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Cross-Cultural Adaptation and Psychometric Validation of the Suicide Cognitions Scale-Revised (SCS-R) in Spanish Adolescents in Residential Care. 西班牙寄宿青少年自杀认知量表修订版(SCS-R)的跨文化适应性和心理测量验证。
IF 2.9 4区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-11-21 DOI: 10.1017/SJP.2024.30
Alexander Muela, Craig J Bryan, Jon García-Ormaza, Karmele Salaberra

The Suicide Cognitions Scale (SCS) has demonstrated considerable promise as a risk screening tool, although it has yet to be validated for use with adolescents or in Spanish-speaking populations. The aim of this study was to develop a Spanish version of the 16-item SCS-Revised (SCS-R) and to examine its psychometric properties in a sample of adolescents. Participants were 172 adolescents aged between 12 and 18 years (M = 15.32, SD = 1.57) and currently in residential care. They completed the Spanish SCS-R and a series of other psychological measures. The psychometric properties of the SCS-R were examined through factor analyses and testing of convergent/discriminant validity and construct validity. Factor analyses supported a bifactor structure, indicating that SCS-R items were primarily measuring a common underlying latent variable. SCS-R scores were positively correlated with multiple indicators of psychopathology and other suicide risk factors (e.g., depression, hopelessness) but negatively correlated with protective factors (e.g., believing that one's mental pain will eventually end). Importantly, SCS-R scores differentiated adolescents in residential care who had previously attempted suicide from those who had only thought about suicide. Scores also differentiated adolescents who had previously attempted suicide from those who had previously only engaged in non-suicidal self-injury. This constitutes further evidence that the SCS-R measures a construct that distinguishes suicidal thought from action and is specific to suicidal forms of self-harm. Overall, the results suggest that the Spanish SCS-R is a potentially useful tool for identifying adolescents at risk of attempting suicide in residential care.

自杀认知量表(SCS)作为一种风险筛查工具已被证明具有相当大的前景,但其在青少年或西班牙语人群中的应用还有待于验证。本研究旨在开发西班牙语版本的 16 个项目的自杀认知量表修订版(SCS-R),并在青少年样本中检验其心理测量特性。研究对象为 172 名青少年,年龄在 12 至 18 岁之间(中位数 = 15.32,标准差 = 1.57),目前接受寄宿护理。他们完成了西班牙文 SCS-R 和一系列其他心理测量。我们通过因子分析以及收敛/判别效度和建构效度测试,对 SCS-R 的心理测量特性进行了研究。因子分析支持双因子结构,表明 SCS-R 项目主要测量一个共同的潜在变量。SCS-R 分数与多种精神病理学指标和其他自杀风险因素(如抑郁、绝望)呈正相关,但与保护性因素(如相信自己的精神痛苦终将结束)呈负相关。重要的是,SCS-R 的得分可以将那些曾经试图自杀的青少年与那些只想过自杀的青少年区分开来。此外,SCS-R得分还能将曾有过自杀企图的青少年与仅有过非自杀性自伤行为的青少年区分开来。这进一步证明,SCS-R测量的是一种能够区分自杀想法和自杀行为的结构,而且是针对自杀形式的自残行为的。总之,研究结果表明,西班牙SCS-R是一种潜在的有用工具,可用于识别寄宿护理机构中有自杀企图风险的青少年。
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引用次数: 0
(Mis)perception in Social Mobility: Optimistic Bias for Personal (but not Societal) Mobility Beliefs. (社会流动的(错误)认知:个人(而非社会)流动信念的乐观偏差。
IF 2.9 4区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-11-18 DOI: 10.1017/SJP.2024.23
Juan Matamoros-Lima, Guillermo Byrd Willis, Ginés Navarro-Carrillo, Miguel Moya

