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重新审视使用社区样本中的儿童躯体化量表（CSI-24）对躯体化的因子结构。

Reexamining the Factor structure of somatization using the children's somatization inventory (CSI-24) in a community sample.

机构信息

Children's Memorial Hospital, 2300 Children's Plaza, Chicago, IL 60614, USA.

出版信息

J Pediatr Psychol. 2012 Sep;37(8):914-24. doi: 10.1093/jpepsy/jss060. Epub 2012 Apr 27.

DOI:10.1093/jpepsy/jss060
PMID:22544952
Abstract

OBJECTIVE

Pediatric somatization studies have used the 35-item Child Somatization Inventory (CSI-35) or psychometrically refined 24-item CSI (CSI-24). Exploratory factor analysis of the CSI-24 has identified a single factor that did not show good model fit in confirmatory factor analysis (CFA). Further evaluation of the CSI-24 factor structure is needed.

METHODS

The present study examined alternative factor structures of the CSI-24 in a community sample (N = 233, ages 8-15).

RESULTS

The CFA showed good fit for a single CSI-24 factor, better fit for multiple factor models, and best fit for a single, six-item factor. Construct validity for that factor was found in significant correlations with anxiety, depression, functional disability, and quality of life.

CONCLUSIONS

Results are consistent with a single somatization factor, but research is needed to verify the factor structure in different, race/ethnic/demographic, and clinical groups.

摘要

目的

儿科躯体化研究使用了 35 项儿童躯体化量表（CSI-35）或经过心理测量学修正的 24 项 CSI（CSI-24）。CSI-24 的探索性因素分析确定了一个单一因素，在验证性因素分析（CFA）中没有表现出良好的模型拟合。需要进一步评估 CSI-24 的因子结构。

方法

本研究在社区样本（N=233，年龄 8-15 岁）中检验了 CSI-24 的替代因子结构。

结果

CFA 显示单一 CSI-24 因子具有良好的拟合度，多因子模型拟合度更好，而单一的六因子模型拟合度最佳。该因子与焦虑、抑郁、功能障碍和生活质量存在显著相关性，表明其具有良好的结构效度。

结论

结果与单一躯体化因子一致，但需要在不同的种族/民族/人口统计学和临床群体中验证该因子结构。

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