Institute of Clinical Psychology & Psychotherapy, Technical University Dresden, Germany.
Psychol Health Med. 2010 Oct;15(5):584-95. doi: 10.1080/13548506.2010.487107.
Based on a recent diagnostic proposal for adjustment disorders a self-report assessment was developed. The current study reports validation results. Psychometric properties were examined using two different samples of 687 patients with cardiac arrhythmias and 86 patients from a psychosomatic outpatient clinic. Besides evaluating the internal structure and re-test reliability, associations with quality of life, general anxiety and depression, symptoms of posttraumatic stress disorder and coping strategies were analyzed. The factor analysis confirmed the three postulated factors: intrusion, avoidance and failure to adapt. The internal consistencies for these three scales were between α = 0.74 and 0.91. The re-rest reliability of the scales for a six-week period lay between r(tt) = 0.61 and 0.84. Medium-sized correlations were found between the scales with general anxiety and depression as well as posttraumatic stress disorder. Furthermore, the scales correlated with emotion-oriented and somewhat with proactive coping, but not with task-oriented or avoidance-oriented coping strategies. It is concluded that the self-report on adjustment disorders enables new possibilities to investigate further previously under-researched adjustment disorders.
基于最近对适应障碍的诊断建议，开发了一种自我报告评估方法。本研究报告了验证结果。使用来自心律失常患者的两个不同样本（687 例）和心身门诊的 86 例患者，对心理测量特性进行了检验。除了评估内部结构和重测信度外，还分析了与生活质量、一般焦虑和抑郁、创伤后应激障碍症状以及应对策略的关联。因素分析证实了三个假定的因素：侵入、回避和适应不良。这三个量表的内部一致性在α=0.74 到 0.91 之间。六个星期期间量表的重测信度介于 r(tt)=0.61 和 0.84 之间。在一般焦虑和抑郁以及创伤后应激障碍方面，这些量表之间存在中等程度的相关性。此外，这些量表与情绪导向的应对策略相关，与主动应对策略有些相关，而与任务导向或回避导向的应对策略不相关。研究结论是，适应障碍的自我报告为进一步研究以前研究不足的适应障碍提供了新的可能性。
