困顿感量表中文版测评医学生的效度和信度
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摘要
目的:引进困顿感量表(ES),评价其在医学生群体中的信效度。方法:选取某医学院校学生1768名,将其随机分半,一半(n=855)进行探索性因子分析,另一半(n=913)进行验证性因子分析;采用病人健康问卷9条目(PHQ-9)检验效标效度。间隔1个月后,在总样本中选取53名学生进行重测。结果:探索性因子分析显示量表共16个条目,包含1个公因子,累计方差解释率64.66%,各条目的因子负荷值在0.23～0.77之间;验证性因子分析表明两因子模型拟合情况略优于一因子模型(χ~2/df=7.00,RMSEA=0.08,GFI=0.91,CFI=0.95),各因子负荷在0.48～0.89之间。ES得分与PHQ-9得分呈正相关(ICC=0.44)。总量表的Cronbach α系数为0.96,2个维度的α系数分别为0.94和0.93;总量表的重测信度为0.83,2个维度的重测信度为0.80、0.83。结论:困顿感量表中文版在医学生群体有良好的信效度,可以用于评估该群体的困顿感。
Objective:To evaluate the validity and reliability of the Chinese vision of the Entrapment Scale(ES) in medical students.Methods:Totally 1768 medical students were selected.They were randomly allocated into two groups for exploratory factor analysis(n=855) and confirmatory factor analysis(n=913).All samples were assessed in criterion validity with the Patient Health Questionnaire(PHQ-9).One month later,53 participants were retested.Results:The exploratory factor analysis extracted 1 component from 16 items,and explained 64.66% of the total variance.The factor loading of items ranged between 0.23-0.77.The confirmatory factor analysis verified that the fitting of the two-factor model was slightly better than that of the one-factor model(χ~2/df=7.00,RMSEA=0.08,GFI=0.91,CFI=0.95).The factor loading of items ranged from 0.48 to 0.89.The ES scores were positively correlated with the PHQ-9 scores(ICC=0.44).Cronbach' s α coefficients were 0.96 for the total scale and 0.83 for the test-retest reliability.The internal consistency reliabilities for the 2 factors were 0.94 and 0.93,and the test-retest reliabilities for the 2 factors were 0.80 and 0.83.Conclusion:The Chinese vision of the Entrapment Scale has good validity and reliability among Chinese medical students,and it could be used in the evaluation of entrapment.
Objective:To evaluate the validity and reliability of the Chinese vision of the Entrapment Scale(ES) in medical students.Methods:Totally 1768 medical students were selected.They were randomly allocated into two groups for exploratory factor analysis(n=855) and confirmatory factor analysis(n=913).All samples were assessed in criterion validity with the Patient Health Questionnaire(PHQ-9).One month later,53 participants were retested.Results:The exploratory factor analysis extracted 1 component from 16 items,and explained 64.66% of the total variance.The factor loading of items ranged between 0.23-0.77.The confirmatory factor analysis verified that the fitting of the two-factor model was slightly better than that of the one-factor model(χ~2/df=7.00,RMSEA=0.08,GFI=0.91,CFI=0.95).The factor loading of items ranged from 0.48 to 0.89.The ES scores were positively correlated with the PHQ-9 scores(ICC=0.44).Cronbach' s α coefficients were 0.96 for the total scale and 0.83 for the test-retest reliability.The internal consistency reliabilities for the 2 factors were 0.94 and 0.93,and the test-retest reliabilities for the 2 factors were 0.80 and 0.83.Conclusion:The Chinese vision of the Entrapment Scale has good validity and reliability among Chinese medical students,and it could be used in the evaluation of entrapment.
引文
[1] Griffiths AW,Wood AM,Maltby J,et al.The development of the Short Defeat and Entrapment Scale (SDES)[J].Psychol Assess,2015,27(4):1182-1194.
[2] Gilbert P,Allan S.The role of defeat and entrapment (arrested flight) in depression:an exploration of an evolutionary view[J].Psychol Med,1998,28(3):585-598.
[3] Siddaway AP,Taylor PJ,Wood AM,et al.A meta-analysis of perceptions of defeat and entrapment in depression,anxiety problems,posttraumatic stress disorder,and suicidality[J].J Affect Disord,2015,184:149-159.doi:10.1016/j.jad.2015.05.046.
[4] Taylor PJ,Wood AM,Gooding P,et al.Are defeat and entrapment best defined as a single construct?[J].Pers Individ Differ,2009,47(7):795-797.
[5] Li S,Yaseen ZS,Kim HJ,et al.Entrapment as a mediator of suicide crises[J].BMC Psychiatry,2018,18(1):4.doi:10.1186/s12888-018-1587-0.
