Pediatric Department, Leiden University Medical Center, Leiden, The Netherlands.
Psychooncology. 2010 Apr;19(4):368-75. doi: 10.1002/pon.1571.
Diagnosis and treatment of childhood cancer are continuous stressors in the lives of the entire family involved. Disease-related tools for the assessment of parental stress and adaptation are scarce. For that reason, the Pediatric Inventory for Parents (PIP), a disease-related measure, was translated into Dutch and its psychometric qualities were determined to prove its value.
The PIP and three other measures (State-Trait Anxiety Inventory, General Health Questionnaire and Parenting Stress Index, Short Form) were administered to 174 parents of 107 children diagnosed with cancer in three university medical centers in the Netherlands.
Internal consistency (Crohnbach's alpha=0.94 and 0.95) and test-retest reliability (Pearson's r between 0.67 and 0.87) of the Dutch PIP total scales are satisfactory. Validity was illustrated by a high correlation between PIP-scores and anxiety and general stress. Confirmatory factor analysis showed acceptable fit to the data for the original four-factor and the one-factor models; the four-factor model showed slightly better fit.
The PIP can be used in clinical practice to assess disease-related parental stress. Further psychometric testing is highly recommended.
儿童癌症的诊断和治疗是整个相关家庭生活中的持续压力源。用于评估父母压力和适应的疾病相关工具稀缺。因此,将儿科父母问卷(PIP),一种疾病相关的测量工具,翻译成荷兰语,并确定其心理测量学质量以证明其价值。
在荷兰的三个大学医学中心,对 107 名被诊断患有癌症的儿童的 174 名父母进行了 PIP 以及其他三种测量工具(状态特质焦虑量表、一般健康问卷和父母压力指数,短式)的评估。
荷兰 PIP 总量表的内部一致性(克朗巴赫的α=0.94 和 0.95)和重测信度(Pearson r 介于 0.67 和 0.87 之间)令人满意。PIP 评分与焦虑和一般压力之间的高度相关性说明了有效性。验证性因子分析表明,原始的四因素模型和单因素模型的数据拟合良好;四因素模型的拟合度稍好。
PIP 可用于临床实践中评估与疾病相关的父母压力。强烈建议进一步进行心理测量学测试。