Cognitive biases affect how people perceive social class mobility. Previous studies suggest that people find it difficult to estimate actual economic social mobility accurately. These results have also noted differences between regions. While in the United States people overestimate actual economic social mobility, in Europe people tend to underestimate it. Across two independent cross-sectional studies, we examined whether cognitive biases operate in the Spanish context and, if so, whether they depend on the type of social mobility. In Study 1 (N = 480), we tested whether people in Spain have an accurate estimation of actual upward economic societal mobility. The results showed that people in Spain have a pessimistic view of upward societal mobility. In Study 2 (N = 274), we analyzed whether people in Spain are more or less optimistic according to the type of social mobility: Personal vs. societal. We found that Spaniards are more optimistic when estimating their own mobility (i.e., personal mobility) than when estimating the mobility of the Spanish society (i.e., societal mobility). Contrary to our predictions, we found that meritocratic beliefs do not play a relevant role in determining any type of social mobility. These results extend previous research on social mobility and its psychosocial consequences. Furthermore, they are well aligned with a new psychosocial perspective suggesting that social mobility is a multidimensional construct. We also discussed the psychosocial implications of this optimistic bias for personal mobility.

认知偏差会影响人们对社会阶层流动性的认知。以往的研究表明,人们很难准确估计实际的社会经济流动性。这些研究结果也注意到了地区之间的差异。在美国,人们会高估实际的经济社会流动性,而在欧洲,人们往往会低估它。通过两项独立的横截面研究,我们考察了认知偏差在西班牙是否存在,如果存在,它们是否取决于社会流动的类型。在研究 1(N = 480)中,我们测试了西班牙人是否准确估计了实际的社会经济向上流动性。结果显示,西班牙人对社会向上流动性持悲观态度。在研究 2(N = 274)中,我们根据社会流动的类型分析了西班牙人的乐观程度是高还是低:个人流动与社会流动。我们发现,西班牙人在估计自己的流动性(即个人流动性)时比估计西班牙社会的流动性(即社会流动性)时更乐观。与我们的预测相反,我们发现任人唯贤的信念在决定任何类型的社会流动性方面都没有发挥相关作用。这些结果扩展了之前关于社会流动性及其社会心理后果的研究。此外,这些结果与新的社会心理视角非常吻合,新的社会心理视角认为社会流动性是一个多维度的结构。我们还讨论了这种乐观偏差对个人流动性的社会心理影响。
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引用次数: 0
Gender Matters: A Critical Piece in Mental Health. 性别问题:心理健康的关键一环。
IF 2.9 4区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-11-11 DOI: 10.1017/SJP.2024.29
Rosa María Baños, Marta Miragall

Gender is a socially constructed concept influenced by social practices, norms, and expectations. The impact of gender differences on mental health has been long recognized, with consequences such as over-diagnosis and pathologization or under-diagnosis of some disorders depending on gender. This also has implications for the treatments that each gender receives. In this narrative review, we will analyze (a) the gender differences in the prevalence of mental disorders, (b) the explanations for gender differences in mental health, including biological, social constructionist, and sociocultural risk factors, and (c) the gender differences in the treatment of mental disorders, including differences in health-seeking behavior and treatment outcomes. Overall, there is a consistent pattern of differences in prevalence, with women more likely to have internalizing disorders (e.g., anxiety or depression) and men more likely to have externalizing disorders (e.g., antisocial personality or substance use). The explanations aimed at disentangling the reasons for these gender differences are complex, and several approaches should be considered to achieve a comprehensive explanation. In addition to biological factors (e.g., hormonal changes), social constructionist factors (e.g., biased diagnostic criteria and clinicians' gender bias) and sociocultural factors (e.g., feminization of poverty, gender discrimination, violence against women, and prescriptive beauty standards) should be considered. Future studies in the field of mental health should consider gender differences and explore the bio-psycho-socio-cultural factors that may underlie these differences.

