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测量自伤冲动:来自临床样本的初步数据。

Measuring the urge to self-injure: preliminary data from a clinical sample.

机构信息

Alexian Brothers Behavioral Health Hospital, Center for Evidence-Based Practice, 1650 Moon Lake Blvd., Hoffman Estates, IL 60169, United States.

出版信息

Psychiatry Res. 2010 Aug 15;178(3):540-4. doi: 10.1016/j.psychres.2010.05.018. Epub 2010 Jun 30.

DOI:10.1016/j.psychres.2010.05.018
PMID:20580437
Abstract

The purpose of this study was to evaluate the psychometric properties of a measure, the Alexian Brothers Urge to Self-Injure Scale (ABUSI). The ABUSI was designed to assess the severity of the urge to engage in non-suicidal self-injury. Non-suicidal self-injury is the deliberate damage of body tissue that is not sanctioned by society and is devoid of an active intent to die. Participants included 386 adolescent and adult patients (90.7% female, 86.3% non-Hispanic white) admitted to a psychiatric facility for the treatment of non-suicidal self-injury. Patients were administered the ABUSI as well as measures of the frequency of self-injury, quality of life and satisfaction, functional impairment, and suicidal ideation at admission and discharge as part of routine clinical assessment. Results provide preliminary support for the reliability and validity of the ABUSI as a measure of the intensity of the urge to self-injure. Specifically, the ABUSI demonstrated adequate internal consistency, test-retest reliability, sensitivity to change, and convergent, predictive, and incremental validity. Findings suggest the ABUSI is a promising tool for both clinical assessment and research.

摘要

本研究旨在评估 Alexian Brothers 自伤冲动量表 (ABUSI) 的心理测量学特性。ABUSI 旨在评估参与非自杀性自伤冲动的严重程度。非自杀性自伤是指故意破坏身体组织,这种行为不受社会认可,也没有主动自杀的意图。参与者包括 386 名青少年和成年患者(90.7%为女性,86.3%为非西班牙裔白人),他们因非自杀性自伤而被收治到精神病院接受治疗。作为常规临床评估的一部分,患者在入院和出院时接受 ABUSI 以及自伤频率、生活质量和满意度、功能障碍和自杀意念的测量。结果初步支持 ABUSI 作为衡量自伤冲动强度的有效工具。具体而言,ABUSI 表现出足够的内部一致性、重测信度、对变化的敏感性以及与其他测量工具的一致性、预测性和增量有效性。研究结果表明,ABUSI 是一种有前途的临床评估和研究工具。

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