[6] Ehlers A,Clark DM,Dunmore E,et al.Predicting response to exposure treatment in PTSD:the role of mental defeat and alienation[J].J Trauma Stress,1998,11(3):457-471.
[7] Dixon AK.Ethological strategies for defence in animals and humans:their role in some psychiatric disorders[J].Br J Med Psychol,1998,71 (Pt 4):417-445.
[8] Griffiths AW,Wood AM,Maltby J,et al.The prospective role of defeat and entrapment in depression and anxiety:a 12-month longitudinal study[J].Psychiatry Res,2014,216(1):52-59.
[9] Gooding P,Tarrier N,Dunn G,et al.The moderating effects of coping and self-esteem on the relationship between defeat,entrapment and suicidality in a sample of prisoners at high risk of suicide[J].Eur Psychiatry,2015,30(8):988-994.
[10]Taylor PJ,Gooding P,Wood AM,et al.The role of defeat and entrapment in depression,anxiety,and suicide[J].Psychol Bull,2011,137(3):391-420.
[11]Griffiths AW,Wood AM,Tai S.The prospective role of defeat and entrapment in caregiver burden and depression amongst formal caregivers[J].Pers Individ Differ,2018,120:24-31.
[12]Gooding P,Tarrier N,Dunn G,et al.The moderating effects of coping and self-esteem on the relationship between defeat,entrapment and suicidality in a sample of prisoners at high risk of suicide[J].Eur Psychiatry,2015,30(8):988-994.
[13]Sloman L.How the involuntary defeat strategy relates to depression[M].// Sloman L,Gilbert P,Eds.Subordination and defeat:An evolutionary approach to mood disorders and their therapy.Mahwah,NJ,US:Lawrence Erlbaum Associates Publishers,2000:47-67.
[14]Dixon AK,Fisch HU,Huber C,et al.Ethological studies in animals and man,their use in psychiatry[J].Pharmacopsychiatry,1989,22(S 1):44-50.
[15]Conno R.Suicidal behavior as a cry of pain:test of a psychological mode[J].Arch Suicide Res,2003,7(4):297-308.
[16]Vanheule S,Vandenbergen J,Verhaeghe P,et al.Interpersonal problems in alexithymia:a study in three primary care groups[J].Psychol Psychother Theory Res Pract,2011,83(4):351-362.
[17]O' Connor RC.Towards an integrated motivational-volitional model of suicidal behaviour[M]// O' Connor RC,Platt S,Gordon J.Eds.International Handbook of Suicide Prevention:Research,Policy and Practice.Oxford:Wiley-Blackwell,2011:181-198.http://dx.doi.org/10.1002/9781119998556.ch11
[18]Trachsel M,Krieger T,Gilbert P,et al.Testing a german adaption of the Entrapment Scale and assessing the relation to depression[J].Depress Res Treat,2010,2010:501782.doi:10.1155/2010/501782.
[19]Cheon SH.The relationship among perceived entrapment,depression and subjective well-being of women as family caregivers caring for dementia elderly[J].Korean J Women Health Nurs,2011,17(3):285.
[20]Ghamarani A,Siadatian SH,Pishdad R.An investigation of validity and reliability of Entrapment Scale in the students of Isfahan University of Medical Sciences,Iran[J].Qom University of Medical Sciences Journal,2014,7(6):54-61.
[21]周春兰,刘颖,罗祥蓉.病人健康问卷抑郁自评量表在住院糖尿病足溃疡患者中应用的信效度研究[J].中国全科医学,2016,19(28):3461-3466.
[22]杨海洪.9条目病人健康问卷抑郁量表在卒中后抑郁筛查中的应用价值[J].实用临床医药杂志,2016,20(8):28-30.
[23]李振华,肖亚洲,谢知,等.病人健康问卷抑郁量表(PHQ-9)在农村社区老年人群中的应用[J].中国临床心理学杂志,2011,19(2):171-174.
[24]金涛.病人健康问卷抑郁量表(PHQ-9)在社区老年人群中的应用-信度与效度分析[D].杭州:浙江大学,2010.
[25]廖娟娟,郑亚楠,黄亮明,等.PHQ-2-C、CES-D和BDI-Ⅱ-C在筛查青少年抑郁障碍中的应用研究[J].国际精神病学杂志,2017,44(1):23-25.
[2] Gilbert P,Allan S.The role of defeat and entrapment (arrested flight) in depression:an exploration of an evolutionary view[J].Psychol Med,1998,28(3):585-598.
[3] Siddaway AP,Taylor PJ,Wood AM,et al.A meta-analysis of perceptions of defeat and entrapment in depression,anxiety problems,posttraumatic stress disorder,and suicidality[J].J Affect Disord,2015,184:149-159.doi:10.1016/j.jad.2015.05.046.
