Krägeloh Christian U, Billington D Rex, Henning Marcus A, Chai Penny Pei Minn
Department of Psychology, Auckland University of Technology, Private Bag 92006, Auckland, 1142, New Zealand.
University of Auckland, Auckland, New Zealand.
Health Qual Life Outcomes. 2015 Feb 25;13:26. doi: 10.1186/s12955-015-0212-x.
The WHOQOL-SRPB has been a useful module to measure aspects of QOL related to spirituality, religiousness, and personal beliefs, but recent research has pointed to potential problems with its proposed factor structure. Three of the eight facets of the WHOQOL-SRPB have been identified as potentially different from the others, and to date only a limited number of factor analyses of the instrument have been published.
Analyses were conducted using data from a sample of 679 university students who had completed the WHOQOL-BREF quality of life questionnaire, the WHOQOL-SRPB module, the Perceived Stress scale, and the Brief COPE coping strategies questionnaire. Informed by these analyses, confirmatory factor analyses suitable for ordinal-level data explored the potential for a two-factor solution as opposed to the originally proposed one-factor solution.
The facets WHOQOL-SRPB facets connected, strength, and faith were highly correlated with each other as well as with the religious coping sub-scale of the Brief COPE. Combining these three facets to one factor in a two-factor solution for the WHOQOL-SRPB yielded superior goodness-of-fit indices compared to the original one-factor solution.
A two-factor solution for the WHOQOL-SRPB is more tenable, in which three of the eight WHOQOL-SRPB facets group together as a spiritual coping factor and the remaining facets form a factor of spiritual quality of life. While discarding the facets connectedness, strength, and faith without additional research would be premature, users of the scale need to be aware of this alternative two-factor structure, and may wish to analyze scores using this structure.
世界卫生组织生活质量量表-精神、宗教与个人信仰（WHOQOL-SRPB）是一个用于测量与精神性、宗教信仰和个人信念相关的生活质量方面的有用模块，但最近的研究指出了其提议的因子结构存在潜在问题。WHOQOL-SRPB的八个方面中有三个已被确定可能与其他方面不同，并且迄今为止，该量表仅发表了有限数量的因子分析。
使用来自679名大学生样本的数据进行分析，这些学生完成了世界卫生组织生活质量简表（WHOQOL-BREF）、WHOQOL-SRPB模块、感知压力量表和简易应对方式问卷（Brief COPE）。基于这些分析，适合有序水平数据的验证性因子分析探索了采用两因子解决方案而非最初提议的单因子解决方案的可能性。
WHOQOL-SRPB的“联系”“力量”和“信仰”这几个方面彼此高度相关，并且与Brief COPE的宗教应对子量表也高度相关。在WHOQOL-SRPB的两因子解决方案中，将这三个方面合并为一个因子，与原始的单因子解决方案相比，产生了更好的拟合优度指标。
WHOQOL-SRPB的两因子解决方案更具合理性，其中WHOQOL-SRPB的八个方面中的三个归为一个精神应对因子，其余方面形成一个生活质量精神因子。虽然在没有进一步研究的情况下舍弃“联系”“力量”和“信仰”这几个方面还为时过早，但该量表的使用者需要了解这种替代的两因子结构，并且可能希望使用这种结构来分析得分。
