Ovuga Emilio, Boardman Jed, Wasserman Danuta
The National Institute for Psychosocial Medicine and The Department of Public Health Sciences, Karolinska Institute, Box 230 SE, 17177 Stockholm, Sweden.
Afr Health Sci. 2005 Jun;5(2):137-44.
No indigenous screening instruments are available for the detection of depression and suicide risk relevant to the context of patients in Uganda. The Response Inventory for Stressful Life Events (RISLE) may be an appropriate tool, but requires validation.
The paper reports on the development of the RISLE and the refinement of the 100-item RISLE into a shorter version for use in large samples.
Two samples were used in the validation exercise: a general population sample from Adjumani and Bugiri districts and a student sample from Makerere University in Kampala district. The RISLE responses were subjected to Principal Components Analysis and Discriminant Function Analysis. The 100-item RISLE and resulting shorter version were compared and their concurrent validity assessed by comparing test results to the individuals' responses to the Beck Depression Inventory (BDI) and the Beck Scale for Suicide ideation (BSS).
Nine hundred thirty nine questionnaires were available for the population sample, 101 for the student sample. The 100-item RISLE was reduced to 36-items without loss of face validity. Both the 100- and 36-item versions had high internal consistency, were highly correlated with each other and with the BDI and BSS.
The 36-item RISLE appears to be an advance on the 100-item version, retaining its internal consistency and concurrent validity.
乌干达没有适用于检测抑郁症和自杀风险的本土筛查工具。应激性生活事件反应量表(RISLE)可能是一种合适的工具,但需要进行验证。
本文报告了RISLE的编制过程以及将包含100个条目的RISLE精简为更短版本以用于大样本研究的情况。
验证过程中使用了两个样本:来自阿朱马尼区和布吉里区的普通人群样本以及来自坎帕拉区马凯雷雷大学的学生样本。对RISLE的回答进行主成分分析和判别函数分析。比较了包含100个条目的RISLE及其精简后的短版本,并通过将测试结果与个体对贝克抑郁量表(BDI)和自杀意念贝克量表(BSS)的回答进行比较来评估它们的同时效度。
普通人群样本有939份问卷可用,学生样本有101份问卷可用。包含100个条目的RISLE被精简为36个条目,且没有丧失表面效度。100个条目和36个条目的版本都具有较高的内部一致性,彼此之间以及与BDI和BSS都高度相关。
36个条目的RISLE似乎比100个条目的版本有所改进,保留了其内部一致性和同时效度。