Psychometric properties of the difficulties in emotion regulation Scale in a perinatal sample.

IF 2.1 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Journal of Reproductive and Infant Psychology Pub Date : 2025-01-01 Epub Date: 2023-06-21 DOI:10.1080/02646838.2023.2227648
Emily N Barrett, Benicio N Frey, David L Streiner, Arela Agako, Briar E Inness, Melissa Furtado, Luisa Caropreso, Sheryl M Green
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Abstract

Background: One in five pregnant and postpartum individuals experience an anxiety, depressive, and/or trauma-related disorder. Emotion dysregulation (ED) underlies the development and maintenance of various mental health disorders. The Difficulties in Emotion Regulation Scale (DERS) is the most comprehensive and commonly used measure of emotion dysregulation, yet limited evidence supports its use in the perinatal population. The present study aims to evaluate the validity of the DERS and its six subscales in a perinatal sample and to assess its predictive utility in identifying perinatal individuals with a disorder characterised by emotion dysregulation.

Methods: Pregnant and postpartum individuals (N = 237) completed a diagnostic clinical interview and self-report measures of anxiety, depression, and perceived social support.

Results: The DERS subscales demonstrated good internal consistency and construct validity, as it strongly correlated with measures of anxiety and depression and failed to correlate with a measure of perceived social support. Results from an exploratory factor analysis supported a 6-factor solution, suggesting structural validity. An ROC analysis revealed good to excellent discriminative ability for the DERS full scale and four of the subscales. Finally, an optimal clinical cut-off score of 87 or greater was established with a sensitivity of 81% for detecting a current anxiety, depressive, and/or trauma-related disorder.

Conclusions: This study provides evidence for the validity and clinical utility of the DERS in a treatment-seeking and community sample of pregnant and postpartum individuals.

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围生儿情绪调节困难量表的心理测量特征。
背景:五分之一的孕妇和产后个体经历焦虑、抑郁和/或创伤相关障碍。情绪失调(ED)是各种心理健康障碍发展和维持的基础。情绪调节困难量表(DERS)是最全面和最常用的情绪失调测量方法,但有限的证据支持其在围产期人群中的应用。本研究旨在评估DERS及其六个子量表在围产期样本中的有效性,并评估其在识别以情绪失调为特征的围产期个体中的预测效用。方法:孕妇和产后个体(N = 237)完成了诊断性临床访谈和焦虑、抑郁和感知社会支持的自我报告测量。结果:DERS子量表表现出良好的内部一致性和结构效度,因为它与焦虑和抑郁的测量有很强的相关性,而与感知社会支持的测量没有相关性。探索性因子分析结果支持6因子解决方案,表明结构效度。ROC分析显示,DERS全量表和四个分量表的判别能力为良好至优异。最后,建立了最佳临床分值为87分或更高,检测当前焦虑、抑郁和/或创伤相关障碍的灵敏度为81%。结论:本研究为DERS在寻求治疗和社区孕妇和产后个体样本中的有效性和临床应用提供了证据。
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来源期刊
Journal of Reproductive and Infant Psychology
Journal of Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
6.80
自引率
8.00%
发文量
55
期刊介绍: The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.
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