烧伤儿童及其家庭心理社会问题筛查问卷的检测性能特征。

Test performance characteristics of a case-finding psychosocial questionnaire for children with burn injuries and their families.

机构信息

Department of Surgery, Massachusetts General Hospital and Shriners Hospitals for Children-Boston, MA, USA.

出版信息

J Trauma Acute Care Surg. 2012 Sep;73(3 Suppl 2):S221-8. doi: 10.1097/TA.0b013e318265c86b.

DOI:10.1097/TA.0b013e318265c86b

PMID:22929550

Abstract

BACKGROUND

The Long-Form Psychosocial Questionnaire (LFPQ) includes full versions of the Child Stress Reaction Checklist, the Family Environment Scale, and the Parenting Stress Index. Condensed versions of these measures were used to create a Short-Form Psychosocial Questionnaire (SFPQ) that could be used as an indicator of child well-being and specific areas of child, parent, and family functioning in children aged 0 years to 18 years with burn injury.

METHODS

Parents of 830 children aged 0 years to 18 years with acute burn injury from the Shriners Hospitals for Children Multi-Center Benchmarking Study completed the LFPQ at baseline and follow-up visits up to 48 months at four major burn centers. The internal consistency reliability and variability of the LFPQ explained by the SFPQ for each of the measures were calculated. The construct validity of the SFPQ measures was determined by factor analysis. The magnitude of the change for the SFPQ measures during 48 months of follow-up was examined.

RESULTS

The internal consistency reliability of the short-form measures ranged from 0.62 to 0.90. The variability of the long-form measures explained by the short-form measures was 61% for the Child Stress Reaction Checklist (average of six long-form scales), 60% for the Family Environment Scale (conflict), and 90% for the Parenting Stress Index (average of 13 scales). Factor analysis supported the construct validity of the model for the short-form measures. The magnitude of change for the short-form measures showed clinical improvement for 48 months.

CONCLUSION

The SFPQ is both a reliable and valid assessment for evaluating the psychosocial functioning of children following burn injuries.

摘要

背景

长式心理社会问卷（LFPQ）包括儿童应激反应检查表、家庭环境量表和父母压力指数的完整版本。这些测量方法的浓缩版本被用来创建短式心理社会问卷（SFPQ），可以作为 0 岁至 18 岁烧伤儿童的健康状况和儿童、父母和家庭功能特定领域的指标。

方法

来自 Shriners 儿童医院多中心基准研究的 830 名 0 岁至 18 岁急性烧伤儿童的父母在四个主要烧伤中心完成了基线和随访，随访时间长达 48 个月。计算了 SFPQ 对每个测量方法的 LFPQ 的内部一致性可靠性和可变性。通过因子分析确定 SFPQ 测量的结构有效性。检查了 SFPQ 测量在 48 个月随访期间的变化幅度。

结果

短式测量的内部一致性可靠性范围为 0.62 至 0.90。长式测量的短式测量解释的可变性为儿童应激反应检查表（6 个长式量表的平均值）的 61%，家庭环境量表（冲突）的 60%，父母压力指数（13 个量表的平均值）的 90%。因子分析支持短式测量模型的结构有效性。短式测量的变化幅度表明 48 个月的临床改善。