International Journal of Methods in Psychiatric Research最新文献_第3页

Normative Data for the Swedish Versions of the Beck Anxiety Index and Beck Depression Inventory—Version 2 瑞典版贝克焦虑指数和贝克抑郁量表的规范性数据-第2版

IF 2.5 3区医学 Q2 PSYCHIATRY

International Journal of Methods in Psychiatric Research

Pub Date : 2025-08-22 DOI: 10.1002/mpr.70024

Ann-Sophie Lindqvist Bagge, Roger Olofsson Bagge, Anders Carlander

Background

Two of the most extensively utilized questionnaires for assessing symptoms of anxiety and depression are Beck Anxiety Inventory (BAI) and Beck Depression Inventory-second version (BDI-II).

Aim

Given the absence of normative data based on a representative Scandinavian cohort, the primary objective is to provide normative data from a representative Swedish general population sample and explore potential associations with sociodemographic variables.

Methods

Data was collected 2019 from a pre-stratified Swedish adult population sample (n = 2622).

Results

The average mean value showed: a mild level of anxiety (8.7 ± 9.5) and a minimal level of depression (3.4 ± 5.6). Higher BAI and BDI-II scores were observed in women and younger individuals. There was an association between educational attainment and BDI-II scores, where those with a bachelor's degree or higher reported a lower depression score. Results show that BAI and BDI-II deviate from normality but demonstrate excellent internal consistency (McDonald's omega 0.92 and 0.91, respectively). BAI had a poor model fit (RMSEA) 0.11), while BDI-II had a fair model fit (RMSEA 0.08).

Discussion

The present study presents normative data for BAI and BDI-II based on a representative sample from the Swedish general population. The model fit was not ideal, indicating caution, particularly for BAI.

背景：贝克焦虑量表（BAI）和贝克抑郁量表第二版（BDI-II）是评估焦虑和抑郁症状最广泛使用的两种问卷。鉴于缺乏基于具有代表性的斯堪的纳维亚队列的规范性数据，本研究的主要目标是提供具有代表性的瑞典一般人口样本的规范性数据，并探索与社会人口变量的潜在关联。方法2019年从预分层的瑞典成年人样本（n = 2622）中收集数据。结果平均得分为：轻度焦虑（8.7±9.5）分，轻度抑郁（3.4±5.6）分。在女性和年轻人中观察到较高的BAI和BDI-II评分。受教育程度与BDI-II得分之间存在关联，拥有学士学位或更高学位的人抑郁得分较低。结果表明，BAI和BDI-II偏离正态，但具有良好的内部一致性（麦当劳ω分别为0.92和0.91）。BAI的模型拟合较差（RMSEA为0.11），而BDI-II的模型拟合较好（RMSEA为0.08）。本研究提出了基于瑞典普通人群代表性样本的BAI和BDI-II的规范数据。模型拟合并不理想，需要谨慎，特别是对于BAI。

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引用次数: 0

Item Analysis of the Behavior Rating Inventory of Executive Function-Adults Version Using the Rasch Model in Two Forms for People With Schizophrenia in Taiwan

IF 2.5 3区医学 Q2 PSYCHIATRY

International Journal of Methods in Psychiatric Research

Pub Date : 2025-08-11 DOI: 10.1002/mpr.70034

En-Chi Chiu, Ya-Chen Lee, Yi-Ching Wu, Shu-Chun Lee

Background

The Behavior Rating Inventory of Executive Function-Adults version (BRIEF-A) consists of two forms, self-report and informant-report. Each form encompasses nine scales to assess executive functions. The study aimed to examine the unidimensionality of each scale and item-level agreement between the two forms in people with schizophrenia.

Methods

A total of 197 people with schizophrenia and 194 caregivers were recruited from a single psychiatric center. Among the people with schizophrenia, 44.2% were male, with a mean age of 44.0 years. As for the caregivers who completed the informant-report form, 27.8% were male, with a mean age of 60.4 years. The unidimensionality of each BRIEF-A scale was assessed using Rasch analysis. Weighted kappa and percentage of agreement were used to examine the item-level agreement between the two forms.

