Eren Nurhan
Department of Psychiatry, İstanbul University İstanbul Faculty of Medicine, İstanbul, Turkey.
Noro Psikiyatr Ars. 2014 Dec;51(4):318-327. doi: 10.5152/npa.2014.7056. Epub 2014 Dec 1.
In this study, we aimed to develop two reliable and valid assessment instruments for investigating the level of difficulties mental health workers experience while working with patients with personality disorders and the attitudes they develop tt the patients.
The research was carried out based on the general screening model. The study sample consisted of 332 mental health workers in several mental health clinics of Turkey, with a certain amount of experience in working with personality disorders, who were selected with a random assignment method. In order to collect data, the Personal Information Questionnaire, Difficulty of Working with Personality Disorders Scale (PD-DWS), and Attitudes Towards Patients with Personality Disorders Scale (PD-APS), which are being examined for reliability and validity, were applied. To determine construct validity, the Adjective Check List, Maslach Burnout Inventory, and State and Trait Anxiety Inventory were used. Explanatory factor analysis was used for investigating the structural validity, and Cronbach alpha, Spearman-Brown, Guttman Split-Half reliability analyses were utilized to examine the reliability. Also, item reliability and validity computations were carried out by investigating the corrected item-total correlations and discriminative indexes of the items in the scales.
For the PD-DWS KMO test, the value was .946; also, a significant difference was found for the Bartlett sphericity test (p<.001). The computed test-retest coefficient reliability was .702; the Cronbach alpha value of the total test score was .952. For PD-APS KMO, the value was .925; a significant difference was found in Bartlett sphericity test (p<.001); the computed reliability coefficient based on continuity was .806; and the Cronbach alpha value of the total test score was .913. Analyses on both scales were based on total scores.
It was found that PD-DWS and PD-APS have good psychometric properties, measuring the structure that is being investigated, are compatible with other scales, have high levels of internal reliability between their items, and are consistent across time. Therefore, it was concluded that both scales are valid and reliable instruments.
在本研究中,我们旨在开发两种可靠且有效的评估工具,以调查心理健康工作者在与人格障碍患者合作时所经历的困难程度以及他们对这些患者所形成的态度。
该研究基于一般筛查模型进行。研究样本由土耳其多家心理健康诊所的332名心理健康工作者组成,他们在与人格障碍患者合作方面有一定经验,采用随机分配方法选取。为了收集数据,应用了正在进行信效度检验的《个人信息问卷》《与人格障碍患者合作的困难程度量表》(PD - DWS)和《对人格障碍患者的态度量表》(PD - APS)。为确定结构效度,使用了《形容词检查表》《马氏倦怠量表》以及《状态 - 特质焦虑量表》。采用探索性因素分析来研究结构效度,并利用克朗巴哈α系数、斯皮尔曼 - 布朗系数、古特曼折半信度分析来检验信度。此外,通过研究量表中各项目的校正项目 - 总分相关性和区分指数来进行项目信效度计算。
对于PD - DWS的KMO检验,值为0.946;同时,巴特利特球形度检验发现有显著差异(p <.001)。计算得到的重测系数信度为0.702;总测试分数的克朗巴哈α值为0.952。对于PD - APS的KMO,值为0.925;巴特利特球形度检验发现有显著差异(p <.001);基于连续性计算得到的信度系数为0.806;总测试分数的克朗巴哈α值为0.913。两个量表的分析均基于总分。
发现PD - DWS和PD - APS具有良好的心理测量学特性,能够测量所研究的结构,与其他量表兼容,项目之间具有较高的内部信度,并且在时间上保持一致。因此,得出结论认为这两个量表都是有效且可靠的工具。