性别是一个社会建构的概念,受到社会习俗、规范和期望的影响。性别差异对心理健康的影响早已被人们所认识,其后果包括过度诊断和病理化,或因性别而对某些疾病诊断不足。这也对不同性别所接受的治疗产生了影响。在这篇叙述性综述中,我们将分析:(a)精神障碍患病率的性别差异;(b)精神健康性别差异的解释,包括生物学、社会建构主义和社会文化风险因素;以及(c)精神障碍治疗的性别差异,包括寻求健康行为和治疗结果的差异。总体而言,患病率的差异模式是一致的,女性更可能患有内化障碍(如焦虑或抑郁),而男性更可能患有外化障碍(如反社会人格或药物使用)。旨在厘清这些性别差异原因的解释是复杂的,应考虑几种方法,以获得全面的解释。除了生物因素(如荷尔蒙变化)外,还应考虑社会建构主义因素(如有偏见的诊断标准和临床医生的性别偏见)和社会文化因素(如贫困女性化、性别歧视、针对女性的暴力和规定性的审美标准)。心理健康领域未来的研究应考虑性别差异,并探索可能导致这些差异的生物-心理-社会文化因素。
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引用次数: 0
Exploring Comorbidity Between Anxiety and Depression in Spanish-Speaking School-Aged Children: A Network Analysis Approach. 探索西班牙语学龄儿童焦虑症与抑郁症的共病:网络分析方法
IF 2.9 4区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-11-08 DOI: 10.1017/SJP.2024.24
Iván Fernández-Martínez, Angélica Idrobo Gutiérrez, Mireia Orgilés Amorós

Anxiety and depression are highly prevalent and comorbid problems in childhood, which deserve greater understanding for effective prevention and treatment. The main aim of the present study was to explore the comorbidity between anxiety and depression symptoms using a novel and valuable approach to study comorbidity, such as network analysis. Specifically, the connectivity between symptoms and possible relevant symptoms was examined through comorbidity estimation and shortest pathway networks, as well as bridge symptoms. This study comprised 281 Spanish-speaking children aged 8-12 years (45.2% girls), whose anxiety and depression symptoms were assessed through specific brief parent-report measures. Analyses revealed that in the comorbidity network, the most central symptoms were related to depression ("No good anymore," "Could never be as good," "Hated self," "Did everything wrong," "Nobody loved him/her") or anxiety ("Suddenly feels really scared"). Furthermore, it was found that the most central bridge symptoms, whose activation would play a key role in the activation of other domain symptoms, were anxiety symptoms such as "Trouble going to school" and "Suddenly feels really scared" and depression symptoms, such as "Could never be as good" and "Hated self." Additionally, the shortest path network suggested the existence of different possible pathways of connection between anxiety and depression symptoms. Overall, these findings help to understand the complexity of the anxiety-depression comorbidity. It suggests the existence of central and bridge symptoms that complement previous studies, which may be potential targets for interventions to prevent and treat childhood anxiety and depression.

焦虑症和抑郁症是儿童时期高发的并发症,应加深对这一问题的了解,以便有效预防和治疗。本研究的主要目的是利用网络分析法等新颖而有价值的合并症研究方法,探讨焦虑和抑郁症状之间的合并症。具体来说,研究人员通过合并症估计和最短路径网络,以及桥接症状,对症状与可能的相关症状之间的联系进行了研究。这项研究包括 281 名 8-12 岁讲西班牙语的儿童(45.2% 为女孩),他们的焦虑和抑郁症状通过特定的简短家长报告措施进行评估。分析表明,在合并症网络中,最主要的症状与抑郁("再也不好了"、"再也不能像以前那么好了"、"讨厌自己"、"什么都做错了"、"没人爱他/她")或焦虑("突然感到非常害怕")有关。此外,研究还发现,"上学有困难 "和 "突然感到非常害怕 "等焦虑症状以及 "再也不能像以前那么好 "和 "讨厌自己 "等抑郁症状是最核心的桥梁症状,它们的激活对其他领域症状的激活起着关键作用。此外,最短路径网络表明,焦虑和抑郁症状之间可能存在不同的联系路径。总之,这些发现有助于理解焦虑-抑郁合并症的复杂性。它表明存在中心症状和桥接症状,补充了以往的研究,这些症状可能是预防和治疗儿童焦虑症和抑郁症干预措施的潜在目标。
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引用次数: 0
Athlete Portraits in News: Influence of Media Representation and Gender on Social Perception. 新闻中的运动员肖像:媒体表现和性别对社会认知的影响》。
IF 2.9 4区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-10-28 DOI: 10.1017/SJP.2024.21
Antonio Herrera, M Dolores Sánchez-Hernández, M Carmen Herrera, Francisca Expósito