Results

The infit and outfit mean squares of all items on each scale of the self-report form were 0.65–1.48. Except for the Plan/Organize scale, the items of the other eight scales in the informant-report form met the standards for infit and outfit mean squares (0.69–1.44). Principal component analysis of the standardized residuals of the nine scales were 1.4–1.8 and 1.5–2.1 for the self-report and informant-report forms, respectively. Weighted kappa and percentage of agreement between the two forms were 0.02–0.33 and 36.8%–63.4% respectively.

Conclusion

The BRIEF-A has acceptable unidimensionality for people with schizophrenia. The slight to fair item-level agreement between the two forms necessitates cautious explanation of results and incorporation of multiple informants' perspectives to ensure a more thorough and accurate assessment of executive functions.

《执行功能行为评定量表-成人版》（BRIEF-A）由自我报告和举报人报告两种形式组成。每份表格包含九个等级来评估执行功能。该研究旨在检查每个量表的单维性，以及两种形式在精神分裂症患者中项目水平上的一致性。方法从同一精神病学中心招募197名精神分裂症患者和194名护理人员。在精神分裂症患者中，44.2%为男性，平均年龄为44.0岁。在填写资料报告表的照顾者中，27.8%为男性，平均年龄60.4岁。使用Rasch分析评估每个BRIEF-A量表的单维性。加权kappa和协议的百分比被用来检查两种形式之间的项目级协议。结果自述表各量表各题的内均方和内均方在0.65 ~ 1.48之间。举报表中除计划/组织量表外，其余8个量表均符合中均方标准（0.69-1.44）。自我报告和举报人报告的标准化残差主成分分析分别为1.4 ~ 1.8和1.5 ~ 2.1。两种形式的加权kappa值和符合率分别为0.02 ~ 0.33和36.8% ~ 63.4%。结论BRIEF-A对精神分裂症患者具有可接受的单一性。这两种形式之间的项目一级的大致一致需要谨慎地解释结果，并纳入多个举报人的观点，以确保对执行职能作出更彻底和准确的评价。

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引用次数: 0

The Intergenerational Impact of Maternal Childhood Adversity on Child Behavior and Neurodevelopment: The Healthy MiNDS Protocol 母亲童年逆境对儿童行为和神经发育的代际影响：健康心理协议

IF 2.4 3区医学 Q2 PSYCHIATRY

International Journal of Methods in Psychiatric Research

Pub Date : 2025-07-19 DOI: 10.1002/mpr.70031

Danilo Micali, Ana Carolina Coelho Milani, Camilla Salmeron, Célia Araújo, Aline Camargo Ramos, Marcos Roberto Fanton, Sara B. VanBronkhorst, Nitamar Abdala, Ivaldo Silva, Sintia Iole Belangero, Cristiane S. Duarte, Jonathan Posner, Andrea Parolin Jackowski

Objectives

Here we present Healthy MiNDS, a cohort of mothers and their newborns in São Paulo, Brazil, designed to investigate how maternal adverse childhood experiences (ACEs) intergenerationally affect child behavior and neurodevelopment, while exploring underlying biological mechanisms.

Methods

The study included seven encounters, beginning with the enrollment of women at 25–39 weeks of gestation from a low-resource area, based on their high or low exposure to ACEs. Their newborns were followed through the first 2 years of life. Biospecimens (e.g. maternal and cord blood, hair, saliva, placenta) were collected before/during childbirth and at follow-up visits. Newborns underwent non-sedated brain MRI scans and were regularly assessed for behavior, mother-child interactions, and home environment.

Results

We enrolled 626 mothers, with 60% of those who provided ACEs information (n = 603) reporting three or more ACEs, and 545 mother-child dyads. We obtained 303 MRI scans and 333 placental samples, among other biospecimens. Enrollment and the 6-month follow-up are complete, while the 14-, 18-, and 24-month visits are ongoing for active dyads.

Conclusion

The Healthy MiNDS data allows for testing associations between maternal ACEs, prenatal inflammation and stress, placental biology, and offspring brain-behavior development in a population highly exposed to ACEs.

