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A control theoretic approach to evaluate and inform ecological momentary interventions 采用控制理论方法评估和指导生态瞬间干预。
IF 2.4 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-10-22 DOI: 10.1002/mpr.70001
Janik Fechtelpeter, Christian Rauschenberg, Hamidreza Jalalabadi, Benjamin Boecking, Therese van Amelsvoort, Ulrich Reininghaus, Daniel Durstewitz, Georgia Koppe

Objectives

Ecological momentary interventions (EMI) are digital mobile health interventions administered in an individual's daily life to improve mental health by tailoring intervention components to person and context. Experience sampling via ecological momentary assessments (EMA) furthermore provides dynamic contextual information on an individual's mental health state. We propose a personalized data-driven generic framework to select and evaluate EMI based on EMA.

Methods

We analyze EMA/EMI time-series from 10 individuals, published in a previous study. The EMA consist of multivariate psychological Likert scales. The EMI are mental health trainings presented on a smartphone. We model EMA as linear dynamical systems (DS) and EMI as perturbations. Using concepts from network control theory, we propose and evaluate three personalized data-driven intervention delivery strategies. Moreover, we study putative change mechanisms in response to interventions.

Results

We identify promising intervention delivery strategies that outperform empirical strategies in simulation. We pinpoint interventions with a high positive impact on the network, at low energetic costs. Although mechanisms differ between individuals - demanding personalized solutions - the proposed strategies are generic and applicable to various real-world settings.

Conclusions

Combined with knowledge from mental health experts, DS and control algorithms may provide powerful data-driven and personalized intervention delivery and evaluation strategies.

目的:生态瞬间干预(EMI)是在个人日常生活中实施的数字移动健康干预,通过因人而异、因地制宜地调整干预内容来改善心理健康。此外,通过生态瞬间评估(EMA)进行的经验取样可提供有关个人心理健康状况的动态背景信息。我们提出了一个个性化的数据驱动通用框架,用于选择和评估基于 EMA 的 EMI:我们分析了之前研究中公布的 10 个个体的 EMA/EMI 时间序列。EMA 由多元心理李克特量表组成。EMI 是通过智能手机进行的心理健康培训。我们将 EMA 建模为线性动力系统 (DS),将 EMI 建模为扰动。利用网络控制理论的概念,我们提出并评估了三种个性化数据驱动的干预策略。此外,我们还研究了应对干预措施的推定变化机制:结果:我们确定了有前景的干预策略,这些策略在模拟中的表现优于经验策略。我们确定的干预措施对网络有很大的积极影响,但能量成本较低。虽然不同个体的机制各不相同,需要个性化的解决方案,但所提出的策略是通用的,适用于各种现实环境:结合心理健康专家的知识,DS 和控制算法可提供强大的数据驱动和个性化干预实施与评估策略。
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引用次数: 0
Neurocognitive functioning during adolescence: Spanish validation of the Penn Computerized Neurocognitive Battery 青少年时期的神经认知功能:宾大计算机化神经认知测试的西班牙验证。
IF 2.4 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-10-21 DOI: 10.1002/mpr.2035
Xacobe Fernández-García, Félix Inchausti, Alicia Pérez-Albéniz, Javier Ortuño-Sierra, Raquel Falcó, Eduardo Fonseca-Pedrero

Objectives

The Penn Computerized Neurocognitive Battery - Child Version (PennCNB-cv) is presented as a brief tool that allows comprehensive and automated assessment of 5 factors (via 14 performance tasks): Executive Control, Episodic Memory, Complex Cognition, Social Cognition, and Sensorimotor Speed. The literature links (dys)functions in these areas with psycho(patho)logical constructs, but evidence is scarce among Spanish-speaking youth. Therefore, this study aims to validate the PennCNB-cv in a community sample of Spanish adolescents.

