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[在早期干预范围内评估家庭的风险暴露:海德堡压力量表(HBS)及其质量标准]

[Assessing risk exposure in families within the scope of early intervention: the Heidelberg Stress scale (HBS) and its quality criteria].

作者信息

Sidor Anna, Eickhorst Andreas, Stasch Michael, Cierpka Manfred

机构信息

Institut für Psychosomatische Kooperationsforschung und Familientherapie, Universitätsklinikum Heidelberg.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2012;61(10):766-80. doi: 10.13109/prkk.2012.61.10.766.

DOI:10.13109/prkk.2012.61.10.766
PMID:23367808
Abstract

The aim of the study presented is to introduce the newly developed instrument to assess stress, the Heidelberg Stress Scale (Heidelberger Belastungsskala--HBS), and to examine its psychometric characteristics. The HBS was developed for a low-threshold and multi-professional assessment of a family's stresses and resources after the birth of a child. The HBS can be used in the outreach work of family midwives, for instance, as well as in research. The validity of the HBS was tested in a sample of 284 psychosocially stressed families after the birth of their child; the inter-rater reliability was tested in a sample of 41 families that were also in stress. The HBS exhibits an excellent inter-rater reliability within a homogeneous professional group (psychology students). As relates to the construct validity, a strong positive connection between the HBS and Kindler's screening sheet was found; the HBS exhibits a negative correlation with maternal sensitivity and a positive correlation with maternal stress level. With a high level of stress in the HBS, the risk of taking the child into care is increased by 4.5 times; the sensitivity amounts to 63.6%. The quality criteria are satisfactory.

摘要

本研究的目的是介绍新开发的用于评估压力的工具——海德堡压力量表(Heidelberger Belastungsskala--HBS),并检验其心理测量学特征。HBS是为低门槛、多专业评估孩子出生后家庭的压力和资源而开发的。例如,HBS可用于家庭助产士的外联工作以及研究中。在284个孩子出生后遭受心理社会压力的家庭样本中测试了HBS的有效性;在41个同样处于压力中的家庭样本中测试了评分者间信度。HBS在同质专业群体(心理学专业学生)中表现出出色的评分者间信度。关于结构效度,发现HBS与金德勒筛查表之间存在强正相关;HBS与母亲敏感性呈负相关,与母亲压力水平呈正相关。HBS压力水平高时,孩子被送入托管的风险增加4.5倍;敏感性为63.6%。质量标准令人满意。

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