Gallinat Christina, Keuthen Nancy J, Stefini Annette, Backenstrass Matthias
a Center for Psychotherapy Research , University Hospital Heidelberg , Heidelberg , Germany.
b Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School , Boston , MA , USA.
Nord J Psychiatry. 2017 Feb;71(2):145-150. doi: 10.1080/08039488.2016.1259427. Epub 2016 Nov 25.
Skin picking disorder has received growing attention since the release of DSM-5, yet there are no evidence-based assessment instruments for adolescent samples.
The present study examines the psychometric properties of the Skin Picking Scale-Revised (SPS-R, German version) in adolescents.
A total of 76 adolescents (96% female) completed the SPS-R, the Clinical Psychological Diagnostic System (KPD-38), and a questionnaire assessing demographics and clinical characteristics online.
The SPS-R had high internal consistency (α = 0.89) and significant small-to-medium correlations with reduced competence skills, psychological impairment, general life satisfaction, social support, and social problems on the KPD-38. Similar to prior findings for adults, an exploratory factor analysis suggested a two-factor model for the SPS-R in adolescents. Group comparisons failed to show significant differences on SPS-R scores between participants with and without dermatological conditions.
The current results suggest that the SPS-R can be useful in adolescent samples as a reliable and valid instrument for the assessment of skin picking severity. Future research investigating scale validity and factor structure in a clinical sample of adolescent skin pickers is warranted.
自《精神疾病诊断与统计手册》第5版发布以来,皮肤搔抓障碍受到越来越多的关注,但尚无针对青少年样本的循证评估工具。
本研究考察青少年版皮肤搔抓量表修订版(SPS-R,德文版)的心理测量学特性。
共有76名青少年(96%为女性)在线完成了SPS-R、临床心理诊断系统(KPD-38)以及一份评估人口统计学和临床特征的问卷。
SPS-R具有较高的内部一致性(α = 0.89),并且与KPD-38上的能力技能降低、心理损害、总体生活满意度、社会支持和社会问题存在显著的小到中等程度的相关性。与先前对成年人的研究结果相似,探索性因素分析表明青少年版SPS-R呈双因素模型。组间比较未显示有或无皮肤病况的参与者在SPS-R得分上存在显著差异。
当前结果表明,SPS-R作为一种评估皮肤搔抓严重程度的可靠且有效的工具,在青少年样本中可能有用。未来有必要对青少年皮肤搔抓临床样本中的量表效度和因素结构进行研究。