Methods

After a process of (back)translation and adaptation by bilingual researchers, the PennCNB-cv was administered in 34 schools. The sample included 1506 students, ages 14–19, 44.28% were male. Preliminary treatment of the data included descriptive and correlational statistics. To provide evidence of structural validity, exploratory and confirmatory factor analyses were performed.

Results

Results from the exploratory and confirmatory factor analysis showed a four-factor model (Complex Cognition, Executive Control, Episodic Memory, and Social Cognition) as the most appropriate. These findings provide compelling evidence in favor of the a priori theory that underpinned the development of the CNB.

Conclusions

The study of the psychometric properties showed that the Spanish version of the PennCNB-cv, seems to be an adequate tool for assessing neurocognitive functioning during adolescence.

目的:宾大计算机化神经认知测验--儿童版(PennCNB-cv)是一种简便的工具,可对 5 个因素(通过 14 项表现任务)进行全面、自动的评估:执行控制、外显记忆、复杂认知、社会认知和感觉运动速度。有文献将这些领域的功能(障碍)与心理(病理)逻辑结构联系起来,但在讲西班牙语的青少年中却鲜有证据。因此,本研究旨在在西班牙青少年社区样本中验证 PennCNB-cv:方法:经过双语研究人员的(回译)和改编,宾夕法尼亚州 CNB-cv 在 34 所学校进行了施测。样本包括 1506 名 14-19 岁的学生,其中 44.28% 为男性。数据的初步处理包括描述性和相关性统计。为了证明结构的有效性,进行了探索性和确认性因素分析:探索性和确认性因素分析的结果表明,四因素模型(复杂认知、执行控制、外显记忆和社会认知)是最合适的。这些结果提供了令人信服的证据,证明了 CNB 开发所依据的先验理论:对心理测量特性的研究表明,西班牙文版的宾夕法尼亚州神经认知功能测验(PennCNB-cv)似乎是评估青春期神经认知功能的适当工具。
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引用次数: 0
The Holland Sleep Disorders Questionnaire: Factorial structure and measurement invariance in a psychiatric sample relative to the general population 荷兰睡眠障碍问卷:精神病学样本与普通人群的因子结构和测量不变性。
IF 2.4 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-10-03 DOI: 10.1002/mpr.70004
Teus Mijnster, Klaas J. Wardenaar, Gretha J. Boersma, Maaike M. van Veen, Daniëlle Cath, Gerard A. Kerkhof, Marike Lancel

Objectives

Although common, sleep disorders often remain undiagnosed in psychiatric patients. A screening instrument, like the Holland Sleep Disorders Questionnaire (HSDQ) could improve this. Previous work indicated a 6-factor structure for the HSDQ, but this hasn't been investigated in psychiatric patients.

Methods

HSDQ data was collected in a psychiatric-outpatient sample (n = 1082) and general-population sample (n = 2089). Internal reliability of the HSDQ was investigated and Confirmatory Factor Analyses (CFA) were used to compare 1-, 6-, and second-order 6-factor models in both samples. Next, multigroup-CFA was used to investigate measurement invariance.

Results

Except for one subscale, internal reliability was acceptable in both samples. The 6-factor structure model fitted best in both samples and investigation of measurement invariance showed evidence for equality of the overall factor structure (configural invariance). Addition of equality constraints on factor loadings (metric invariance) and item thresholds (scalar invariance) showed good fit for all fit statistics, except for one. Exploratory analyses identified three items for metric and three different items for scalar invariance explaining this non-invariance.

Conclusion

The HSDQ has a 6-factor structure in psychiatric patients, which is comparable to the general population. However, due to the observed non-invariance, users should be cautious with comparing HSDQ scores between psychiatric and general populations.

