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只是为了确定:在强迫症患者中确认不确定容忍量表的因子结构。

Just to be certain: Confirming the factor structure of the intolerance of uncertainty scale in patients with obsessive-compulsive disorder.

机构信息

University of North Carolina at Chapel Hill, Davie Hall, Campus Box 3270, Chapel Hill, NC 27599, USA.

出版信息

J Anxiety Disord. 2013 Jun;27(5):535-42. doi: 10.1016/j.janxdis.2013.07.008. Epub 2013 Aug 6.

Abstract

Intolerance of uncertainty (IU) is a cognitive construct in obsessive-compulsive disorder (OCD); yet no studies exist confirming the factor structure of the most widely used measure of IU, the intolerance of uncertainty scale (IUS), in OCD patients. Moreover, no studies have examined how scores on this measure relate to OCD symptom dimensions. Accordingly, the present study examined a 12-item two-factor revised version of the IUS (IUS-12) in 205 OCD patients. Confirmatory factor analysis verified the scale's two-factor structure. The measure also demonstrated high internal consistency and the IUS-12 was correlated moderately with another self-report measure of IU. Finally, theoretically consistent and specific relationships emerged between the IUS-12 and OCD symptom dimensions. These findings are discussed in terms of implications for the assessment and treatment of OCD, and specifically how elevated scores on the IUS-12 subscales may be utilized to identify subtleties in the presentation of OCD-related problems with IU.

摘要

不确定性容忍度(IU)是强迫症(OCD)中的一种认知结构;然而,目前还没有研究证实最广泛使用的 IU 测量工具——不确定性容忍度量表(IUS)在 OCD 患者中的因子结构。此外,尚无研究探讨该测量工具的得分与 OCD 症状维度之间的关系。因此,本研究在 205 名 OCD 患者中检查了 IUS 的 12 项两因素修订版(IUS-12)。验证性因子分析验证了该量表的两因素结构。该测量工具还表现出较高的内部一致性,并且 IUS-12 与另一种 IU 的自我报告测量工具中度相关。最后,IUS-12 与 OCD 症状维度之间出现了理论上一致且具体的关系。这些发现将在 OCD 的评估和治疗方面进行讨论,特别是如何利用 IUS-12 子量表上的升高分数来识别与 IU 相关的 OCD 相关问题的细微差别。

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