西班牙语版身体变形障碍及畸形关注结构评估工具的验证
Validation of Spanish Language Evaluation Instruments for Body Dysmorphic Disorder and the Dysmorphic Concern Construct.
作者信息
Senín-Calderón Cristina, Valdés-Díaz María, Benítez-Hernández Ma M, Núñez-Gaitán Ma C, Perona-Garcelán Salvador, Martínez-Cervantes Rafael, Rodríguez-Testal Juan F
机构信息
Department of Psychology, University of CádizCádiz, Spain.
Personality, Evaluation and Psychological Treatment Department, University of SevilleSeville, Spain.
出版信息
Front Psychol. 2017 Jun 30;8:1107. doi: 10.3389/fpsyg.2017.01107. eCollection 2017.
Dysmorphic concern (DC) refers to excessive preoccupation with a slight or imagined defect in physical appearance with social avoidance and behavior directed at controlling the defect in appearance. This study attempted to adapt the factor structure of two instruments that cover the DC construct, the Dysmorphic Concern Questionnaire (DCQ) and the Body Dysmorphic Disorder Examination Self-Report (BDDE-SR), to Spanish and establish their psychometric properties. A total of 920 subjects (62.7% women, = 32.44 years) participated. Exploratory and Confirmatory Factor Analysis of both scales found adequate goodness of fit indices. A one-dimensional structure was found for the DCQ and two first-order factors (dissatisfaction/preoccupation with body image (BI) and BI avoidance behavior) were identified for the BDDE-SR. The psychometric test-retest reliability and validity properties (content, convergent, and discriminant) were satisfactory. It is suggested that the DC construct includes both cognitive and behavioral aspects and may represent a continuum of severity with Body Dysmorphic Disorder at the end.
畸形担忧（DC）是指过度关注身体外观上轻微的或想象出来的缺陷，并伴有社交回避以及旨在控制外观缺陷的行为。本研究试图将涵盖DC结构的两种工具——畸形担忧问卷（DCQ）和躯体变形障碍检查自评量表（BDDE-SR）的因子结构改编为西班牙语，并确定其心理测量学特性。共有920名受试者参与（62.7%为女性，平均年龄 = 32.44岁）。对两个量表进行探索性和验证性因子分析，发现拟合优度指标良好。DCQ呈现一维结构，BDDE-SR则识别出两个一阶因子（对身体意象（BI）的不满/过度关注以及BI回避行为）。心理测量的重测信度和效度特性（内容效度、收敛效度和区分效度）令人满意。研究表明，DC结构包括认知和行为两个方面，并且可能代表一个严重程度的连续体，末端为躯体变形障碍。
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