目的:睡眠障碍虽然常见,但精神病患者往往得不到诊断。荷兰睡眠障碍问卷(HSDQ)等筛查工具可以改善这一状况。方法:从精神病门诊病人样本(1082 人)和普通人群样本(2089 人)中收集了 HSDQ 数据。对 HSDQ 的内部可靠性进行了调查,并使用确认性因子分析(CFA)对两个样本中的 1 阶、6 阶和二阶 6 阶因子模型进行了比较。接下来,我们使用多组-CFA来研究测量的不一致性:结果:除一个子量表外,两个样本的内部信度均可接受。6 因子结构模型在两个样本中的拟合度最高,测量不变性调查显示了总体因子结构相等的证据(构型不变性)。在因子载荷(度量不变性)和项目阈值(标度不变性)上添加相等限制,除一项外,所有拟合统计量都显示出良好的拟合效果。探索性分析发现,有三个项目的度量不变量和三个不同项目的标度不变量可以解释这种不变量:结论:精神病患者的 HSDQ 具有 6 个因子结构,与普通人群的结构相似。然而,由于观察到的非方差性,用户在比较精神病患者和普通人群的 HSDQ 分数时应谨慎。
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引用次数: 0
Design of a multicenter randomized controlled trial of a post-discharge suicide prevention intervention for high-risk psychiatric inpatients: The Veterans Coordinated Community Care Study 针对高风险精神病住院患者的出院后自杀预防干预多中心随机对照试验的设计:退伍军人社区协调护理研究》。
IF 2.4 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-10-01 DOI: 10.1002/mpr.70003
Lauren M. Weinstock, Todd M. Bishop, Mark S. Bauer, Jeffrey Benware, Robert M. Bossarte, John Bradley, Steven K. Dobscha, Jessica Gibbs, Sarah M. Gildea, Hannah Graves, Gretchen Haas, Samuel House, Chris J. Kennedy, Sara J. Landes, Howard Liu, Alex Luedtke, Brian P. Marx, Aletha Miller, Matthew K. Nock, Richard R. Owen, Wilfred R. Pigeon, Nancy A. Sampson, Alejandro Santiago-Colon, Geetha Shivakumar, Snezana Urosevic, Ronald C. Kessler

Background

The period after psychiatric hospital discharge is one of elevated risk for suicide-related behaviors (SRBs). Post-discharge clinical outreach, although potentially effective in preventing SRBs, would be more cost-effective if targeted at high-risk patients. To this end, a machine learning model was developed to predict post-discharge suicides among Veterans Health Administration (VHA) psychiatric inpatients and target a high-risk preventive intervention.

Methods

The Veterans Coordinated Community Care (3C) Study is a multicenter randomized controlled trial using this model to identify high-risk VHA psychiatric inpatients (n = 850) randomized with equal allocation to either the Coping Long Term with Active Suicide Program (CLASP) post-discharge clinical outreach intervention or treatment-as-usual (TAU). The primary outcome is SRBs over a 6-month follow-up. We will estimate average treatment effects adjusted for loss to follow-up and investigate the possibility of heterogeneity of treatment effects.

Results

Recruitment is underway and will end September 2024. Six-month follow-up will end and analysis will begin in Summer 2025.

Conclusion

Results will provide information about the effectiveness of CLASP versus TAU in reducing post-discharge SRBs and provide guidance to VHA clinicians and policymakers about the implications of targeted use of CLASP among high-risk psychiatric inpatients in the months after hospital discharge.

Clinical trials registration

ClinicalTrials.Gov identifier: NCT05272176 (https://www.clinicaltrials.gov/ct2/show/NCT05272176).