在这里，我们介绍了Healthy MiNDS，一组来自巴西圣保罗的母亲及其新生儿，旨在研究母亲不良童年经历（ace）如何代际影响儿童行为和神经发育，同时探索潜在的生物学机制。方法：该研究包括7次接触，从25-39周妊娠的低资源地区的妇女开始，基于她们对ace的高或低暴露。他们的新生儿在出生后的头两年一直被跟踪。在分娩前/分娩期间和随访时收集生物标本（如孕产妇和脐带血、头发、唾液、胎盘）。对新生儿进行非镇静脑MRI扫描，并定期评估其行为、母子互动和家庭环境。结果我们招募了626名母亲，其中60%提供了ace信息（n = 603），报告了三次或以上的ace，以及545对母子。我们获得了303个核磁共振扫描和333个胎盘样本，以及其他生物标本。登记和6个月的随访已完成，而14、18和24个月的随访正在进行中。结论：在ace高暴露人群中，Healthy MiNDS数据允许测试母亲ace、产前炎症和应激、胎盘生物学和后代脑行为发育之间的关系。

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引用次数: 0

Correction to “Understanding Youth Online Experiences and Mental Health: Development and Validation of the Digital Activity and Feelings Inventory (DAFI)” 对“了解青少年在线体验与心理健康：数字活动与情感量表（DAFI）的开发与验证”的更正

IF 2.4 3区医学 Q2 PSYCHIATRY

International Journal of Methods in Psychiatric Research

Pub Date : 2025-07-17 DOI: 10.1002/mpr.70030

Kostyrka-Allchorne, K., J. Bourgaize, A. Murray, et al. 2025. “Understanding Youth Online Experiences and Mental Health: Development and Validation of the Digital Activity and Feelings Inventory (DAFI).” International Journal of Methods in Psychiatric Research 34, no. 2: e70028. https://doi.org/10.1002/mpr.70028.

In the above article, all the authors' names, except the last author and the study group, were incorrectly listed, with the authors' first names displaying as surnames. The correct citation should read:

Kostyrka-Allchorne, K., Bourgaize, J., Murray, A., Stoilova, M., Abbas, I., Bridgwood, A., Azeri, E., Hollis, C., Townsend, E., Livingstone, S., Sonuga-Barke, E.J.S., on behalf of the Digital Youth Research Programme 2025. “Understanding Youth Online Experiences and Mental Health: Development and Validation of the Digital Activity and Feelings Inventory (DAFI).” International Journal of Methods in Psychiatric Research 34, no. 2: e70028. https://doi.org/10.1002/mpr.70028.

Additionally, the author names have also been corrected in the funding statement and the author contributions.

The online version of this article has been corrected accordingly.

We apologize for this error.

J. Bourgaize， A. Murray等。2025。“了解青少年在线体验和心理健康：数字活动和情感清单（DAFI）的开发和验证。”国际精神病学研究方法杂志，第34期。2: e70028。https://doi.org/10.1002/mpr.70028.In在上面的文章中，除了最后一位作者和研究组之外，所有作者的名字都被错误地列出了，作者的名字显示为姓氏。正确的引文应该是：Kostyrka-Allchorne， K., Bourgaize， J., Murray， A., Stoilova， M., Abbas， I., Bridgwood， A., Azeri， E., Hollis， C., Townsend， E., Livingstone， S., Sonuga-Barke, e.j.，代表数字青年研究计划2025。“了解青少年在线体验和心理健康：数字活动和情感清单（DAFI）的开发和验证。”国际精神病学研究方法杂志，第34期。2: e70028。https://doi.org/10.1002/mpr.70028.Additionally，作者姓名也已在资助声明和作者投稿中更正。本文的在线版本已进行了相应的更正。我们为这个错误道歉。

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引用次数: 0

Substance Use Disorder Treatment Outcomes: Methodological Overview of Metrics and Criteria 物质使用障碍治疗结果：度量和标准的方法学概述

IF 2.4 3区医学 Q2 PSYCHIATRY

International Journal of Methods in Psychiatric Research

Pub Date : 2025-06-20 DOI: 10.1002/mpr.70027

Marta Narváez-Camargo, Oscar Lozano-Rojas, Cinta Mancheño-Velasco, Antonio Verdejo-García

Aim

The heterogeneous metrics and criteria used to assess the effectiveness of substance use disorders treatment hinders cross-study comparisons. This review aims to parse such heterogeneity by analysing the operational definitions of variables used to derive metrics and outcome criteria, contributing to the standardisation process.

