Mexican Institute of Transference Focused Psychotherapy, Iberoamerican University, Mexico City, Mexico.
Mexican Institute of Public Health Cuernavaca, México City, Mexico.
Child Adolesc Psychiatry Ment Health. 2013 Jul 31;7:25. doi: 10.1186/1753-2000-7-25. eCollection 2013.
The construct "identity" was discussed to be integrated as an important criterion for diagnosing personality disorders in DSM-5. According to Kernberg, identity diffusion is one of the relevant underlying structures in terms of personality organization for developing psychopathology, especially borderline personality disorder. Therefore, it would be important to differentiate healthy from pathological development already in adolescence. With the questionnaire termed AIDA (Assessment of Identity Development in Adolescence), a reliable and valid self-rating inventory was introduced by Goth, Foelsch, Schlueter-Mueller, & Schmeck (2012) to assess pathology-related identity development in healthy and disturbed adolescents. To test the usefulness of the questionnaire in Mexico, we contributed to the development of a culture-specific Spanish translation of AIDA and tested the reliability and aspects of validity of the questionnaire in a juvenile Mexican sample.
An adapted Spanish translation of AIDA was developed by an expert panel from Chile, Mexico, and Spain in cooperation with the original authors, focusing on content equivalence and comprehensibility by considering specific idioms, life circumstances, and culture-specific aspects. The psychometric properties of the Spanish version were first tested in Mexico. Participants were 265 students from a state school (N = 110) and private school (N = 155), aged between 12 and 19 years (mean 14.15 years). Of these, 44.9% were boys and 55.1% were girls. Item characteristics were analyzed by several parameters, scale reliability by Cronbach's Alpha, and systematic effects of gender, age, and socioeconomics by an analysis of variance (ANOVA). We evaluated aspects of criterion validity in a juvenile justice system sample (N = 41) of adolescent boys in conflict with the law who displayed various types of behavioral problems by comparing the AIDA scores of a subgroup with signs for borderline pathology (N = 14) with the scores obtained in the student sample using T-tests.
The psychometric properties of the Spanish version of AIDA proved satisfactory in the Mexican sample for items as well as scales. The reliability coefficients were α = .94 for the total scale "Identity Diffusion", α = .85 and .92 for the two primary scales "Discontinuity" and "Incoherence", and between α = .70 and .83 for the subscales. However, some items of the item pool in the Spanish version of AIDA did not meet all criteria for test equivalence and should thus be reformulated, taking the Mexican culture into account. Significant effects for gender and age were found. In line with our theory, the AIDA scores in the domains "Discontinuity" (high effect size) and "Incoherence" (medium effect size) were markedly higher in the delinquent boys than in the student group.
The Spanish version of AIDA can be used in Mexico with satisfying psychometric properties, with only minor adaptions required. Our study contributes to the intercultural applicability of the AIDA instrument using the construct "identity integration vs. diffusion" as it was defined in the AIDA model for diagnostic purposes. Cultural differences, even those present in the various Spanish-speaking countries, should be modeled carefully.
“同一性”这一概念被认为是 DSM-5 中诊断人格障碍的一个重要标准。根据 Kernberg 的观点,同一性弥散是人格组织中与发展出精神病理学相关的潜在结构之一,尤其是边缘型人格障碍。因此,在青少年时期就区分健康和病态的发展是很重要的。 Goth、Foelsch、Schlueter-Mueller 和 Schmeck(2012)提出了一种名为 AIDA(青少年同一性发展评估)的可靠有效的自评量表,用于评估健康和受干扰的青少年中与病理学相关的同一性发展。为了检验问卷在墨西哥的有效性,我们参与了 AIDA 的特定于文化的西班牙语翻译的开发,并在墨西哥青少年样本中测试了问卷的信度和效度方面。
由来自智利、墨西哥和西班牙的专家小组通过合作与原始作者一起开发了 AIDA 的适应性西班牙语翻译,重点关注内容等效性和可理解性,同时考虑了特定的习语、生活环境和特定于文化的方面。西班牙语版本的心理测量特性首先在墨西哥进行了测试。参与者是一所州立学校(N=110)和私立学校(N=155)的 265 名学生,年龄在 12 至 19 岁之间(平均年龄为 14.15 岁)。其中,44.9%是男孩,55.1%是女孩。通过几个参数分析项目特征,用 Cronbach 的 Alpha 分析量表信度,用方差分析(ANOVA)分析性别、年龄和社会经济状况的系统影响。我们通过比较具有边缘病理学迹象的亚组(N=14)与学生样本的 AIDA 评分,在具有各种行为问题的违法青少年的少年司法系统样本(N=41)中评估了效标效度,使用 T 检验。
AIDA 的西班牙语版本在墨西哥样本中的项目和量表的心理测量特性都令人满意。信度系数为“同一性弥散”总量表为α=0.94,“不连续”和“不连贯”两个主要量表分别为α=0.85 和 0.92,亚量表为α=0.70 至 0.83。然而,AIDA 西班牙语版本的一些项目并未满足测试等效性的所有标准,因此应考虑到墨西哥文化进行重新制定。发现性别和年龄有显著影响。与我们的理论一致,在具有边缘型人格障碍的男孩中,“不连续”(高效应量)和“不连贯”(中效应量)领域的 AIDA 评分明显高于学生组。
AIDA 的西班牙语版本可以在墨西哥使用,具有令人满意的心理测量特性,仅需进行微小的调整。我们的研究使用 AIDA 模型中为诊断目的定义的“同一性整合与弥散”这一概念,为 AIDA 工具的跨文化适用性做出了贡献。即使在不同的西班牙语国家也存在文化差异,也应仔细建模。