背景:精神病患者出院后是自杀相关行为(SRB)的高发期。出院后的临床推广虽然可能有效预防自杀相关行为(SRBs),但如果针对高风险患者,则会更具成本效益。为此,我们开发了一个机器学习模型来预测退伍军人健康管理局(VHA)精神病住院患者出院后的自杀行为,并针对高风险患者采取预防性干预措施:退伍军人社区协调护理(3C)研究是一项多中心随机对照试验,利用该模型确定高风险的退伍军人健康管理局(VHA)精神病住院患者(n = 850),将其随机等额分配到 "应对长期主动自杀计划"(CLASP)出院后临床外展干预或 "常规治疗"(TAU)中。主要结果是随访 6 个月的 SRB。我们将估算随访损失调整后的平均治疗效果,并调查治疗效果异质性的可能性:招募工作正在进行中,将于 2024 年 9 月结束。六个月的随访将于 2025 年夏季结束,分析将于 2025 年夏季开始:结果将提供有关CLASP与TAU在减少出院后SRB方面的有效性的信息,并为VHA临床医生和政策制定者提供指导,使他们了解在高风险精神病住院患者出院后的几个月内有针对性地使用CLASP的意义:临床试验注册:ClinicalTrials.Gov 识别码:NCT05272176 (https://www.Clinicaltrials: gov/ct2/show/NCT05272176)。
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引用次数: 0
Correction to “Validation of the German version of the 25-item hikikomori questionnaire 25” 对 "德文版 25 项蛰居族问卷 25 的验证 "的更正
IF 2.4 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-09-13 DOI: 10.1002/mpr.70002

Hajek, A., Teo, A. R., Zwar, L., & König, H. H. (2024). Validation of the German version of the 25-item hikikomori questionnaire 25. International Journal of Methods in Psychiatric Research, 33(2), e2027.

We noticed that there is an error in the title:

Incorrect title: Validation of the German version of the 25-item hikikomori questionnaire 25.

Correct title: Validation of the German version of the 25-item hikikomori questionnaire (HQ-25).

We apologize for this error.

Hajek, A., Teo, A. R., Zwar, L., & König, H. H. (2024).德文版 25 项蛰居族问卷 25 的验证。International Journal of Methods in Psychiatric Research, 33(2), e2027.We noticed that there is an error in the title:Incorrect title:德文版 25 项蛰居族问卷 25 的验证:Validation of the German version of the 25-item hikikomori questionnaire (HQ-25).我们对此错误表示歉意。
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引用次数: 0
Developing an accurate and efficient tool for the internalizing spectrum: A simulation study of the adaptive algorithm to the Inventory of Depression and Anxiety Symptoms II (IDAS-II) 为内化谱系开发准确有效的工具:抑郁和焦虑症状量表 II(IDAS-II)自适应算法模拟研究。
IF 2.4 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-09-06 DOI: 10.1002/mpr.2032
M. Sanchez-Garcia, A. De la Rosa-Cáceres, G. Rossi, C. Diaz-Batanero

Objectives

This research simulates an adaptive version of the IDAS-II (IDAS-CAT).

Methods

2021 participants from both community (n = 1692) and patients (n = 329) samples completed the IDAS-II. Item response theory metric properties of the IDAS-II full test and the 20-items of the general depression (GD) scale were obtained. The efficiency and accuracy of different computerized adaptive algorithms were simulated. Different subsamples completed additional external measures in order to gather evidence of validity of the scores estimated with the simulated adaptive algorithms selected.

Results

Both unidimensional computerized adaptive testing algorithm selected for the GD scale and the bifactor model chosen for the full test, allow 70% reduction in the length of administration, maintaining a measurement error below 0.30 on the general and 0.50 on the specific factors. Results show high correlations of the scores estimated with the adaptive algorithms and the estimates based on the full test, as well as correlations with external criteria almost equal to those generated with the full test.

Conclusions

IDAS-CAT could be a reliable and fast tool for measuring internalizing spectrum.