Previous literature suggests that in masculinized domains, a stereotypical portrayal of women has a negative impact on society's perception of them. However, the influence of media representation on people's perceptions of athletes depending on their gender, as well as its possible consequences for both men and women, remains unexplored in the sports sphere. Through two experimental studies employing a scenario methodology, we aimed to address this gap in the literature: In Study 1 (N = 190), we tested the influence of the media's representation (focused on the professional field vs. extraprofessional field) and the athlete's gender (man vs. woman) on perceptions, and in Study 2 (N = 625), we examined the effect of gender for an athlete receiving media coverage focused on the extraprofessional field. Study 1's results showed that when media representation was based on the professional (vs. extraprofessional) field, participants perceived the news as more credible, believed that the media valued the athlete's capacity to a greater extent, and attributed more merit to the athlete. Moreover, Study 2, focused on an extraprofessional field, indicated that when a man athlete (vs. woman athlete) was portrayed, participants were more likely to consider the news content accurate, which, in turn, was associated with a higher attribution of competence to the athlete and a higher intention to consume sports media in the future. The study will hopefully help reduce beliefs about existing stereotypes as well as discrimination against women, whether in sports or in any other field (e.g., professionally or in education).

以往的文献表明,在男性化领域,对女性的刻板印象会对社会对她们的看法产生负面影响。然而,在体育领域,媒体的表现形式会根据运动员的性别影响人们对运动员的看法,并对男女运动员可能产生的后果,这些问题仍未得到探讨。通过两项采用情景模拟法的实验研究,我们旨在填补这一文献空白:在研究 1(N = 190)中,我们测试了媒体报道(关注专业领域与非专业领域)和运动员性别(男性与女性)对认知的影响;在研究 2(N = 625)中,我们考察了性别对接受媒体报道的运动员(关注非专业领域)的影响。研究 1 的结果显示,当媒体以专业领域(相对于专业领域外)为报道对象时,受试者认为新闻更可信,认为媒体在更大程度上重视运动员的能力,并认为运动员有更多的优点。此外,针对专业外领域的研究 2 表明,当报道的是男性运动员(与女性运动员相比)时,受试者更有可能认为新闻内容是准确的,这反过来又与受试者对运动员能力的更高归因以及未来消费体育媒体的更高意愿相关联。希望这项研究有助于减少对现有陈规定型观念的看法以及对女性的歧视,无论是在体育领域还是其他领域(如职业或教育领域)。
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引用次数: 0
Building Employee Engagement and Resilience Through Strengths-Based Leadership. 通过基于优势的领导力培养员工的参与度和应变能力。
IF 2.9 4区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-10-25 DOI: 10.1017/SJP.2024.28
Kimberley Breevaart, Marianne van Woerkom

Modern careers are enacted in turbulent and stressful environments and workers face increasing uncertainty in navigating their careers. Therefore, it is essential to support workers in coping with stress by enhancing their resilience. We propose that strengths-based leaders help their workers to find their own unique pathway to developing resilience by building upon their pre-existing strengths. In turn, we propose that resilience allows workers to transform the support and opportunities provided by their strengths-based leader into the active state of work engagement. We conducted a two-wave time-lagged survey among a representative sample of 1,095 Dutch employees. Results of our structural equation modelling indicated that T1 strengths-based leadership was positively related to T2 employee work engagement and that T2 employee resilience mediated the relationship between strengths-based leadership (T1) and employee work engagement (T2). We conclude that strengths-based leadership might be a tool to develop a resilient and engaged workforce and make suggestions for developing strengths-based leadership.

