中文版佛羅里達情緒測驗的效度研究及其在前額葉腦傷患者的表現探討

The Validity of the Florida Affect Battery test and Performance in Patients with Prefrontal Cortex Damage

研究目的：建立佛羅里達情緒測驗中文版本的效度，並應用在臨床實務上。研究方法：進行佛羅里達情緒測驗中文版本與英文版本的相互翻譯後，確認其意義相同，並完成中文聲音的錄製，研究一邀請自願參與研究的63位大學生，以團體方式完成整套測驗的評估，並以心智推理作業為效標檢驗其效標關聯效度，研究二為邀請北部某醫院12位前額葉腦傷患者與12位正常受試者配對，以個別的方式完成整套測驗的評估。研究結果：內容效度方面，本測驗各部分的同意度介於.81～.99的範圍，且五種情緒的同意度均在80%以上，效標關聯效度部分，本測驗與心智推理作業相關達顯著水準，且與國外常模均無顯著差異，此外前額葉腦傷患者的臉部及聲調情緒辨識能力低於對照組，且對於悲傷、害怕的臉部情緒及快樂的聲調情緒辨識能力最差。研究結論：測驗中文化後亦具有良好的效度，並可應用於前額葉腦傷患者的身上，檢驗其情緒辨識的能力。

Purpose: The Florida Affect Battery test (FAB) is an assessment tool for measuring the perception and understanding of nonverbal emotional information. It is a test for identifying emotion in facial and tonetic expressions, and it can be used to assess patients who have neurological or psychiatric disorders. Since there is still no standardized test to assess a patient’s deficits in emotion recognition and identification of tonetic expression in Taiwan, the aim of this study was to examine the validity of the FAB. We tested 12 patients with prefrontal cortex damage for comparison with healthy participations. Methods: We translated this test from English to Chinese, and recorded tonetic sentences in Chinese. In Study 1, we invited 63 college students (mean age = 20) as volunteers and tested them using the FAB and theory of mind tasks. In Study 2, we assessed 12 people (mean age = 31) with prefrontal lobe damage individually with the FAB and compared those results to 12 people (mean age = 31) with normal brain function. Results and conclusions: The results showed that the content validity of the study had the agreement ranged from .81 to .99, and the agreements of the five emotions were above 80%. As for the criterion related validity, the theory of mind task and the FAB were shown to be related. There was no significant difference between the norms of the US. The scores in identifying facial and tonetic emotions in participants with prefrontal lobe damage were lower than those of participants with normal brain function. The scores were particularly low in identifying sadness and fear in facial expressions and happiness in tone.