目标:本研究模拟了自适应版本的 IDAS-II(IDAS-CAT):方法:来自社区样本(1692 人)和患者样本(329 人)的 2021 名参与者完成了 IDAS-II。方法:来自社区(1692 人)和患者(329 人)的 2021 名参与者完成了 IDAS-II,并获得了 IDAS-II 完整测试和一般抑郁(GD)量表 20 个项目的项目反应理论度量属性。模拟了不同计算机自适应算法的效率和准确性。不同的子样本完成了额外的外部测量,以收集所选模拟自适应算法估算分数的有效性证据:为广东量表选择的单维度计算机自适应测试算法和为全面测试选择的双因素模型都可以将施测时间缩短 70%,并将一般因素和特殊因素的测量误差保持在 0.30 和 0.50 以下。结果表明,采用自适应算法估算的分数与根据完整测试估算的分数具有很高的相关性,与外部标准的相关性几乎与完整测试产生的相关性相同:结论:IDAS-CAT 可以作为测量内化谱系的可靠而快速的工具。
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引用次数: 0
Developing a transdiagnostic Ecological Momentary Assessment protocol for psychopathology 针对精神病理学制定跨诊断生态矩阵评估方案
IF 2.4 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-07-19 DOI: 10.1002/mpr.2028
Alberto Jover Martínez, Lotte H. J. M. Lemmens, Eiko I. Fried, Anne Roefs

Objectives

The network approach to psychopathology posits that mental disorders emerge from dynamic interactions among psychopathology-relevant variables. Ecological Momentary Assessment (EMA) is frequently used to assess these variables in daily life. Considering the transdiagnostic nature of the network approach to psychopathology, this study describes the development of a transdiagnostic EMA protocol for psychopathology.

Methods

First, 96 clinicians completed an online survey, providing three EMA constructs for up to three disorders they specialize in, and three EMA constructs relevant across disorders (transdiagnostic constructs). Second, 12 focus groups were conducted with clinical experts for specific types of diagnoses (e.g., mood disorders, anxiety disorders). Finally, a selection of items was reached by consensus. Two raters independently coded the online survey responses with an inter-rater agreement of 87.3%.

Results

Jaccard indices showed up to 52.6% overlap in EMA items across types of diagnoses. The most frequently reported transdiagnostic constructs were mood, sleep quality, and stress. A final set of EMA items is created based on items' frequency and informativeness, ensuring completeness across diagnoses and minimizing burden.

Conclusions

The described procedure resulted in a feasible EMA protocol to examine psychopathology transdiagnostically. Feasibility was helped by the overlap in mentioned symptoms across disorders. Such overlap raises questions about the validity of DSM categories.

目的 心理病理学的网络方法认为,精神障碍是由心理病理学相关变量之间的动态相互作用引起的。生态瞬间评估(EMA)常用于评估日常生活中的这些变量。考虑到精神病理学网络方法的跨诊断性质,本研究介绍了针对精神病理学的跨诊断 EMA 方案的开发情况。 方法 首先,96 名临床医生完成了一项在线调查,为他们擅长的三种疾病提供了三个 EMA 构建,并提供了三个跨疾病相关的 EMA 构建(跨诊断构建)。其次,与特定诊断类型(如情绪障碍、焦虑障碍)的临床专家进行了 12 次焦点小组讨论。最后,在达成共识的基础上对项目进行筛选。两名评分员对在线调查回复进行独立编码,评分员之间的一致性为 87.3%。 结果 Jaccard 指数显示,不同诊断类型的 EMA 项目重叠率高达 52.6%。最常报告的跨诊断结构是情绪、睡眠质量和压力。根据项目的频率和信息量创建了一套最终的 EMA 项目,确保了不同诊断之间的完整性,并最大限度地减轻了负担。 结论 所描述的程序产生了一个可行的 EMA 方案,用于检查跨诊断的精神病理学。不同疾病的症状重叠有助于提高可行性。这种重叠引发了对 DSM 分类有效性的质疑。
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引用次数: 0
Measuring psychological distress using the 12-item general health questionnaire and the six-item Kessler psychological distress scale. Psychometric comparison and equipercentile equating of the two scales 使用 12 项一般健康问卷和 6 项凯斯勒心理压力量表测量心理压力。对两个量表进行心理计量比较和等差数列。
IF 2.4 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-07-04 DOI: 10.1002/mpr.2033
Andreas Lundin, Joseph Junior Muwonge, Maria Lalouni, Johan Åhlén

Objectives

This study aimed to examine if the General Health Questionnaire (GHQ)-12 and Kessler 6 (K6) assess the same underlying construct and to develop a score conversion table for the two scales.