现代职业是在动荡不安、压力巨大的环境中发展起来的,工人在职业生涯中面临越来越多的不确定性。因此,必须通过提高员工的抗压能力来帮助他们应对压力。我们建议,以优势为本的领导者应帮助员工找到自己独特的发展途径,通过利用他们已有的优势来培养抗压能力。反过来,我们又提出,抗压能力可以让员工将优势型领导提供的支持和机会转化为积极的工作投入状态。我们对具有代表性的 1095 名荷兰员工进行了两波时滞调查。结构方程模型的结果表明,第一阶段基于优势的领导力与第二阶段员工的工作投入度呈正相关,而第二阶段员工的抗压能力在基于优势的领导力(第一阶段)与员工工作投入度(第二阶段)之间起到了中介作用。我们得出的结论是,基于优势的领导力可能是培养员工复原力和敬业度的一种工具,并为发展基于优势的领导力提出了建议。
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引用次数: 0
Prevention of Emotional Problems in Spanish Schoolchildren: Effectiveness of the Super Skills Multimedia Program to Promote Social-Emotional Skills. 预防西班牙学童的情绪问题:超级技能多媒体计划对促进社交-情感技能的效果。
IF 2.9 4区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-09-30 DOI: 10.1017/SJP.2024.27
Mireia Orgilés, Jose P Espada, Alexandra Morales

Compared to traditional psychosocial interventions, the transdiagnostic approach focuses on common processes or factors that contribute to the development and maintenance of emotional problems. In Spain, the Super Skills Program has proven its effectiveness, but issues with displacement or scheduling for families can hinder access to the intervention. This study aims to examine the program's effectiveness in preventing children's psychosocial problems through learning socio-emotional skills when self-administered via the Internet. Participants were 283 Spanish children between the ages of 8 and 12. The children and their parents completed anxiety and depression scales before and after receiving the intervention and 12 months later. The program consisted of 8 self-applied sessions, at a rate of two per week, which included emotional education, cognitive restructuring, self-regulation techniques, training in social skills, problem-solving, and video feedback with cognitive preparation. Significant differences in anxiety and depression symptoms were found after the intervention. A significant reduction in anxiety scores and a marginally significant decrease in depression scores was observed at the long-term follow-up. The "intention to treat" analysis revealed a tendency for children who improved to drop out of the program, completing the intervention children with more symptomathology. Learning socio-emotional skills through a self-applied intervention via the Internet effectively reduced emotional symptoms in school children and is a valuable resource to improve child well-being and prevent future psychological problems.

与传统的社会心理干预相比,跨诊断方法侧重于导致情绪问题发展和维持的共同过程或因素。在西班牙,"超级技能计划 "已经证明了其有效性,但家庭的迁移或时间安排问题可能会阻碍干预的实施。本研究旨在考察该计划通过互联网自我管理,学习社会情感技能,从而预防儿童心理问题的有效性。参与者为 283 名 8 至 12 岁的西班牙儿童。在接受干预前后和 12 个月后,儿童及其家长填写了焦虑和抑郁量表。该项目包括 8 次自我应用课程,每周两次,内容包括情绪教育、认知重组、自我调节技巧、社交技能培训、问题解决以及认知准备视频反馈。干预后,焦虑和抑郁症状出现了显著差异。在长期随访中观察到,焦虑评分明显下降,抑郁评分略有下降。意向治疗 "分析显示,症状有所改善的儿童有退出项目的趋势,完成干预的儿童症状病理程度更高。通过互联网自我应用干预来学习社会情感技能,能有效减少学龄儿童的情绪症状,是改善儿童福祉和预防未来心理问题的宝贵资源。
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引用次数: 0
Cognitive Function of Climbers: An Exploratory Study of Working Memory and Climbing Performance. 登山者的认知功能:工作记忆与攀岩表现的探索性研究。
IF 2.9 4区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-09-26 DOI: 10.1017/SJP.2024.25
Inmaculada Garrido-Palomino, David Giles, Simon Fryer, José Luis González-Montesinos, Vanesa España-Romero

