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亲密关系体验——人格障碍患者的心理测量学特性

Experiences in Close Relationships – Psychometric properties among patients with personality disorders.

作者信息

Pedersen Geir, Eikenæs Ingeborg, Urnes Øyvind, Skulberg Guro Mikaelsen, Wilberg Theresa

机构信息

Department of Personality Psychiatry, Clinic of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.

Department for Group Psychotherapy, Division of Mental Health and Addiction, Vestfold Hospital Trust, Tønsberg, Norway.

出版信息

Personal Ment Health. 2015 Aug;9(3):208-19. doi: 10.1002/pmh.1298. Epub 2015 Jun 1.

DOI:10.1002/pmh.1298
PMID:26033784
Abstract

Patients with personality disorders represent maladaptive attachment strategies, influencing the quality of their interpersonal relationships. Within these patient populations, it is important to have a measure, easily applied, to assess such strategies. A widely used instrument is Experiences in Close Relationships (ECR), assessing two constructs called avoidance and anxiety. Lately, two short forms of ECR have been proposed, called ECR-S and ECR-N12. The aim of this study is to investigate the psychometric properties of the Norwegian @version of ECR and its two short forms in a sample of patients with mainly personality disorders. An internal consistency and confirmatory factor analysis of ECR, ECR-S and ECR-N12 from 495 patients was conducted, as well as an exploratory factor analysis of ECR. The internal consistency of ECR was found questionable. Confirmatory factor analysis revealed a poor model fit based on ECR and ECR-S. The ECR-N12 revealed a mediocre fit, indicating a potential for improvement. Exploratory factor analysis indicated two different aspects of avoidance and three aspects of anxiety. This five-factor solution was called ECR-FF. Inferences from scores based on ECR should be derived with care. A revision of ECR and ECR-N12 is warranted, and further studies are needed to investigate the validity of ECR-FF.

摘要

患有个性障碍的患者表现出适应不良的依恋策略,这会影响他们人际关系的质量。在这些患者群体中,拥有一种易于应用的测量方法来评估此类策略非常重要。一种广泛使用的工具是亲密关系经历量表(ECR),它评估两种称为回避和焦虑的结构。最近,有人提出了ECR的两种简短形式,即ECR-S和ECR-N12。本研究的目的是在主要患有个性障碍的患者样本中,调查挪威版ECR及其两种简短形式的心理测量特性。对495名患者的ECR、ECR-S和ECR-N12进行了内部一致性和验证性因素分析,以及对ECR进行了探索性因素分析。发现ECR的内部一致性存在问题。验证性因素分析显示基于ECR和ECR-S的模型拟合不佳。ECR-N12显示拟合一般,表明有改进的潜力。探索性因素分析表明回避有两个不同方面,焦虑有三个方面。这个五因素解决方案被称为ECR-FF。基于ECR得分得出的推论应谨慎得出。有必要对ECR和ECR-N12进行修订,还需要进一步研究来调查ECR-FF的有效性。

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