Ivanova Masha Y, Achenbach Thomas, Leite Manuela, Almeida Vera, Caldas Carlos, Turner Lori, Dumas Julie A
Department of Psychiatry, University of Vermont, Burlington, VT, USA.
CESPU, Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Gandra, Portugal.
Int J Geriatr Psychiatry. 2018 May;33(5):695-702. doi: 10.1002/gps.4840. Epub 2017 Dec 27.
As the world population ages, mental health professionals increasingly need empirically supported assessment instruments for older adult psychopathology. This study tested the degree to which syndromes derived from self-ratings of psychopathology by elders in the US would fit self-ratings by elders in Portugal.
The Older Adult Self-Report (OASR) was completed by 352 60- to 102-year-olds in Portuguese community and residential settings.
Confirmatory factor analyses tested the fit of the 7-syndrome OASR model to self-ratings by Portuguese elders. The primary fit index (Root Mean Square Error of Approximation) showed good fit, while secondary fit indices (the Comparative Fit Index and the Tucker-Lewis Index) showed acceptable fit. Loadings of 95 of the 97 items on their expected syndromes were statistically significant (mean = .63), indicating that the items measured the syndromes well. Correlations between latent factors, ie, between the hypothesized syndrome constructs measured by the items, averaged .66. The correlations between syndromes reflect varying degrees of comorbidity between problems comprising particular pairs of syndromes.
The results support the syndrome structure of the OASR for Portuguese elders, offering Portuguese clinicians and researchers a useful instrument for assessing a broad spectrum of psychopathology. The results also offer a core of empirically supported taxonomic constructs of later life psychopathology as a basis for advancing clinical practice, training, and cross-cultural research.
随着世界人口老龄化，心理健康专业人员越来越需要有实证支持的评估工具来评估老年人的精神病理学。本研究测试了源自美国老年人精神病理学自评的综合征与葡萄牙老年人自评的契合程度。
352名年龄在60至102岁之间的葡萄牙社区和养老院的老年人完成了老年人自评量表（OASR）。
验证性因素分析测试了7综合征OASR模型与葡萄牙老年人自评的契合度。主要契合指数（近似均方根误差）显示契合度良好，而次要契合指数（比较契合指数和塔克-刘易斯指数）显示契合度可接受。97个条目中的95个在其预期综合征上的负荷具有统计学意义（均值 = 0.63），表明这些条目对综合征的测量效果良好。潜在因素之间的相关性，即由这些条目测量的假设综合征结构之间的相关性，平均为0.66。综合征之间的相关性反映了构成特定综合征对的问题之间不同程度的共病情况。
研究结果支持OASR对葡萄牙老年人的综合征结构，为葡萄牙临床医生和研究人员提供了一种有用的工具，用于评估广泛的精神病理学。研究结果还提供了一组有实证支持的晚年精神病理学分类结构核心，作为推进临床实践、培训和跨文化研究的基础。