[4] Taylor PJ,Wood AM,Gooding P,et al.Are defeat and entrapment best defined as a single construct?[J].Pers Individ Differ,2009,47(7):795-797.
[5] Li S,Yaseen ZS,Kim HJ,et al.Entrapment as a mediator of suicide crises[J].BMC Psychiatry,2018,18(1):4.doi:10.1186/s12888-018-1587-0.
[6] Ehlers A,Clark DM,Dunmore E,et al.Predicting response to exposure treatment in PTSD:the role of mental defeat and alienation[J].J Trauma Stress,1998,11(3):457-471.
[7] Dixon AK.Ethological strategies for defence in animals and humans:their role in some psychiatric disorders[J].Br J Med Psychol,1998,71 (Pt 4):417-445.
[8] Griffiths AW,Wood AM,Maltby J,et al.The prospective role of defeat and entrapment in depression and anxiety:a 12-month longitudinal study[J].Psychiatry Res,2014,216(1):52-59.
[9] Gooding P,Tarrier N,Dunn G,et al.The moderating effects of coping and self-esteem on the relationship between defeat,entrapment and suicidality in a sample of prisoners at high risk of suicide[J].Eur Psychiatry,2015,30(8):988-994.
[10]Taylor PJ,Gooding P,Wood AM,et al.The role of defeat and entrapment in depression,anxiety,and suicide[J].Psychol Bull,2011,137(3):391-420.
[11]Griffiths AW,Wood AM,Tai S.The prospective role of defeat and entrapment in caregiver burden and depression amongst formal caregivers[J].Pers Individ Differ,2018,120:24-31.
[12]Gooding P,Tarrier N,Dunn G,et al.The moderating effects of coping and self-esteem on the relationship between defeat,entrapment and suicidality in a sample of prisoners at high risk of suicide[J].Eur Psychiatry,2015,30(8):988-994.
[13]Sloman L.How the involuntary defeat strategy relates to depression[M].// Sloman L,Gilbert P,Eds.Subordination and defeat:An evolutionary approach to mood disorders and their therapy.Mahwah,NJ,US:Lawrence Erlbaum Associates Publishers,2000:47-67.
[14]Dixon AK,Fisch HU,Huber C,et al.Ethological studies in animals and man,their use in psychiatry[J].Pharmacopsychiatry,1989,22(S 1):44-50.
[15]Conno R.Suicidal behavior as a cry of pain:test of a psychological mode[J].Arch Suicide Res,2003,7(4):297-308.
[16]Vanheule S,Vandenbergen J,Verhaeghe P,et al.Interpersonal problems in alexithymia:a study in three primary care groups[J].Psychol Psychother Theory Res Pract,2011,83(4):351-362.
[17]O' Connor RC.Towards an integrated motivational-volitional model of suicidal behaviour[M]// O' Connor RC,Platt S,Gordon J.Eds.International Handbook of Suicide Prevention:Research,Policy and Practice.Oxford:Wiley-Blackwell,2011:181-198.http://dx.doi.org/10.1002/9781119998556.ch11
[18]Trachsel M,Krieger T,Gilbert P,et al.Testing a german adaption of the Entrapment Scale and assessing the relation to depression[J].Depress Res Treat,2010,2010:501782.doi:10.1155/2010/501782.
[19]Cheon SH.The relationship among perceived entrapment,depression and subjective well-being of women as family caregivers caring for dementia elderly[J].Korean J Women Health Nurs,2011,17(3):285.
[20]Ghamarani A,Siadatian SH,Pishdad R.An investigation of validity and reliability of Entrapment Scale in the students of Isfahan University of Medical Sciences,Iran[J].Qom University of Medical Sciences Journal,2014,7(6):54-61.
[21]周春兰,刘颖,罗祥蓉.病人健康问卷抑郁自评量表在住院糖尿病足溃疡患者中应用的信效度研究[J].中国全科医学,2016,19(28):3461-3466.
[22]杨海洪.9条目病人健康问卷抑郁量表在卒中后抑郁筛查中的应用价值[J].实用临床医药杂志,2016,20(8):28-30.
[23]李振华,肖亚洲,谢知,等.病人健康问卷抑郁量表(PHQ-9)在农村社区老年人群中的应用[J].中国临床心理学杂志,2011,19(2):171-174.
[24]金涛.病人健康问卷抑郁量表(PHQ-9)在社区老年人群中的应用-信度与效度分析[D].杭州:浙江大学,2010.
[25]廖娟娟,郑亚楠,黄亮明,等.PHQ-2-C、CES-D和BDI-Ⅱ-C在筛查青少年抑郁障碍中的应用研究[J].国际精神病学杂志,2017,44(1):23-25.