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中文版《正念注意觉察量表(MAAS)》在纤维肌痛患者中的心理测量学特性。

Psychometric properties of the Spanish version of the Mindful Attention Awareness Scale (MAAS) in patients with fibromyalgia.

机构信息

Department of Psychiatry, Miguel Servet Hospital & University of Zaragoza, Instituto Aragonés de Ciencias de la Salud, Red de Actividades Preventivas y de Promoción de la Salud (REDIAPP), Zaragoza, Spain.

出版信息

Health Qual Life Outcomes. 2013 Jan 14;11:6. doi: 10.1186/1477-7525-11-6.

Abstract

BACKGROUND

Mindful-based interventions improve functioning and quality of life in fibromyalgia (FM) patients. The aim of the study is to perform a psychometric analysis of the Spanish version of the Mindful Attention Awareness Scale (MAAS) in a sample of patients diagnosed with FM.

METHODS

The following measures were administered to 251 Spanish patients with FM: the Spanish version of MAAS, the Chronic Pain Acceptance Questionnaire, the Pain Catastrophising Scale, the Injustice Experience Questionnaire, the Psychological Inflexibility in Pain Scale, the Fibromyalgia Impact Questionnaire and the Euroqol. Factorial structure was analysed using Confirmatory Factor Analyses (CFA). Cronbach's α coefficient was calculated to examine internal consistency, and the intraclass correlation coefficient (ICC) was calculated to assess the test-retest reliability of the measures. Pearson's correlation tests were run to evaluate univariate relationships between scores on the MAAS and criterion variables.

RESULTS

The MAAS scores in our sample were low (M = 56.7; SD = 17.5). CFA confirmed a two-factor structure, with the following fit indices [sbX2 = 172.34 (p < 0.001), CFI = 0.95, GFI = 0.90, SRMR = 0.05, RMSEA = 0.06. MAAS was found to have high internal consistency (Cronbach's α = 0.90) and adequate test-retest reliability at a 1-2 week interval (ICC = 0.90). It showed significant and expected correlations with the criterion measures with the exception of the Euroqol (Pearson = 0.15).

CONCLUSION

Psychometric properties of the Spanish version of the MAAS in patients with FM are adequate. The dimensionality of the MAAS found in this sample and directions for future research are discussed.

摘要

背景

基于正念的干预措施可改善纤维肌痛(FM)患者的功能和生活质量。本研究的目的是在 FM 患者样本中对正念注意觉察量表(MAAS)的西班牙语版本进行心理测量学分析。

方法

对 251 名西班牙 FM 患者进行以下评估:西班牙版 MAAS、慢性疼痛接受问卷、疼痛灾难化量表、不公正体验问卷、疼痛心理灵活性量表、纤维肌痛影响问卷和 EuroQol。使用验证性因子分析(CFA)分析因子结构。计算克朗巴赫 α 系数以检验内部一致性,计算组内相关系数(ICC)以评估测量的重测信度。进行 Pearson 相关检验以评估 MAAS 评分与效标变量之间的单变量关系。

结果

我们样本中的 MAAS 评分较低(M=56.7;SD=17.5)。CFA 验证了双因素结构,拟合指数如下[sbX2=172.34(p<0.001),CFI=0.95,GFI=0.90,SRMR=0.05,RMSEA=0.06]。MAAS 具有较高的内部一致性(克朗巴赫 α=0.90),在 1-2 周的间隔内具有良好的重测信度(ICC=0.90)。它与除 EuroQol 之外的效标测量具有显著的预期相关性(Pearson=0.15)。

结论

FM 患者 MAAS 西班牙语版本的心理测量学特性良好。讨论了在该样本中发现的 MAAS 的维度以及未来研究的方向。

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