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情感与情绪综合气质量表(AFECTS):墨西哥城社区样本中西班牙语版本的心理测量特性及康复精神病患者之间的比较

The Affective and Emotional Composite Temperament Scale (AFECTS): Psychometric properties of the Spanish version in a community sample from Mexico City and comparison between remitted psychiatric patients.

作者信息

Romo-Nava Francisco, Fresán-Orellana Ana, Barragán Virginia, Saracco-Álvarez Ricardo, Becerra-Palars Claudia, Osorio Yanik, Pérez Emrys, Heinze Gerhard, Lara Diogo R

机构信息

Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad Nacional Autónoma de México, Circuito Exterior S/N, Edificio F, Facultad de Medicina-UNAM. Ciudad Universitaria, 04510 Mexico, DF, Mexico; Clínica de Trastornos Afectivos, Instituto Nacional de Psiquiatría "Dr. Ramón de la Fuente", Mexico, DF Mexico.

Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría "Dr. Ramón de la Fuente", Mexico, DF Mexico.

出版信息

J Affect Disord. 2015 Feb 1;172:251-8. doi: 10.1016/j.jad.2014.09.053. Epub 2014 Oct 12.

Abstract

INTRODUCTION

AFECTS is a novel psychometric instrument that provides an integrated framework based on affective temperamental traits and their trait dimensions. It has the potential to be used in clinical and research fields to study psychopathology and mental health. It is now necessary to field-test this instrument with diverse populations and psychopathological entities.

OBJECTIVE

The primary aim was to test the construct validity and the internal consistency of the Spanish Version of the AFECTS instrument on Mexican subjects. AFECTS characteristics were then compared between general population and stable psychiatric patients.

METHODS

A cross-sectional design involving 350 subjects from the general population in México City and 91 stable patients with a bipolar disorder (BPD, n=20), major depressive disorder (MDD, n=35), or with a schizophrenia (n=36) diagnosis.

RESULTS

A six-factor structure in trait dimensions, explaining 61.4% of the variance, with a Cronbach׳s alpha of 0.93 was found. Euthymic (23%) and hyperthymic (12%) affective temperaments were the most frequent, while dysphoric (3%) and apathetic (3%) were the least. Trait dimension differences were found in Volition, Sensitivity, and the Instability Index between the groups, particularly those with a bipolar disorder.

LIMITATIONS

Use of a self report instrument, and a small sample not representative of the Mexican population or patients with psychiatric conditions.

CONCLUSIONS

The Spanish Version of the AFECTS instrument has adequate psychometric properties. This version of AFECTS will allow the use of this instrument among Spanish speaking populations and contribute to the continued research efforts on integrative models such as AFECT.

摘要

引言

AFECTS是一种新型心理测量工具,它基于情感气质特征及其特质维度提供了一个综合框架。它有潜力应用于临床和研究领域,以研究精神病理学和心理健康。现在有必要在不同人群和精神病理实体中对该工具进行现场测试。

目的

主要目的是测试AFECTS工具西班牙语版在墨西哥受试者中的结构效度和内部一致性。然后比较普通人群和稳定型精神病患者的AFECTS特征。

方法

采用横断面设计,纳入来自墨西哥城普通人群的350名受试者以及91名患有双相情感障碍(BPD,n = 20)、重度抑郁症(MDD,n = 35)或精神分裂症(n = 36)的稳定患者。

结果

发现特质维度中有一个六因素结构,解释了61.4%的方差,克朗巴哈系数为0.93。心境正常(23%)和情绪高涨(12%)的情感气质最为常见,而烦躁不安(3%)和冷漠(3%)则最为少见。在意志、敏感性和不稳定性指数方面,各组之间存在特质维度差异,尤其是双相情感障碍患者。

局限性

使用了自我报告工具,且样本量较小,不能代表墨西哥人群或精神疾病患者。

结论

AFECTS工具西班牙语版具有足够的心理测量特性。这个版本的AFECTS将使该工具能够在讲西班牙语的人群中使用,并有助于对AFECT等综合模型的持续研究。

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