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焦虑、抑郁和饮食障碍之间的人际问题:一种跨诊断检查。

Interpersonal problems across anxiety, depression, and eating disorders: a transdiagnostic examination.

机构信息

Centre for Clinical Interventions, Perth, Australia; School of Psychology, University of Western Australia, Perth, Australia.

出版信息

Br J Clin Psychol. 2013 Jun;52(2):129-47. doi: 10.1111/bjc.12005. Epub 2012 Oct 19.

Abstract

OBJECTIVES

Integrative models of psychopathology suggest that quality of interpersonal relationships is a key determinant of psychological well-being. However, there is a relative paucity of research evaluating the association between interpersonal problems and psychopathology within cognitive behavioural therapy. Partly, this may be due to lack of brief, well-validated, and easily interpretable measures of interpersonal problems that can be used within clinical settings. The aim of the present study was to evaluate the psychometric properties, factor invariance, and external validity of the Inventory of Interpersonal Problems 32 (IIP-32) across anxiety, depression, and eating disorders.

METHODS

Two treatment-seeking samples with principal anxiety and depressive disorders (AD sample, n = 504) and eating disorders (ED sample, n = 339) completed the IIP-32 along with measures of anxiety, depression, and eating disorder symptoms, as well as quality of life (QoL).

RESULTS

The previously established eight-factor structure of the IIP-32 provided the best fit for both the AD and ED groups, and was robustly invariant across the two samples. The IIP-32 also demonstrated excellent external validity against well-validated measures of anxiety, depression, and eating disorder symptoms, as well as QoL.

CONCLUSION

The IIP-32 provides a clinically useful measure of interpersonal problems across emotional and ED.

摘要

目的

心理病理学的综合模型表明,人际关系的质量是心理幸福感的关键决定因素。然而,在认知行为疗法中,评估人际关系问题与心理病理学之间的关系的研究相对较少。部分原因可能是缺乏简短、经过良好验证且易于解释的人际关系问题测量工具,这些工具可用于临床环境。本研究旨在评估人际关系问题清单 32 项(IIP-32)在焦虑、抑郁和饮食障碍中的心理测量特性、因子不变性和外部有效性。

方法

两个主要患有焦虑和抑郁障碍的治疗性样本(AD 样本,n=504)和饮食障碍(ED 样本,n=339)完成了 IIP-32,以及焦虑、抑郁和饮食障碍症状以及生活质量(QoL)的测量。

结果

IIP-32 的先前建立的 8 因素结构为 AD 和 ED 两组提供了最佳拟合,并且在两个样本中具有稳健的不变性。IIP-32 还与经过充分验证的焦虑、抑郁和饮食障碍症状以及 QoL 测量具有极好的外部有效性。

结论

IIP-32 为情绪障碍和 ED 提供了一种有用的人际关系问题的临床测量工具。

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