Hospital General Valencia. Universidad CEU-Cardenal Herrera..
Adicciones. 2019 Apr 1;31(2):117-135. doi: 10.20882/adicciones.983.
Parenting is linked to conduct disorders (CD) and substance related disorders (SRD) in adolescents, but with differences according to cultural context. A questionnaire with two versions (parenting questionnaire TXP-A for adolescents and TXP-C for primary caregivers) was designed using the Delphi method to evaluate parenting practices related to CD and SRD in a Spanish population. It was validated in a community sample of 631 adolescents aged between 14 and 16 and their caregivers. Results suggest a 29-item TXP-A questionnaire with bifactorial structure: affection-communication and control-structure, with high internal (Cronbach’s alpha=0.89) and test-retest (intraclass correlation coefficient=0.94) reliabilities. Both factors are related to SRD (r=0.273, p<0.001) and with most of the psychopathological dimensions studied. The total score and affection-communication are related to dissocial disorder (t=3.259, p=0.001) and its severity (r=-0,119; p=0.003). Inter-observer reliability between adolescents and caregivers is low, in part because the 16-item TXP-C has a different bifactorial structure: affection-communication and prosocial values. TXP-C’s internal (Cronbach’s alpha=0.87) and test-retest (intraclass correlation coefficient=0.94) reliabilities are high. The total score and affection-communication were related to dissocial disorder (t=2.586; p=0.010) but TXP-C did not discriminate according to SRD. In conclusion, the TXP-A questionnaire for adolescents seems to be a reliable, valid and unbiased instrument that evaluates the perception of parenting practices, relating higher affection-communication and control-structure to less psychopathology and alcohol and drug use. TXP-C also seems to be reliable and unbiased, but shows less evidence of validity regarding substance use and psychopathology. .
父母教养方式与青少年的品行障碍(CD)和物质相关障碍(SRD)有关,但在文化背景方面存在差异。本研究采用德尔菲法设计了一个包含两个版本的问卷(青少年用 TXP-A 问卷和主要照顾者用 TXP-C 问卷),用于评估西班牙人群中与 CD 和 SRD 相关的父母教养实践。该问卷在一个由 631 名 14 至 16 岁青少年及其照顾者组成的社区样本中进行了验证。结果表明,青少年用 TXP-A 问卷有 29 个项目,具有双因素结构:情感-沟通和控制-结构,内部一致性(克朗巴赫 α=0.89)和重测信度(组内相关系数=0.94)较高。两个因素都与 SRD(r=0.273,p<0.001)以及大多数研究的精神病理学维度相关。总分和情感-沟通与反社会障碍(t=3.259,p=0.001)及其严重程度(r=-0.119,p=0.003)相关。青少年和照顾者之间的观察者间信度较低,部分原因是 16 项的 TXP-C 具有不同的双因素结构:情感-沟通和亲社会价值观。TXP-C 的内部一致性(克朗巴赫 α=0.87)和重测信度(组内相关系数=0.94)较高。总分和情感-沟通与反社会障碍有关(t=2.586,p=0.010),但 TXP-C 并没有根据 SRD 进行区分。总之,青少年用 TXP-A 问卷似乎是一种可靠、有效且无偏倚的工具,可评估父母教养实践的感知,较高的情感-沟通和控制-结构与较少的精神病理学和酒精及药物使用有关。TXP-C 似乎也是可靠和无偏倚的,但在物质使用和精神病理学方面的有效性证据较少。