Methods

We conducted a systematic review in PubMed and PsycINFO between January 2000 and October 2023. We included published studies on substance use disorders that featured at least one of seven ‘a priori’ defined variables commonly used to obtain metrics and criteria for treatment effectiveness. The review process and reporting followed Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.

Results

Were identified three areas that can be used to define metrics and criteria associated with treatment outcome: as ‘substance use’ (abstinence and relapses), ‘treatment process’ (readmission, dropout, retention, and adherence) and ‘general wellbeing’ (quality of life). Operational definitions and metrics and criteria used were overall inconsistent.

Conclusions

The establishment of guidelines for evaluation of treatment outcomes is imperative, as heterogeneity is still present in the literature. We recommend that future trials provide outcomes metrics relevant to the identified categories, and that standardisation efforts continue toward harmonised criteria to report and interpret those metrics.

目的用于评估物质使用障碍治疗有效性的不同指标和标准阻碍了交叉研究比较。本综述旨在通过分析用于导出度量和结果标准的变量的操作定义来解析这种异质性，从而有助于标准化过程。方法2000年1月至2023年10月在PubMed和PsycINFO上进行系统综述。我们纳入了已发表的关于物质使用障碍的研究，这些研究至少具有七个“先验”定义变量中的一个，这些变量通常用于获得治疗效果的度量和标准。审查过程和报告遵循系统审查和荟萃分析（PRISMA）指南的首选报告项目。结果确定了三个可用于定义与治疗结果相关的指标和标准的领域：“物质使用”（戒断和复发），“治疗过程”（再入院、退出、保留和坚持）和“总体健康”（生活质量）。使用的操作定义、度量和标准总体上是不一致的。结论：由于文献中仍存在异质性，建立治疗结果评估指南势在必行。我们建议未来的试验提供与已确定的类别相关的结果指标，并继续进行标准化工作，以统一报告和解释这些指标的标准。

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引用次数: 0

Understanding Youth Online Experiences and Mental Health: Development and Validation of the Digital Activity and Feelings Inventory (DAFI) 了解青少年在线体验与心理健康：数字活动与情感量表（DAFI）的开发与验证

IF 2.4 3区医学 Q2 PSYCHIATRY

International Journal of Methods in Psychiatric Research

Pub Date : 2025-06-17 DOI: 10.1002/mpr.70028

Kostyrka-Allchorne Katarzyna, Bourgaize Jake, Murray Aja, Stoilova Mariya, Abbas Iqra, Bridgwood Amy, Azeri Eliz, Hollis Chris, Townsend Ellen, Livingstone Sonia, Edmund J. S. Sonuga-Barke, the Digital Youth Research Programme

Objectives

We created the Digital Activity and Feelings Inventory (DAFI) to measure youth digital activities and the psychological reactions they evoke, established its psychometric properties and tested its validity in predicting mental health relative to screen time estimates.

Methods

An initial pool of items was generated using the existing research on youth digital activity and mental health and further refined via consultations with experts and young people (online youth panel sessions, n = 14). The participants (n = 383, mean age = 19 years) completed the resulting DAFI alongside established measures of depression, anxiety, wellbeing, and screen time. The DAFI factor structure, reliability and predictive validity were tested.

Results

Exploratory factor analyses identified five digital activity subscales: Risky Content, Risky Interactions, Social Comparison, Leisure Activities and Social Engagement and three psychological reactions subscales: Negative Self-Reactions, Negative Stress Reactions, and Positive Reactions. Internal consistency and test-retest reliability were high. Social Comparison and Negative Self-Reactions, but not screen time, independently predicted depression and anxiety symptoms. Positive Reactions, lack of Negative Self-Reactions, lower screen time and Social Engagement predicted wellbeing.

Conclusion

The DAFI is a reliable measure of digital activities and associated psychological reactions and predicts youth mental health better than screen time.

