University of Washington, Behavioral Research and Therapy Clinics, Department of Clinical Psychology, Box 351525, Seattle, WA 98195-1525, USA.
J Clin Psychol. 2010 Jun;66(6):563-82. doi: 10.1002/jclp.20685.
Skills training is a crucial mode of treatment in dialectical behavioral therapy (DBT; Linehan, 1993b), yet a psychometrically sound measure of DBT skills use does not exist. We adapted the Revised Ways of Coping Checklist (RWCCL; Vitaliano, Russo, Carr, Maiuro, & Becker, 1985) to create the DBT Ways of Coping Checklist (DBT-WCCL). Using factor analysis procedures, two subscales emerged: one assessing coping via DBT skills, the DBT Skills Subscale (DSS), and one assessing coping via dysfunctional means, the Dysfunctional Coping Subscale (DCS). Principal component, internal consistency, test-retest reliability, and content validity analyses suggested that the scale has good to excellent psychometric properties. In addition, the DSS successfully discriminated patients who received skills training during 4 months of treatment from patients who did not. Moderators of skills use are also discussed. The DBT-WCCL appears to be a promising new measure of DBT skills use.
技能训练是辩证行为疗法(DBT;Linehan,1993b)中的一种重要治疗模式,但目前还没有一种经过心理测量学验证的 DBT 技能使用的衡量标准。我们改编了修订后的应对方式检查表(RWCCL;Vitaliano、Russo、Carr、Maiuro 和 Becker,1985),创建了 DBT 应对方式检查表(DBT-WCCL)。使用因子分析程序,出现了两个子量表:一个通过 DBT 技能评估应对方式,称为 DBT 技能子量表(DSS),另一个通过功能失调的方式评估应对方式,称为功能失调应对子量表(DCS)。主成分分析、内部一致性、重测信度和内容效度分析表明,该量表具有良好到优秀的心理测量学特性。此外,DSS 成功地区分了在 4 个月的治疗期间接受技能培训的患者和未接受技能培训的患者。还讨论了技能使用的调节因素。DBT-WCCL 似乎是一种有前途的新的 DBT 技能使用衡量标准。