ICD-11 适应障碍:丹麦国际适应障碍问卷在社会教育工作者中的翻译和验证。

IF 3.7 2区 医学 Q1 PSYCHIATRY Journal of psychiatric research Pub Date : 2024-09-23 DOI:10.1016/j.jpsychires.2024.09.035
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引用次数: 0

摘要

在丹麦,适应障碍经常被用作工作相关应激障碍的诊断类别。然而,ICD-10 中对这一诊断类别的界定并不清晰,这阻碍了临床实践以及对工作相关适应障碍发展的研究。在 ICD-11 中,适应障碍的诊断类别得到了细化,并提供了一种新的自我报告测量方法来操作症状。本研究旨在将国际适应障碍问卷(IADQ)翻译成丹麦语,并在社会教育工作者样本中测试该量表的心理测量特性。共有 609 名在职社会教育工作者参与了包括 IADQ 在内的在线调查,并使用确认性因素分析法对数据进行了分析。研究结果表明,双因子模型最符合数据,该模型反映了作为诊断标准一部分的先入为主和不适应之间的区别,尽管强烈的因子相关性和一个交叉因子负荷表明,区分先入为主和不适应两个维度是困难的。与职业倦怠、创伤后应激和一般痛苦的关系支持了丹麦语翻译的 IADQ 的有效性。进一步的研究应探讨其他工作人群中适应障碍的结构。
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ICD-11 adjustment disorder: Translation and validation of the Danish international adjustment disorder questionnaire among a working population of social educators
Adjustment disorder is frequently used as a diagnostic category for work-related stress disorders in Denmark. However, the diagnostic category is poorly delineated in ICD-10 which has hampered clinical practice as well as research studying the development of work-related adjustment disorders. In ICD-11, the diagnostic category of adjustment disorder has been refined and a new self-report measure is available to operationalize symptoms. The aim of the current study is to translate the International Adjustment Disorder Questionnaire (IADQ) to Danish and test the psychometric properties of the scale in a sample of social educators. A total of 609 social educators in current employment participated in an online survey including the IADQ and data was analyzed using confirmatory factor analysis. Findings suggested that a two-factor model reflecting the distinction between preoccupation and failure to adapt as part of the diagnostic criterion fitted the data best, although strong factor correlations and one cross-factor loading suggests that differentiating between the dimensions of preoccupation and failure to adapt is difficult. Relationships to burnout, posttraumatic stress and general distress support the validity of the Danish translation of the IADQ. Further research should explore the structure of adjustment disorder among other working populations.
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来源期刊
Journal of psychiatric research
Journal of psychiatric research 医学-精神病学
CiteScore
7.30
自引率
2.10%
发文量
622
审稿时长
130 days
期刊介绍: Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;
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