Methods

A random sample of 4303 people who completed both the GHQ-12 and K6 in 2021 were analyzed. Exploratory bifactor analysis evaluated if both scales measured the same construct, and Rasch analysis assessed item severities. The scales were transformed using Equipercentile equivalence for comparability and score conversion. Agreement was estimated with Cohen's Kappa coefficient, along with raw positive and negative agreement.

Results

We found that the two scales measure the same phenomenon to the extent that they can be made equivalent. Conversion tables between GHQ-12 and K6 are presented. Applying the commonly used cut-off of ≥3 on the GHQ-12 bi-modal scoring, we found that the best corresponding cut-off on the K6 would be ≥8. The prevalence of psychological distress was then 22% with GHQ-12% and 21% with K6.

Conclusions

The GHQ-12 and K6 measure the same construct and corresponding cut-off scores on one scale were found for the other scale. This is valuable for longitudinal studies or time series where one scale has replaced the other scale.

研究目的本研究旨在探讨《一般健康问卷》(GHQ)-12 和《凯斯勒六项量表》(K6)是否评估相同的基本结构,并为这两个量表制定一个分数换算表:对 2021 年完成 GHQ-12 和 K6 的 4303 人进行了随机抽样分析。探索性双因素分析评估了两个量表是否测量了相同的结构,拉施分析评估了项目的严重性。为了进行比较和分数换算,量表采用等百分比等效转换。使用 Cohen's Kappa 系数以及原始正负一致性来估计一致性:结果:我们发现,这两个量表测量的现象相同,可以等效。我们提供了 GHQ-12 和 K6 之间的换算表。根据 GHQ-12 双模态评分常用的≥3 分界点,我们发现 K6 的最佳对应分界点为≥8。因此,GHQ-12 的心理困扰发生率为 22%,K6 为 21%:结论:GHQ-12和K6测量的是相同的结构,其中一个量表上的相应临界值可用于另一个量表。这对于一个量表取代另一个量表的纵向研究或时间序列研究很有价值。
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引用次数: 0
Validity of the five-item mental health inventory for screening current mood and anxiety disorders in the general population 在普通人群中筛查当前情绪和焦虑症的五项心理健康清单的有效性。
IF 2.4 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-07-02 DOI: 10.1002/mpr.2030
Margreet Ten Have, Marja J. H. Van Bon-Martens, Frederiek Schouten, Saskia Van Dorsselaer, Laura Shields-Zeeman, Annemarie I. Luik

Objectives

The Mental Health Inventory (MHI-5) is frequently used as a screener for mood and anxiety disorders. However, few population-based studies have validated it against a diagnostic instrument assessing disorders following current diagnostic criteria.

Methods

Within the third Netherlands Mental Health Survey and Incidence Study (NEMESIS-3), a representative population-based study of adults (N = 6194; age: 18–75 years), the MHI-5 was used to measure general mental ill-health in the past month. Presence of mood (major depressive disorder, persistent depressive disorder, or bipolar disorder) and anxiety disorders (panic disorder, agoraphobia, social phobia, or generalized anxiety disorder) in the past month was assessed with a slightly modified version of the Composite International Diagnostic Interview 3.0 per the Diagnostic and Statistical Manual of Mental disorders-5.

Results

The MHI-5 was good to excellent at distinguishing people with and without a mood disorder, an anxiety disorder, and any mood or anxiety disorder. The cut-off value associated with the highest sensitivity and highest specificity for mood disorder was ≤68, and ≤76 for an anxiety disorder or any mood or anxiety disorder.

Conclusions

The MHI-5 can identify individuals at high risk of a current mood or anxiety disorder in the general population when diagnostic interviews are too time consuming.

