University of Maryland, Baltimore, Baltimore, MD 21201, USA.
Arch Psychiatr Nurs. 2011 Feb;25(1):11-20. doi: 10.1016/j.apnu.2010.05.001. Epub 2010 Jun 29.
Resilience is described as the ability to achieve, retain, or regain a level of physical or emotional health after illness or loss. The Resilience Scale was specifically developed to measure personality characteristics of resilience in older adults. The purposes of this article are to provide additional support for the psychometric properties of the Resilience Scale and to consider the clinical applicability of this tool. Data from two independent samples of older adults were used. Most of the participants were Caucasian women, between 80 and 90 years of age, widowed, single, or divorced, and they had on average approximately three comorbid medical problems. Psychometric testing included confirmatory factor analysis, Rasch analysis, and test criterion relationships for validity testing, and internal consistency and estimates of R(2) for reliability testing. Although there was some support for the reliability and validity of the 25-item Resilience Scale, there was a poor fit of Items 3-6, 9, 11, 20, and 22 in the 25-item measure. Overall, participants in both samples scored high in resilience, and item mapping indicated that additional items are needed on the measure to differentiate those who are particularly resilient. Although revisions are recommended, use of the Resilience Scale can help identify older adults low in resilience and expose these individuals to interventions to improve resilience and facilitate successful aging.
韧性被描述为在患病或遭受损失后恢复身体或情绪健康水平的能力。韧性量表是专门为衡量老年人的韧性人格特征而开发的。本文的目的是为韧性量表的心理测量学特性提供额外的支持，并考虑该工具的临床适用性。数据来自两个独立的老年人样本。大多数参与者是 80 至 90 岁的白人女性，丧偶、单身或离婚，平均患有大约三种合并症。心理测量测试包括验证性因素分析、Rasch 分析和测试标准关系的有效性测试，以及可靠性测试的内部一致性和 R（2）的估计。尽管 25 项韧性量表的可靠性和有效性得到了一定程度的支持，但在 25 项量表中，第 3-6、9、11、20 和 22 项的拟合度较差。总体而言，两个样本中的参与者在韧性方面得分都很高，项目映射表明该测量需要额外的项目来区分那些特别有韧性的人。尽管建议进行修订，但使用韧性量表可以帮助识别韧性较低的老年人，并使这些人接触到提高韧性和促进成功老龄化的干预措施。
