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检验《改变系统治疗清单初始量表》的聚合效度和区别效度。

Testing the convergent and discriminant validity of the Systemic Therapy Inventory of Change Initial scales.

机构信息

a Department of Psychology , Northwestern University , Evanston , IL , USA.

b The Family Institute at Northwestern University , Evanston , IL , USA.

出版信息

Psychother Res. 2018 Sep;28(5):734-749. doi: 10.1080/10503307.2017.1325022. Epub 2017 Jun 1.

Abstract

OBJECTIVE

The Systemic Therapy Inventory of Change (STIC) is the first multi-systemic and multi-dimensional measurement and feedback system designed for assessment in family, couple, and individual functioning. Patients fill out the STIC Initial before the first session to identify treatment targets and provide starting values for subsequent assessments of trajectories of change. This study tested the construct validity of five of the six STIC Initial scales.

METHODS

We administered both the STIC Initial and a set of validity measures to a relatively large sample of patients. Convergent and discriminant validity were tested using both an examination of observed correlations and confirmatory factor analysis (CFA).

RESULTS

The correlations among the observed measures showed that the convergent validity coefficients were generally large, whereas the discriminant validity coefficients were moderate to small. Similarly, CFAs suggested that the STIC total scales and subscales are good indicators of the factors they were intended to measure and that the STIC total scales and subscales are weakly related to the factors they were intended to not measure.

CONCLUSION

The results supported the convergent and discriminant validity of the five scales of the STIC Initial. Clinical or methodological significance of this article: The clinical significance of this article is that it demonstrates that the STIC Initial should be useful for identifying treatment targets including both which systems, in addition to the facets within each system, that require targeting. The methodological significance is twofold. First, the use of CFA for testing convergent and discriminant validity is still relatively rare. Second, we demonstrated how to use CFA for a more stringent test of discriminant validity compared with the original approach described by Cole ( 1987 ).

摘要

目的

改变的系统治疗清单(STIC)是第一个多系统和多维的测量和反馈系统,旨在评估家庭、夫妻和个人功能。患者在第一次就诊前填写 STIC 初始问卷,以确定治疗目标,并为随后的变化轨迹评估提供起始值。本研究测试了 STIC 初始的六个量表中的五个量表的结构效度。

方法

我们对相对较大的患者样本同时施测了 STIC 初始问卷和一组效度测查。通过观察相关系数和验证性因素分析(CFA)来检验聚合效度和区分效度。

结果

观察指标之间的相关性表明,聚合效度系数通常较大,而区分效度系数则为中等至较小。同样,CFA 表明,STIC 总量表和分量表是其旨在测量的因素的良好指标,而 STIC 总量表和分量表与它们旨在不测量的因素之间的关系较弱。

结论

结果支持 STIC 初始五个量表的聚合和区分效度。

本文的临床或方法学意义

本文的临床意义在于,它表明 STIC 初始应该有助于确定治疗目标,包括需要针对的系统以及每个系统中的方面。方法学意义有两点。首先,使用 CFA 来检验聚合和区分效度仍然相对较少。其次,我们展示了如何使用 CFA 对区分效度进行更严格的检验,而不是 Cole(1987)最初描述的方法。

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