目的:心理健康量表(MHI-5)经常被用作情绪和焦虑症的筛查工具。然而,很少有基于人群的研究根据现行诊断标准,将其与评估失调症的诊断工具进行验证:方法:在第三次荷兰心理健康调查和发病率研究(NEMESIS-3)中,使用 MHI-5 测量了过去一个月内的一般心理不健康状况,这是一项具有代表性的基于人口的成人研究(N = 6194;年龄:18-75 岁)。过去一个月是否患有情绪障碍(重度抑郁障碍、持续性抑郁障碍或双相情感障碍)和焦虑障碍(恐慌障碍、广场恐惧症、社交恐惧症或广泛性焦虑障碍),则根据《精神障碍诊断与统计手册-5》中的综合国际诊断访谈 3.0 稍作修改后进行评估:MHI-5 在区分患有和未患有情绪障碍、焦虑障碍以及任何情绪或焦虑障碍的人群方面表现良好至出色。对于情绪障碍,灵敏度最高和特异性最高的临界值为≤68,而对于焦虑障碍或任何情绪或焦虑障碍,灵敏度和特异性均为≤76:结论:当诊断性访谈过于耗时时,MHI-5 可以在普通人群中识别出当前情绪或焦虑障碍的高危人群。
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引用次数: 0
Development of a scale examining post-disaster coping motivations in Turkey after the 6 February earthquake 编制土耳其 2 月 6 日地震后灾后应对动机量表
IF 2.4 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-06-20 DOI: 10.1002/mpr.2031
Yahya Şahi̇n, Nesrullah Okan

Objectives

The aim of this study was to develop the Motivations for Coping After Disaster Scale. To test the construct validity of the scale, a total of 676 data were collected from three different sampling groups (N1: 388; N2: 194; N3: 94).

Methods

Exploratory Factor Analysis, Confirmatory Factor Analysis (CFA) and Criterion validity analysis were conducted to test the construct validity of the scale.

Results

As a result of CFA, it was seen that the post-disaster scale had a five-dimensional structure (spiritual values, hope, friend support, solidarity, family support). The loadings of the items of the scale are at a good level. As a result of CFA, the scale was found to have acceptable and good fit indices (χ2/sd = 2.690; RMSEA (Root Mean Square Error of Approximation) = 0.066; SRMR (Standardized Root Mean Square Residual) = 0.047; CFI (Comparative Fit Index) = 0.948; GFI (Goodness of Fit Index) = 0.917). The results of the criterion validity analysis show that the scale has criterion validity. Cronbach Alpha internal consistency coefficient shows that the scale is highly reliable (Total = 0.923).

Conclusions

The results of this study show that the Post-Disaster Coping Motivations Scale is a valid and reliable instrument. It is thought that the scale can make an important contribution to understanding psychological recovery processes after disaster and providing appropriate support to individuals.

研究目的 本研究旨在编制灾后应对动机量表。为了检验量表的建构效度,研究人员从三个不同的抽样组(N1:388;N2:194;N3:94)共收集了 676 份数据。 方法 采用探索性因子分析、确认性因子分析(CFA)和标准效度分析来检验量表的建构效度。 结果 经 CFA 分析,灾后量表具有五维结构(精神价值、希望、朋友支持、团结、家庭支持)。量表各项目负荷水平良好。根据 CFA 的结果,量表具有可接受的良好拟合指数(χ2/sd = 2.690;RMSEA(均方根近似误差)= 0.066;SRMR(标准化均方根残差)= 0.047;CFI(比较拟合指数)= 0.948;GFI(良好拟合指数)= 0.917)。标准效度分析的结果表明,量表具有标准效度。Cronbach Alpha 内部一致性系数表明量表具有高度可靠性(总分 = 0.923)。 结论 本研究结果表明,灾后应对动机量表是一个有效且可靠的工具。我们认为,该量表可为了解灾后心理恢复过程和为个人提供适当支持做出重要贡献。
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International Journal of Methods in Psychiatric Research
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