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应用老年焦虑量表中文版(GAI-CV)于北京社区老年人。

Application of the Geriatric Anxiety Inventory-Chinese Version (GAI-CV) to older people in Beijing communities.

机构信息

School of Psychology of Beijing Normal University, Beijing, China.

Center for Population and Development Studies, Renmin University of China, Beijing, China.

出版信息

Int Psychogeriatr. 2014 Mar;26(3):517-23. doi: 10.1017/S1041610213002007. Epub 2013 Nov 20.

DOI:10.1017/S1041610213002007
PMID:24252312
Abstract

BACKGROUND

The Geriatric Anxiety Inventory (GAI) was developed to assess anxiety in older adults. The objectives of this work were as follows: (a) to analyze the psychometric properties of the Chinese version of the GAI (GAI-CV), and (b) to explore the extent of anxiety and related factors in the elderly Chinese residents of Beijing.

METHODS

Participants in this study included 1,047 people (59.4% female) more than 60 years old who were living in the community. They were randomly selected from 15 communities in Beijing. Basic information was collected. Anxiety was measured using the GAI-CV, the Self-Rating Anxiety Scale (SAS), and the Beck Anxiety Inventory (BAI).

RESULTS

The GAI-CV exhibited good internal consistency (Cronbach's α = 0.94) and demonstrated good concurrent validity against the SAS (r = 0.52, p = 0.018) and the BAI (r = 0.560, p = 0.000). Item response theory (IRT) analyses showed that the items of the GAI-CV exhibited high difficulty (0.97-2) and discrimination parameters (1.91-5.33). The items exhibited information parameters greater than 1.25 with the exceptions of items 2, 12, and 18. The GAI-CV scores were significantly associated with gender, age, and chronic disease. However, no significant differences due to marriage or education were found.

CONCLUSIONS

The GAI is a new scale that was specifically designed to measure anxiety in older people. The results of this study suggest that the GAI-CV had good psychometric properties, but some items need to be modified. IRT analyses indicated that the GAI-CV provided good measures of anxiety across the moderately high to very high levels. The GAI-CV may be a useful instrument for further research studies aimed at analyzing high-level anxiety among older adults in China.

摘要

背景

老年焦虑量表(GAI)是为评估老年人的焦虑而开发的。本研究的目的如下:(a)分析中文版老年焦虑量表(GAI-CV)的心理测量学特性;(b)探讨北京老年居民的焦虑程度及相关因素。

方法

本研究纳入了 1047 名(59.4%为女性)年龄超过 60 岁、居住在社区的老年人,他们是从北京的 15 个社区中随机抽取的。收集了基本信息,使用 GAI-CV、自评焦虑量表(SAS)和贝克焦虑量表(BAI)评估焦虑。

结果

GAI-CV 具有良好的内部一致性(Cronbach's α = 0.94),与 SAS(r = 0.52,p = 0.018)和 BAI(r = 0.560,p = 0.000)具有良好的同时效度。项目反应理论(IRT)分析表明,GAI-CV 的项目具有较高的难度(0.97-2)和区分参数(1.91-5.33)。除第 2、12 和 18 项外,项目的信息参数均大于 1.25。GAI-CV 得分与性别、年龄和慢性病显著相关,但与婚姻或教育无关。

结论

GAI 是一种专门用于测量老年人焦虑的新量表。本研究结果表明,GAI-CV 具有良好的心理测量学特性,但部分项目需要修改。IRT 分析表明,GAI-CV 在从中度到高度焦虑水平提供了良好的测量结果。GAI-CV 可能是分析中国老年人高水平焦虑的进一步研究的有用工具。

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