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[安东诺夫斯基的连贯感量表与精神科诊断的呈现]

[Antonovsky's sense of coherence scale and presentation of a psychiatric diagnosis].

作者信息

Hannöver Wolfgang, Michael Andrea, Meyer Christian, Rumpf Hans-Jürgen, Hapke Ulfert, John Ulrich

机构信息

Ernst-Moritz-Arndt-Universität Greifswald, Institut für Epidemiologie und Sozialmedizin, Greifswald.

出版信息

Psychother Psychosom Med Psychol. 2004 Mar-Apr;54(3-4):179-86. doi: 10.1055/s-2003-814787.

DOI:10.1055/s-2003-814787
PMID:15037983
Abstract

Despite a wide reception of Antonovsky's salutogenetic model, only recently representative data measuring sense of coherence with the Sense of Coherence Scale (SOC) have been collected for Germany. Meanwhile, norms have been published for the long (SOC-29) and the short-form (SOC-13) of the scale. Also an alternative short-form (SOC-9L) has been developed. Basis of this investigation are data from 4002 subjects (70.2 % response rate) from a representative sample in the City of Lübeck and the surrounding communities. In addition to a comprehensive battery of psychometric instruments, the Munich-Composite International Diagnostic Interview (M-CIDI) was used to derive DSM-IV diagnostic criteria. In this study, test statistical parameters for SOC-items stemming from a representative survey are reported. Internal consistencies (Cronbach's alpha) for the three forms are: SOC-29 = 0.91, SOC-13 = 0.86 und SOC-9L = 0.85. Critical differences with an alpha of 5 % are ascertained at: SOC-29 = 17.73, SOC-13 = 11.55 und SOC-9L = 8.61. Arithmetic means (and standard deviations) of the three scales for the whole sample are: SOC-29 = 155 (23), SOC-13 = 70 (11), SOC-9L = 51 (8). Also descriptive values, respecting age and gender for the three forms of the SOC are referred. Additionally all three SOC forms for the whole sample are contrasted with SOC scores of subjects who a) never fulfilled criteria for a psychiatric disorder in their lifetime, b) fulfilled criteria for a psychiatric disorder once in their lifetime, and c) fulfilled criteria for a psychiatric disorder in the last 12 months. Subjects who never fulfilled criteria showed highest scores, those who did so within the last 12 months showed lowest scores. The other two group scored in between.

摘要

尽管安东诺夫斯基的健康生成模型受到广泛欢迎,但直到最近才收集到德国使用连贯感量表(SOC)测量连贯感的代表性数据。与此同时,该量表的长式(SOC - 29)和短式(SOC - 13)的常模已经公布。此外,还开发了一种替代短式(SOC - 9L)。本调查的依据是吕贝克市及周边社区代表性样本中4002名受试者的数据(回复率为70.2%)。除了一系列全面的心理测量工具外,慕尼黑综合国际诊断访谈(M - CIDI)被用于得出《精神疾病诊断与统计手册》第四版(DSM - IV)的诊断标准。在本研究中,报告了来自代表性调查的SOC项目的测试统计参数。三种形式的内部一致性(克朗巴哈系数)分别为:SOC - 29 = 0.91,SOC - 13 = 0.86,SOC - 9L = 0.85。在显著性水平为5%时确定的临界差异为:SOC - 29 = 17.73,SOC - 13 = 11.55,SOC - 9L = 8.61。整个样本三种量表的算术平均值(及标准差)分别为:SOC - 29 = 155(23),SOC - 13 = 70(11),SOC - 9L = 51(8)。还提及了三种形式的SOC在年龄和性别方面的描述性值。此外,将整个样本的所有三种SOC形式与以下受试者的SOC分数进行了对比:a)一生中从未符合精神疾病标准的受试者;b)一生中曾有一次符合精神疾病标准的受试者;c)在过去12个月内符合精神疾病标准的受试者。从未符合标准的受试者得分最高,在过去12个月内符合标准的受试者得分最低。另外两组得分介于两者之间。

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