目的编制数字活动与情感量表（DAFI），测量青少年数字活动及其引发的心理反应，建立其心理测量特性，并检验其在预测屏幕时间与心理健康相关方面的有效性。方法利用现有的关于青少年数字活动和心理健康的研究产生了一个初始的项目库，并通过与专家和年轻人的协商进一步完善（在线青年小组会议，n = 14）。参与者（n = 383，平均年龄= 19岁）完成了结果DAFI以及确定的抑郁、焦虑、健康和屏幕时间测量。对DAFI因子结构、信度和预测效度进行检验。结果探索性因子分析确定了5个数字活动子量表：风险内容、风险互动、社会比较、休闲活动和社会参与；3个心理反应子量表：消极自我反应、消极压力反应和积极反应。内部一致性和重测信度高。社会比较和消极的自我反应，而不是屏幕时间，独立预测抑郁和焦虑症状。积极的反应，缺乏消极的自我反应，较少的屏幕时间和社会参与预示着幸福。结论DAFI是数字活动和相关心理反应的可靠指标，比屏幕时间更能预测青少年的心理健康状况。

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引用次数: 0

Psychometric Evaluation of the Beliefs About Stress Scale in the German General Population 德国普通人群压力量表信念的心理测量学评价

IF 2.4 3区医学 Q2 PSYCHIATRY

International Journal of Methods in Psychiatric Research

Pub Date : 2025-06-14 DOI: 10.1002/mpr.70026

Bjarne Schmalbach, Ileana Schmalbach, Johannes A. C. Laferton, Bernhard Strauß, Jörg M. Fegert, Elmar Brähler, Katja Petrowski

Background

Beliefs about stress significantly influence health outcomes. Reliable, economical scales are essential for assessing these beliefs to foster understanding on mechanisms by which stress mindsets affect health outcomes. Such understanding can inform interventions promoting adaptive stress perceptions and reducing chronic stress-related health risks.

Method

This study assessed the Beliefs About Stress Scale (BASS) in a representative German sample (N = 2515). We conducted confirmatory factor analysis to evaluate factorial validity and tested measurement invariance was tested across demographics, and the BASS's associations with related constructs were analyzed for convergent and discriminant validity.

Results

The BASS demonstrated strong factorial validity, with a bifactor model offering superior fit to the three-factor structure. Measurement invariance analyses confirmed stability across demographics, though minor age-specific adjustments may improve interpretability. Positive beliefs about stress controllability and benefits were associated with healthier psychological outcomes, whereas negative stress beliefs linked to poorer mental health, underscoring the value of a “stress-is-enhancing” mindset. Normative data enhance the BASS's applicability in both research and clinical settings.

Conclusion

The BASS exhibits robust validity and reliability, making it suitable for population-level applications and comparisons between groups. By clarifying the influence of stress mindsets on stress regulation, the BASS supports the development of mindset-based interventions that promote adaptive stress perceptions and help mitigate chronic stress risks.

背景：关于压力的信念显著影响健康结果。可靠、经济的量表对于评估这些信念至关重要，以促进对压力心态影响健康结果的机制的理解。这种理解可以为促进适应性压力感知和减少慢性压力相关健康风险的干预措施提供信息。方法对2515名德国代表性样本进行压力信念量表（BASS）测评。我们进行了验证性因子分析来评估因子效度，并在人口统计学中测试了测量不变性，并分析了BASS与相关构念的关联，以进行收敛效度和区分效度分析。结果BASS具有较强的因子效度，双因子模型与三因子结构的拟合效果较好。测量不变性分析证实了人口统计学的稳定性，尽管针对年龄的细微调整可能会提高可解释性。关于压力可控性和益处的积极信念与更健康的心理结果有关，而消极的压力信念与较差的心理健康有关，强调了“压力是增强的”心态的价值。规范数据增强了BASS在研究和临床环境中的适用性。结论BASS具有较强的信度和效度，适用于人群水平的应用和群体间的比较。通过阐明压力心态对压力调节的影响，BASS支持基于心态的干预措施的发展，以促进适应性压力感知并帮助减轻慢性压力风险。

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引用次数: 0

Unified Protocol for Emotional Disorders in University Students: Protocol for a Randomized Trial of Online and Blended Formats 大学生情绪障碍统一方案：在线和混合格式随机试验方案

IF 2.4 3区医学 Q2 PSYCHIATRY

International Journal of Methods in Psychiatric Research

Pub Date : 2025-06-14 DOI: 10.1002/mpr.70025

J. Socias-Soler, C. Francisco, L. Martínez-García, O. Peris-Baquero, J. Osma

Objectives

Psychological problems frequently emerge between ages 15 and 24, often coinciding with the university period. In Spain, anxiety and depressive disorders are prevalent among university students, yet only a small fraction receive treatment. This randomized controlled trial aims to compare the effectiveness, acceptability, and implementation of UP in online group format versus a blended format among university students with EDs at the University of Córdoba.

