Rocchi Silvana, Ghidelli Claudio, Burro Roberto, Vitacca Michele, Scalvini Simonetta, Della Vedova Anna Maria, Roselli Gianmarco, Ramponi Jean-Pierre, Bertolotti Giorgio
Psychology Service, ICS Maugeri Spa SB, Institute of Lumezzane.
Psychological Counselling Service, Università Cattolica del Sacro Cuore, Brescia.
Neuropsychiatr Dis Treat. 2017 Dec 14;13:2987-2999. doi: 10.2147/NDT.S147315. eCollection 2017.
Resilience focuses on strength under stress, in the context of adversity. Walsh's theoretical model identifies relational processes that allow families to tackle and overcome critical situations, dividing them into three domains of family function. The aim of this study was to assess resilience in families of patients with a chronic disease by adapting and validating the Italian version of the Walsh Family Resilience Questionnaire (Walsh-IT).
An Italian adult sample of 421 participants (patients and relatives) was collected with the aim to assess the reliability and validity of the Walsh-IT. Concurrent validity was carried out by comparing this instrument with the Family Adaptability and Cohesion Evaluation Scale III (FACES III) administered at the same time as the Walsh-IT.
Reliability showed high correlation between repeated measurements. The alpha coefficient was 0.946. Both parallel analysis and minimum average partial criteria suggested that the best number of domains is equal to 3, explaining 50.4% of the total variance. Based on the results obtained from the Rasch analysis, items 10, 11, 16, 22, and 23 have been removed resulting in a short-form questionnaire (Walsh-IT-R) of 26 items with three domains: shared beliefs and support (SBS, α=0.928); family organization and interaction (FOI, α=0.863); and utilization of social resources (USR, α=0.567). The total score of the Walsh-IT-R was strongly correlated with the total score of FACES III Real Family Scale (=0.68; <0.0001).
Results support that the Walsh-IT-R is a valid instrument for the assessment of family resilience in Italy when contending with the challenges of chronic disease. It could be used in pre- and post-assessment in practice effectiveness research, offering a profile of family resilience processes at the start and end of interventions and follow-up.
复原力关注在逆境中压力下的力量。沃尔什的理论模型确定了使家庭能够应对和克服关键情况的关系过程，并将其分为家庭功能的三个领域。本研究的目的是通过改编和验证意大利版的沃尔什家庭复原力量表（Walsh-IT）来评估慢性病患者家庭的复原力。
收集了421名意大利成年参与者（患者及其亲属）的样本，以评估Walsh-IT的信度和效度。通过将该工具与在与Walsh-IT同时施测的家庭适应性与凝聚性评估量表III（FACES III）进行比较来进行同时效度检验。
信度显示重复测量之间具有高度相关性。阿尔法系数为0.946。平行分析和最小平均偏相关标准均表明，最佳领域数为3个，解释了总方差的50.4%。基于拉施分析的结果，删除了第10、11、16、22和23项，从而得到了一个26项的简版问卷（Walsh-IT-R），分为三个领域：共同信念与支持（SBS，α=0.928）；家庭组织与互动（FOI，α=0.863）；以及社会资源利用（USR，α=0.567）。Walsh-IT-R的总分与FACES III真实家庭量表的总分高度相关（=0.68；<0.0001）。
结果支持Walsh-IT-R是意大利在应对慢性病挑战时评估家庭复原力的有效工具。它可用于实践效果研究的前后评估，在干预和随访开始及结束时提供家庭复原力过程的概况。
