. D.(2007).Open-label escitalopram treatment for pathological skin picking.International Clinical Psychopharmacology,22(5),268-274.
22. Keuthen, N. J.,Wilhelm, S.,Deckersbach, T.,Engelhard, I. M.,Forker, A.,Baer, L.,Jenike, M. A.(2001).The Skin Picking Scale: Scale construction and psychometric analyses.Journal of Psychosomatic Research,50(6),337-341.
23. LeBeau, R. T.,Mischel, E. R.,Simpson, H. B.,Mataix-Cols, D.,Phillips, K. A.,Stein, D. J.,Craske, M. G.(2013).Preliminary assessment of obsessive-compulsive spectrum disorder scales for DSM-5.Journal of Obsessive-Compulsive and Related Disorders,2(2),114-118.
24. Loretz, L.(2005).Primary care tools for clinicians: A compendium of forms, questionnaires, and rating scales for everyday practice.Mosby.
25. Martinson, A. A.,Nangle, D. W.,Boulard, N.,Sigmon, S. T.(2011).Old habits die hard: Treating a woman with a 20-year severe case of skin picking disorder.Clinical Case Studies,10(6),411-426.
26. Núñez, D.,Arias, V. B.,Campos, S.(2016).The reliability and validity of Liu’s self-report questionnaire for screening putative pre-psychotic states (BQSPS) in adolescents.PLoS One,11(12),e0167982.
27. Pozza, A.,Albert, U.,Dèttore, D.(2020).Early maladaptive schemas as common and specific predictors of skin picking subtypes.BMC Psychology,8(1),27.
28. Pozza, A.,Giaquinta, N.,Dèttore, D.(2016).Borderline, avoidant, sadistic personality traits and emotion dysregulation predict different pathological skin picking subtypes in a community sample.Neuropsychiatric Disease and Treatment,12,1861-1867.
29. Pozza, A.,Mazzoni, G. P.,Patassini, I.,Berardi, D.,Molinaro, F.,Parenti, G.,Dèttore, D.(2016).Psychometric properties of the Italian version of the Milwaukee Inventory for the Dimensions of Adult Skin Picking (MIDAS) in clinical and non-clinical samples.Psicoterapia Cognitiva e Comportamentale,22(1),35-63.
30. Russell, A.,Bolger, A.,Moses, K.,Luo, A.,Wootton, B. M.(2019).Psychometric properties of the Excoriation (skin-picking disorder) Dimensional Scale.Clinical Psychologist,24(3),246-253.
31. Schienle, A.,Übel, S.,Wabnegger, A.(2018).Neuronal responses to the scratching and caressing of one’s own skin in patients with skin-picking disorder.Human Brain Mapping,39(3),1263-1269.
32. Schienle, A.,Wabnegger, A.(2020).Two subtypes of pathological skin-picking: Evidence from a voxel-based morphometry study.Journal of Obsessive-Compulsive and Related Disorders,25,100534.
33. Walther, M. R.,Flessner, C. A.,Conelea, C. A.,Woods, D. W.(2009).The Milwaukee Inventory for the Dimensions of Adult Skin Picking (MIDAS): Initial development and psychometric properties.Journal of Behavior Therapy and Experimental Psychiatry,40(1),127-135.
34. Zung, W. W.(1971).A rating instrument for anxiety disorders.Psychosomatics,12(6),371-379.