Method

Participants (n = 70) will be randomly assigned to either condition. The study includes pre-intervention, post-intervention, and follow-up assessments at one and 3 months. Primary outcomes are improvements in anxiety, depression, emotional regulation, and distress tolerance. Secondary outcomes include program adherence and acceptability.

Results

Data will be analyzed using SPSS, employing tests for normality, descriptive statistics, t-tests, repeated measures ANOVA, and linear mixed models to evaluate differences and changes over time. Effect sizes will be calculated, and implementation outcomes will be assessed through descriptive analysis. Improvements are expected to be obtained in the assessed outcome variables in all evaluation periods in both intervention conditions and that are maintained over time. No statistically significant differences are expected to be obtained between the two conditions. Participants are expected to report high acceptability and satisfaction scores regarding the intervention, its components, and the intervention format in both conditions. UP-App good usability scores, as well as high acceptability and intention to use in the future are expected to be reported by participants in the UP blended format condition.

Conclusions

This study aims to demonstrate the utility and efficiency of UP in treating EDs in university settings. If effective, these formats could enhance access to mental health services, improve student well-being and support academic success. The findings could inform the development of cost-effective, scalable interventions for university mental health services.

心理问题经常出现在15到24岁之间，通常与大学时期相吻合。在西班牙，焦虑和抑郁症在大学生中很普遍，但只有一小部分接受了治疗。这项随机对照试验旨在比较在线小组形式与混合形式的UP在Córdoba大学ed学生中的有效性、可接受性和实施情况。方法参与者（n = 70）将被随机分配到两种情况。该研究包括干预前、干预后以及1个月和3个月的随访评估。主要结果是焦虑、抑郁、情绪调节和痛苦耐受性的改善。次要结果包括项目的依从性和可接受性。数据将使用SPSS进行分析，采用正态性检验、描述性统计、t检验、重复测量方差分析和线性混合模型来评估差异和随时间的变化。将计算效应量，并通过描述性分析评估实施结果。在所有评估期间，无论是在干预条件下，还是在一段时间内，评估的结果变量都有望得到改善。预计两种情况之间没有统计学上的显著差异。在两种情况下，参与者都应报告对干预、其组成部分和干预形式的高可接受性和满意度得分。在UP混合格式条件下，期望参与者报告UP- app的良好可用性分数，以及高可接受性和未来使用意愿。结论本研究旨在证明UP在治疗大学急诊科中的效用和效率。如果有效，这些形式可以增加获得心理健康服务的机会，改善学生的福祉并支持学业成功。研究结果可以为开发具有成本效益的、可扩展的大学心理健康服务干预措施提供信息。

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引用次数: 0

Validation and Discriminant Analysis of the Athens Insomnia Scale in Older Adults 老年人雅典失眠症量表的验证与判别分析

IF 2.4 3区医学 Q2 PSYCHIATRY

International Journal of Methods in Psychiatric Research

Pub Date : 2025-05-30 DOI: 10.1002/mpr.70017

Huseyin Elbi, Melike Batum, Ece Ozlem Oztürk, Merve Vatansever Balcan, Ayşin Kisabay Ak, Hikmet Yilmaz, Omer Aydemir

Objective

This study aimed to validate and discriminate the “Athens Insomnia Scale” in aged.

Methods

Patients were assessed using the Athens Insomnia Scale (AIS) and the Pittsburg Sleep Quality Index (PSQI). The internal consistency of the AIS was assessed using the Cronbach alpha coefficient. For validity analyses, the scale's structure validity was evaluated using confirmatory factor analysis (CFA). Besides, known group analyses were performed for demographic features such as age and education variables, and diagnostic groups were analyzed.

Results

Cronbach's alpha of AIS was found to be 0.881. In the CFA, the goodness of fit indices of the two-factor model was found to be significant, which supported the two-dimension structure as a nocturnal sleep problem and its effects on daytime dysfunction. A high correlation was observed between the AIS and the PSQI. It was determined that the discrimination of the > 65 patients from the < 65 patients with AIS was very high, with the discriminating item “frequent nighttime awakenings” in older adults (Wilks' lambda = 0.874).

