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创伤后柬埔寨难民的焦虑敏感性:判别函数与因素分析研究

Anxiety sensitivity in traumatized Cambodian refugees: a discriminant function and factor analytic investigation.

作者信息

Hinton Devon E, Pich Vuth, Safren Steven A, Pollack Mark H, McNally Richard J

机构信息

Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

出版信息

Behav Res Ther. 2005 Dec;43(12):1631-43. doi: 10.1016/j.brat.2005.01.001.

DOI:10.1016/j.brat.2005.01.001
PMID:16239155
Abstract

We examined the psychometric properties and factor structure of a Cambodian translation of the Anxiety Sensitivity Index (ASI) and an Augmented ASI (the ASI supplemented with a 9-item addendum that assesses additional Cambodian concerns about anxiety-related sensations). Both the ASI and the Augmented ASI distinguished among three diagnostic groups: highest score, PTSD with panic disorder (PP group); next, panic disorder without PTSD (P group); and then, other disorders than PTSD or panic disorder (O group). In the discriminant function analysis using the Augmented ASI, the best classificatory predictor (PP vs. P vs. O) was an Addendum item ("It scares me when I stand up and feel dizzy"). The principal component analysis (oblimin rotation) of the ASI yielded a 3-factor solution (I, Weak Heart Concerns; II, Control Concerns; III, Social Concerns) and of the Augmented ASI, a 4-factor solution (I, Weak Heart Concerns; II, Control Concerns; III, Wind Attack Concerns; IV, Social Concerns). The item clustering within the factor solution of both the ASI and Augmented ASI illustrates the role of cultural syndromes in generating fear of mental and bodily events.

摘要

我们检验了焦虑敏感性指数(ASI)柬埔寨语译本以及增广版ASI(在ASI基础上补充了一个包含9个条目的附录,用于评估柬埔寨人对焦虑相关感觉的其他担忧)的心理测量特性和因子结构。ASI和增广版ASI均能区分三个诊断组:得分最高的创伤后应激障碍伴惊恐障碍组(PP组);其次是无创伤后应激障碍的惊恐障碍组(P组);然后是除创伤后应激障碍或惊恐障碍之外的其他障碍组(O组)。在使用增广版ASI进行的判别函数分析中,最佳分类预测指标(PP组与P组与O组)是附录中的一个条目(“当我站起来感到头晕时,这让我害怕”)。对ASI进行主成分分析(斜交旋转)得到一个三因子解(I,心脏虚弱担忧;II,控制担忧;III,社交担忧),对增广版ASI进行主成分分析得到一个四因子解(I,心脏虚弱担忧;II,控制担忧;III,中风发作担忧;IV,社交担忧)。ASI和增广版ASI因子解中的条目聚类说明了文化综合征在引发对心理和身体事件恐惧方面的作用。

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