Eisen Susan V, Gerena Mariana, Ranganathan Gayatri, Esch David, Idiculla Thomas
Health Services Department, Boston University School of Public Health, Boston, MA, USA.
J Behav Health Serv Res. 2006 Jul;33(3):304-23. doi: 10.1007/s11414-006-9025-3.
Increasing racial and ethnic diversity calls for mental health assessment instruments that are appropriate, reliable, and valid for the wide range of cultures that comprise the current US population. However, most assessment instruments have not been tested on diverse samples. This study assessed psychometric properties and sensitivity to change of the revised Behavior and Symptom Identification Scale (BASIS-24) among the three largest race/ethnicity groups in the USA: Whites, African-Americans, and Latinos. BASIS-24 assessments were obtained for 2436 inpatients and 2975 outpatients treated at one of 27 mental health and/or substance abuse programs. Confirmatory factor analysis and several psychometric tests supported the factor structure, reliability, concurrent validity, and sensitivity of the instrument within each race/ethnicity group, although discriminant validity may be weaker for African-Americans and Latinos than for Whites. Further research is needed to test and validate assessment instruments with other race/ethnicity groups.
种族和族裔多样性的增加，需要适用于构成当前美国人口的广泛文化、可靠且有效的心理健康评估工具。然而，大多数评估工具尚未在多样化样本上进行测试。本研究评估了美国最大的三个种族/族裔群体（白人、非裔美国人和拉丁裔）中修订后的行为和症状识别量表（BASIS-24）的心理测量特性及对变化的敏感性。对在27个心理健康和/或药物滥用项目之一接受治疗的2436名住院患者和2975名门诊患者进行了BASIS-24评估。验证性因素分析和多项心理测量测试支持了该工具在每个种族/族裔群体中的因素结构、可靠性、同时效度和敏感性，尽管非裔美国人和拉丁裔的区分效度可能比白人弱。需要进一步研究以测试和验证针对其他种族/族裔群体的评估工具。
