Menzies School of Health Research, Institute of Advanced Studies, Charles Darwin University, PO Box 41096, Casuarina, NT 0811, Australia.
Aust N Z J Psychiatry. 2010 Jan;44(1):40-8. doi: 10.3109/00048670903393589.
The aim of the present study was to develop and validate an appropriate tool to assess the social and emotional well-being (SEWB) of Indigenous adolescents participating in the longitudinal Aboriginal Birth Cohort (ABC) Study.
A range of tools was assessed as to the suitability of each for use in the ABC Study. Two existing tools and a newly developed one called 'Strong Souls' were piloted in a representative group (n = 67). Strong Souls was selected as the most appropriate for use in the ABC Study, and was completed by 361 participants. Exploratory factor analysis was used to explore construct validity. Cronbach alpha was used to assess the reliability of the latent constructs and the tool overall.
Factor analysis produced a 25-item, four-factor model accounting for 34.5% of the variance. This model demonstrated sound construct validity and reliability. Factor structure was consistent with the epidemiological literature, identifying constructs of anxiety, resilience, depression and suicide risk. While these align with observations in mainstream populations, different relationships between distinct factors, and differences in symptomatology were found in this population. For example, two key findings were: feelings of sadness and low mood were linked with anxiety and not depression; and the expression of anger was verified as a unique symptom of depression for Indigenous people.
Strong Souls demonstrated validity, reliability and cultural appropriateness as a tool for screening for SEWB among Indigenous young people in the Northern Territory.
本研究旨在开发和验证一种合适的工具，以评估参与纵向原住民出生队列（ABC）研究的原住民青少年的社会和情感健康（SEWB）。
评估了一系列工具，以确定它们在 ABC 研究中的适用性。两个现有的工具和一个新开发的名为“坚强灵魂”的工具在代表性群体（n=67）中进行了试点。“坚强灵魂”被选为最适合 ABC 研究的工具，并由 361 名参与者完成。探索性因素分析用于探索结构效度。克朗巴赫阿尔法用于评估潜在结构和工具整体的可靠性。
因素分析产生了一个由 25 个项目组成的四因素模型，解释了 34.5%的方差。该模型表现出良好的结构效度和可靠性。结构与流行病学文献一致，确定了焦虑、韧性、抑郁和自杀风险的结构。虽然这些与主流人群的观察结果一致，但在该人群中发现了不同因素之间的关系和症状学的差异。例如，两个关键发现是：悲伤和情绪低落与焦虑有关，而不是抑郁；表达愤怒被证实是原住民人群中抑郁的一个独特症状。
“坚强灵魂”作为一种筛查北领地原住民年轻人 SEWB 的工具，表现出有效性、可靠性和文化适宜性。
