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目的:评价抑郁症行为激活量表中文版(the Chinese version of behavioral activation for depression scale,C-BADS)应用于美沙酮维持治疗(methadone maintenance treatment,MMT)患者的信度和效度。方法:在武汉市MMT门诊随机招募162例阿片类物质成瘾患者接受C-BADS量表调查,采用SPSS 21.0软件进行项目分析和探索性因子分析( exploratory factors analysis,EFA),AMOS 24.0软件进行验证性因子分析(confirmatory factor analysis,CFA)。结果:各维度与总分之间的相关系数为0.228~0.813(均n P<0.01),除激活维度外,其余各维度间的相关系数均低于各维度与总分之间的相关系数。各条目与总分之间的相关系数为0.060~0.716。探索性因子分析提取了4个公因子,分别命名为回避/沉思(avoidance/rumination,AR)、激活(activation,AC)、社会功能减退(social impairment,SI)和工作/学习功能减退(work/school impairment,WS),对总方差的累积贡献率为51.153%,各条目在所属因子上的因子负荷为0.328~0.797。验证性因子分析模型的整体拟合度指标为:χn 2/n df=1.594,CFI=0.839,TLI=0.820,IFI=0.844,RMSEA=0.069,SRMR=0.089。量表内部一致性信度Cronbach's α系数为0.790,分半信度为0.827。n 结论:C-BADS用于测量MMT患者行为激活状况具有较好的内部一致性信度和结构效度,但仍需要进一步修改。“,”Objective:To evaluate the reliability and validity of the Chinese version of behavioral activation for depression scale (C-BADS) in patients in methadone maintenance treatment (MMT).Methods:A total of 162 opioid addicts were recruited from the MMT programs in Wuhan city for the C-BADS investigation.Items analysis and exploratory factors analysis (EFA) were conducted with SPSS 21.0 and confirmatory factors analysis (CFA) was conducted with AMOS 24.0.Results:The correlation coefficients between subscales and total score were 0.228-0.813 (all n P<0.01). Except for activation subscale, the correlation coefficients among subscales were lower than those between subscale dimensions and total score.The item-total score correlations coefficient were 0.060-0.716.Four factors were extracted by EFA, named avoidance/rumination(AR), activation(AC), social impairment(SI) and work/school impairment(WS) respectively, which the cumulative variance was 51.153%, and the factor loading of each item ranged from 0.328 to 0.797.The fitting indexes of CFA model were as following: χn 2/n df=1.594, CFI=0.839, TLI=0.820, IFI=0.844, RMSEA=0.069, SRMR=0.089.The Cronbach's α of the scale was 0.790, and the split-half reliability coefficient was 0.827.n Conclusion:C-BADS has good internal consistency reliability and construct validity, but it still needs to be modified for the measurement of behavior activation of patients in MMT.