Conclusion

The Athens Insomnia Scale is a practical, reliable, and useful tool for evaluating insomnia symptoms in older adults. Its two-dimensional structure distinguishes nocturnal sleep problems and their effects on daytime functionality.

目的对老年《雅典失眠症量表》进行验证和鉴别。方法采用雅典失眠量表（AIS）和匹兹堡睡眠质量指数（PSQI）对患者进行评估。采用Cronbach alpha系数评估AIS的内部一致性。效度分析采用验证性因子分析（CFA）评估量表的结构效度。此外，对年龄、教育程度等人口统计学特征进行已知组分析，并对诊断组进行分析。结果AIS的Cronbach’s alpha值为0.881。在CFA中，发现双因素模型的拟合优度指数显著，支持二维结构作为夜间睡眠问题及其对日间功能障碍的影响。AIS与PSQI有较高的相关性。经判定，对>；65例患者来自<；65例AIS患者非常高，老年人的判别项为“夜间频繁醒来”（Wilks’lambda = 0.874）。结论雅典失眠症量表是一种实用、可靠、有用的评估老年人失眠症状的工具。它的二维结构区分了夜间睡眠问题及其对白天功能的影响。

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引用次数: 0

A Ten-Year Cohort Study on the Stability and Trajectories of Psychiatric Diagnosis in Adolescents and Young Adults in Lazio, Italy 意大利拉齐奥青少年和年轻人精神病诊断的稳定性和轨迹的十年队列研究

IF 2.4 3区医学 Q2 PSYCHIATRY

International Journal of Methods in Psychiatric Research

Pub Date : 2025-05-12 DOI: 10.1002/mpr.70023

Anna Forastiere, Enrico Calandrini, Giulia Cesaroni, Anna Maria Bargagli, Nera Agabiti

Introduction

We aimed to evaluate the diagnostic stability of a large spectrum of psychiatric diagnoses in adolescents and young adult patients attending specialised facilities in the Lazio Region (Italy).

Methods

A total of 3871 subjects (11–35 years) at their first hospitalisation with a psychiatric diagnosis were selected and followed up for 10 years on subsequent hospital admissions to psychiatric care.

Results

A total of 1145 patients were readmitted to a hospital for a psychiatric disorder in the following 10 years. Among these subjects, the concordance between the first and last diagnosis was 57.8% with a weighted kappa of 0.47 (95% CI: 0.42–0.51); the repeated stability (the same diagnosis in at least 75% of admissions) was 31.2%. The diagnostic categories with the highest values of prospective concordance and kappa were schizophrenia spectrum and other functional psychoses (70%, kappa 0.53), substance use disorders (54%, kappa 0.57), and eating disorders (80.9%, kappa 0.76).

Conclusions

In a population study, the stability over time of the first psychiatric diagnosis in a hospital varied according to the specific diagnostic categories, and overall, it was lower than previously reported. The trajectories were disorder-specific, and the stability was influenced by several factors, including the individuals' characteristics, the disorder's severity, and the diagnostic setting.

我们的目的是评估在拉齐奥地区（意大利）专门机构就诊的青少年和年轻成人患者的大范围精神病诊断的稳定性。方法选取首次住院的3871例（11 ~ 35岁）精神科患者，随访10年。结果在随后的10年中，共有1145例患者因精神障碍再次入院。其中首次诊断与最后诊断的一致性为57.8%，加权kappa为0.47 (95% CI: 0.42 ~ 0.51)；重复稳定性（至少75%的入院患者诊断相同）为31.2%。前瞻性一致性和kappa值最高的诊断类别是精神分裂症谱系和其他功能性精神病（70%,kappa 0.53）、物质使用障碍（54%,kappa 0.57）和饮食障碍（80.9%,kappa 0.76）。在一项人口研究中，根据具体的诊断类别，医院首次精神病诊断的稳定性随着时间的推移而变化，总体而言，比以前报道的要低。这些轨迹是疾病特异性的，其稳定性受到几个因素的影响，包括个体的特征、疾病的严重程度和诊断环境。

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引用次数: 0