Flessner Christopher A, Sapyta Jeffrey, Garcia Abbe, Freeman Jennifer B, Franklin Martin E, Foa Edna, March John
Rhode Island Hospital, Child and Adolescent Psychiatry, Bradley Hasbro Children's Research Center, 1 Hoppin St., Suite 204, Coro West, Providence, RI 02903, USA, Warren Alpert School of Medicine at Brown University, Providence, RI, USA.
J Psychopathol Behav Assess. 2009 Mar;31(1):38-46. doi: 10.1007/s10862-010-9196-3.
Growing research has examined parental accommodation among the families of children with obsessive-compulsive disorder (OCD). However, these studies have utilized a parent-report (PR) version of a measure, the Family Accommodation Scale (FAS) that has never received proper psychometric validation. In turn, previously derived subscales have been developed via clinical rather than empirical evidence. This study aims to conduct a comprehensive psychometric analysis of the FAS-PR utilizing data collected from 96 youths with OCD. Exploratory factors analysis was conducted and revealed a 12-item scale yielding two separate, yet related subscales, Avoidance of Triggers (AT) and Involvement in Compulsions (IC). Subsequent analyses revealed good internal consistency and convergent and discriminant validity. These findings suggest that future research should seek to examine factors that may impact various facets to accommodation as well as the role these facets plays in predicting treatment outcome. Limitations are discussed.
越来越多的研究关注了强迫症(OCD)患儿家庭中的父母迁就行为。然而,这些研究使用的是一种测量工具的家长报告(PR)版本,即家庭迁就量表(FAS),该量表从未经过适当的心理测量学验证。相应地,之前得出的子量表是通过临床证据而非实证证据开发的。本研究旨在利用从96名患有强迫症的青少年收集的数据,对FAS-PR进行全面的心理测量学分析。进行了探索性因素分析,结果显示一个由12个项目组成的量表产生了两个独立但相关的子量表,即触发因素回避(AT)和强迫行为参与(IC)。后续分析显示出良好的内部一致性以及收敛效度和区分效度。这些发现表明,未来的研究应致力于考察可能影响迁就行为各个方面的因素,以及这些方面在预测治疗结果中所起的作用。同时也讨论了研究的局限性。