Sport climbing requires a combination of physical and cognitive skills, with working memory (WM) playing a crucial role in performance. This study aimed to investigate the association between WM capacity and climbing ability, while considering potential confounding factors including sex, age, education level, and climbing experience. Additionally, the study compared prefrontal cortex (PFC) hemodynamic responses among different climbing ability groups and sex during WM performance. Twenty-eight climbers participated, with WM assessed using the eCorsi task and PFC hemodynamic responses measured with near infrared spectroscopy (NIRS). Initial linear regression analyses revealed no association between WM and climbing ability. However, significant associations were found after adjustment for covariates. Specifically, sex (p = .014), sex in conjunction with age (p = .026), sex combined with climbing experience (p = .022), and sex along with education level (p = .038) were identified as significant predictors of differences in WM between Expert and Elite climbers. Additionally, notable differences in PFC hemodynamic responses were observed between Expert and Elite climbers, as well as between sexes during the WM task, providing support for differences in WM capacity. This study contributes to understanding the complex relationship between WM capacity and climbing performance, emphasizing the need to account for influencing factors in assessments.

运动攀岩需要身体技能和认知技能的结合,其中工作记忆(WM)在成绩中起着至关重要的作用。本研究旨在探讨工作记忆能力与攀岩能力之间的关联,同时考虑性别、年龄、教育水平和攀岩经验等潜在的干扰因素。此外,该研究还比较了不同攀岩能力组别和性别的前额叶皮层(PFC)在WM表现时的血流动力学反应。共有 28 名登山者参加了研究,他们使用 eCorsi 任务评估了 WM,并使用近红外光谱(NIRS)测量了前额叶皮层的血液动力学反应。初步线性回归分析表明,WM 与攀岩能力之间没有关联。然而,在对辅助变量进行调整后,发现两者之间存在明显的关联。具体来说,性别(p = .014)、性别与年龄(p = .026)、性别与攀岩经验(p = .022)以及性别与教育水平(p = .038)被认为是专家级和精英级攀岩者之间 WM 差异的重要预测因素。此外,在 WM 任务中,专家和精英攀岩者之间以及性别之间的 PFC 血流动力学反应存在明显差异,这为 WM 能力的差异提供了支持。这项研究有助于理解 WM 能力与攀岩成绩之间的复杂关系,强调了在评估中考虑影响因素的必要性。
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引用次数: 0
Navigating Ambiguity: Adapting and Validating the Personal Need for Structure Scale in Spanish. 驾驭模糊性:改编并验证西班牙语个人结构需求量表。
IF 2.9 4区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-09-26 DOI: 10.1017/SJP.2024.20
Rafael Gil, Javier Horcajo, Pablo Nájera, Miguel A Sorrel

The Personal Need for Structure (PNS) scale assesses individuals' tendency to seek out clarity and structured ways of understanding and interacting with their environment. The main aim of this study was to adapt the PNS scale to Spanish and assess its psychometric properties. There are two versions of the PNS scale being used, which vary in the number of dimensions (1 vs. 2), and in the number of items (12 vs. 11; because one version excludes Item 5). Therefore, an additional aim of this study was to compare the two existing versions of the PNS scale. This comparison aimed to address the debate regarding the inclusion of Item 5, and the number of dimensions that comprise the PNS scale. A sample of 735 individuals was collected. First, through an approach combining exploratory and confirmatory analyses, evidence was found in favor of the scale being composed of two related but distinguishable factors: Desire for Structure and Response to the Lack of Structure. Scores on these subscales showed acceptable internal consistency and test-retest reliability. Evidence supporting the invariance of the internal structure across sociodemographic variables such as gender and age was found. Validity evidence was also analyzed by examining the relationships with other relevant measures. The results indicated that Item 5 can be excluded without reducing scores validity or reliability, which supports preceding research in the literature. In conclusion, the PNS scale was satisfactorily adapted to and validated in Spanish and its use in this context is recommended.

