Peterman Amy H, Reeve Charlie L, Winford Eboni C, Cotton Sian, Salsman John M, McQuellon Richard, Tsevat Joel, Campbell Cassie
Department of Psychology and Health Psychology, University of North Carolina at Charlotte.
Department of Family and Community Medicine, University of Cincinnati.
Psychol Assess. 2014 Mar;26(1):127-37. doi: 10.1037/a0034805. Epub 2013 Nov 4.
The Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp; Peterman, Fitchett, Brady, Hernandez, & Cella, 2002) has become a widely used measure of spirituality; however, there remain questions about its specific factor structure and the validity of scores from its separate scales. Specifically, it remains unclear whether the Meaning and Peace scales denote distinct factors. The present study addresses previous limitations by examining the extent to which the Meaning and Peace scales relate differentially to a variety of physical and mental health variables across 4 sets of data from adults with a number of chronic health conditions. Although a model with separate but correlated factors fit the data better, discriminant validity analyses indicated limited differences in the pattern of associations each scale showed with a wide array of commonly used health and quality-of-life measures. In total, the results suggest that people may distinguish between the concepts of Meaning and Peace, but the observed relations with health outcomes are primarily due to variance shared between the 2 factors. Additional research is needed to better understand the separate and joint role of Meaning and Peace in the quality of life of people with chronic illness.
慢性病治疗-精神健康量表功能评估（FACIT-Sp；彼得曼、菲切特、布雷迪、埃尔南德斯和塞拉，2002年）已成为一种广泛使用的精神性测量工具；然而，关于其具体的因素结构以及各分量表得分的有效性仍存在疑问。具体而言，意义量表与安宁量表是否代表不同的因素仍不明确。本研究通过考察意义量表与安宁量表在来自患有多种慢性健康状况的成年人的4组数据中与各种身心健康变量的差异关联程度，解决了以往的局限性。尽管一个具有独立但相关因素的模型对数据的拟合效果更好，但判别效度分析表明，每个量表与一系列常用健康和生活质量测量指标的关联模式差异有限。总体而言，结果表明人们可能能够区分意义与安宁的概念，但观察到的与健康结果的关系主要是由于这两个因素之间共享的方差。需要进一步的研究来更好地理解意义与安宁在慢性病患者生活质量中的单独和共同作用。
