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辨证行为疗法应对方式清单在诊断多样的部分医院样本中的特性

Properties of the Dialectical Behavior Therapy Ways of Coping Checklist in a Diagnostically Diverse Partial Hospital Sample.

作者信息

Stein Aliza T, Hearon Bridget A, Beard Courtney, Hsu Kean J, Björgvinsson Thröstur

机构信息

McLean Hospital/Harvard Medical School.

出版信息

J Clin Psychol. 2016 Jan;72(1):49-57. doi: 10.1002/jclp.22226. Epub 2015 Sep 21.

Abstract

OBJECTIVE

Dialectical behavior therapy (DBT) was developed for treatment of borderline personality disorder (BPD), and adapted forms of DBT are currently used to treat bipolar disorder, eating disorders, anxiety, and depression. This study was designed to validate the Dialectical Behavior Therapy Ways of Coping Checklist (DBT-WCCL) DBT Skills subscale (DSS) for use in a diagnostically heterogeneous sample.

METHOD

We used naturalistic data from 228 patients receiving treatment at a partial hospital program to assess psychometric properties of the DBT-WCCL DSS. We assessed interitem correlations, internal consistency, factor structure, construct validity and sensitivity to change.

RESULTS

Internal consistency, construct validity, and sensitivity to change were good. The measure displayed good convergent and discriminant validity. Factor analysis results were consistent with previous research indicating a 1-factor solution for this subscale.

CONCLUSIONS

Psychometric properties were similar to the original BPD sample, indicating that this measure can be used as an assessment tool for DBT skill use in a diverse psychiatric population.

摘要

目的

辩证行为疗法(DBT)最初是为治疗边缘型人格障碍(BPD)而开发的,目前其改良形式被用于治疗双相情感障碍、饮食失调、焦虑症和抑郁症。本研究旨在验证辩证行为疗法应对方式清单(DBT-WCCL)的DBT技能子量表(DSS)在诊断异质性样本中的适用性。

方法

我们使用了来自228名在部分住院项目接受治疗的患者的自然主义数据,以评估DBT-WCCL DSS的心理测量特性。我们评估了项目间相关性、内部一致性、因子结构、结构效度和对变化的敏感性。

结果

内部一致性、结构效度和对变化的敏感性良好。该量表显示出良好的聚合效度和区分效度。因子分析结果与先前的研究一致,表明该子量表采用单因素解决方案。

结论

心理测量特性与原始BPD样本相似,表明该量表可作为评估不同精神病患者群体中DBT技能使用情况的工具。

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