个人对结构的需求(PNS)量表评估的是个人寻求清晰、结构化的方式来了解环境并与之互动的倾向。本研究的主要目的是将 PNS 量表改编成西班牙语,并评估其心理测量特性。目前使用的 PNS 量表有两个版本,它们在维度数量(1 对 2)和项目数量(12 对 11;因为其中一个版本不包括项目 5)上各不相同。因此,本研究的另一个目的是比较 PNS 量表的两个现有版本。这一比较旨在解决关于是否纳入项目 5 以及 PNS 量表维度数量的争论。研究收集了 735 个样本。首先,通过将探索性分析和确认性分析相结合的方法,我们发现有证据表明该量表由两个相关但可区分的因素组成:对结构的渴望和对缺乏结构的反应。这些子量表的得分显示出可接受的内部一致性和测试-再测试可靠性。有证据表明,内部结构在不同的社会人口变量(如性别和年龄)之间是不变的。此外,还通过研究与其他相关测量的关系分析了效度证据。结果表明,可以在不降低分数效度或信度的情况下排除项目 5,这也支持了之前的文献研究。总之,PNS 量表在西班牙文中的改编和验证结果令人满意,建议在西班牙文中使用。
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引用次数: 0
New Approach to Early Maladaptive Schemas and its Relationship with Alcohol use Disorder. Role of Psychopathology and Prognostic Variables. 早期适应不良模式及其与酒精使用障碍关系的新方法。心理病理学和预后变量的作用。
IF 2.9 4区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-09-25 DOI: 10.1017/SJP.2024.22
Enrique Rubio-Escobar, Ana Sión, Laura Esteban Rodríguez, Rosa Jurado-Barba, Daniel Maldonado Sánchez, Víctor Armada, Bárbara Osset, Francisco Arias Horcajadas, Gabriel Rubio Valladolid

Early maladaptive schemas (EMS), dysfunctional patterns of thought and emotions originated during childhood, latent in most mental disorders, might play a role in the onset of alcohol use disorder (AUD), although their impact on prognosis remains unknown. Our aim is to determine the presence of EMS in patients with AUD and their role in the psychopathology and course of addiction (relapse and withdrawal time). The sample included 104 patients and 100 controls. The diagnosis of AUD was made according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria, EMS were determined with the Young Schema Questionnaire in its Spanish version (YSQ-S3) and psychopathology with Symptom Checklist-27 (SCL-27). AUD group showed significantly higher scores in emotional deprivation, confused attachment, emotional inhibition and failure schemas. In addition, vulnerability schema correlated (> 0.500) with all subscales of SCL-27. Whereas social isolation, insufficient self-control and grandiosity schemas correlated with a higher number of relapses. But it was the grandiosity and punishment schemas that correlated with shorter abstinence time. These findings suggest that EMS are overrepresented in the AUD population and some correlate with psychopathology and worse AUD outcomes.

早期适应不良图式(EMS)是童年时期产生的思维和情感障碍模式,潜伏于大多数精神障碍中,可能在酒精使用障碍(AUD)的发病过程中起作用,但其对预后的影响尚不清楚。我们的目的是确定 EMS 在 AUD 患者中的存在情况及其在精神病理学和成瘾过程(复发和戒断时间)中的作用。样本包括 104 名患者和 100 名对照组。根据《精神疾病诊断与统计手册》(DSM-5)的标准对 AUD 进行了诊断,并使用西班牙文版 Young Schema Questionnaire(YSQ-S3)和 Symptom Checklist-27 (SCL-27) 对 EMS 进行了测定。AUD 组在情感剥夺、困惑依恋、情感抑制和失败图式方面的得分明显较高。此外,脆弱性模式与 SCL-27 的所有分量表都有相关性(> 0.500)。而社会隔离、自我控制能力不足和自大模式与较高的复发次数相关。而自大心理和惩罚心理则与较短的戒断时间相关。这些研究结果表明,EMS在AUD人群中的比例过高,其中一些与精神病理学和更差的AUD结果相关。
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Spanish Journal of Psychology
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