a School of Psychology, University of Ulster , Northland Road, Co. Londonderry , Northern Ireland , BT48 7JL , UK.
Psychol Health. 2008;23(6):661-78. doi: 10.1080/14768320701356540.
The Silver Lining Questionnaire (SLQ-38) is purported to measure 10 aspects of adversarial growth in illness. To date however, no empirical evidence exists to support this claim. Hence the aim of this study was to investigate the factor structure of the SLQ-38 in a sample of 560 individuals with multiple sclerosis (MS), cancer, cardiac, and renal disease. The results demonstrate that 24 SLQ-38 items can be factored into five subscales: improved personal relationships, greater appreciation for life, positive influence on others, personal inner strength and changes in life philosophy, all of which are in accordance with the literature on adversarial growth. Individuals with MS experienced lower adversarial growth compared to other illness groups. Gender, age and time since diagnosis were unrelated to adversarial growth in illness. The utility of the revised SLQ-38 is discussed along with suggestions for future research on the convergent and divergent validity of this revised instrument.
《银色衬里问卷》（SLQ-38）据称可以衡量疾病中 10 个方面的对抗性成长。然而，迄今为止，没有实证证据支持这一说法。因此，本研究的目的是在一个由 560 名多发性硬化症（MS）、癌症、心脏病和肾病患者组成的样本中研究 SLQ-38 的因子结构。结果表明，24 项 SLQ-38 项目可以分为五个子量表：改善人际关系、更加欣赏生活、对他人产生积极影响、个人内在力量和生活哲学的变化，这与对抗性成长的文献一致。与其他疾病组相比，MS 患者的对抗性成长较低。性别、年龄和诊断后时间与疾病的对抗性成长无关。讨论了修订后的 SLQ-38 的实用性，并对该修订工具的收敛和发散有效性的未来研究提出了建议。
