Las Hayas Carlota, López de Arroyabe Elena, Calvete Esther
Department of Personality, Psychological Assessment and Treatment, University of Deusto.
Rehabil Psychol. 2015 Aug;60(3):295-302. doi: 10.1037/rep0000040. Epub 2015 May 25.
PURPOSE/OBJECTIVE: The authors' purpose was to develop the Questionnaire of Resilience in Caregivers of Acquired Brain Injury (QRC-ABI) and explore its psychometric properties The QRC-ABI was developed to measure the process of resilience, including resilient factors that, according to the literature, are the most relevant for caregivers.
RESEARCH METHOD/DESIGN: This is a cross-sectional study of Spanish primary caregivers of individuals with ABI. It included 237 caregivers (77.6% women and 21.1% men) who completed the QRC-ABI, the Posttraumatic Growth Inventory (Weiss & Berger, 2006), the World Health Organization Quality of Life-BREF (Skevington, Lotfy, O'Connell, & the WHOQOL Group, 2004) assessment, and the Positive Aspects of Caregiving (Tarlow et al., 2004) assessment.
An item pool of 36 items was developed, from which 17 were finally selected based on a consensus among researchers and adequate symmetry indexes and kurtoses. Confirmatory factor analysis of the QRC-ABI confirmed a hierarchical solution in which 4 resilience dimensions were explained by a broader general resilience factor. The internal consistency of each scale was >.80. Convergent validity was supported through positive correlations of the QRC-ABI with quality of life, positive aspects of caregiving, and posttraumatic growth, and a negative correlation with perceived burden.
CONCLUSION/IMPLICATIONS: The new QRC-ABI showed good reliability and validity. Our results are consistent with previous studies that have argued that resilient qualities are important for a healthy and positive adaptation to the challenging adversities faced by caregivers of individuals with ABI. Future interventions based on resilience should promote these factors in caregivers.
目的/目标：作者的目的是编制获得性脑损伤患者照顾者复原力问卷（QRC - ABI）并探索其心理测量特性。QRC - ABI旨在测量复原力过程，包括根据文献对照顾者最相关的复原力因素。
研究方法/设计：这是一项对西班牙获得性脑损伤患者的主要照顾者进行的横断面研究。研究纳入了237名照顾者（77.6%为女性，21.1%为男性），他们完成了QRC - ABI、创伤后成长量表（Weiss & Berger，2006年）、世界卫生组织生活质量简表（Skevington、Lotfy、O'Connell及世界卫生组织生活质量研究组，2004年）评估以及照顾的积极方面量表（Tarlow等人，2004年）评估。
编制了一个包含36个条目的项目池，最终基于研究人员的共识以及适当的对称指数和峰度从中选择了17个条目。QRC - ABI的验证性因素分析证实了一个层次结构模型，其中4个复原力维度由一个更宽泛的总体复原力因素解释。每个量表的内部一致性大于0.80。通过QRC - ABI与生活质量、照顾的积极方面以及创伤后成长的正相关，以及与感知负担的负相关，支持了收敛效度。
结论/启示：新的QRC - ABI显示出良好的信度和效度。我们的结果与先前的研究一致，这些研究认为复原力特质对于健康、积极地适应获得性脑损伤患者照顾者所面临的挑战性逆境很重要。未来基于复原力的干预措施应促进照顾者的这些因素。
