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在中国背景下验证围产期创伤后应激障碍问卷(PPQ)的心理测量学特征。

Validating the Psychometric Characteristics of the Perinatal Posttraumatic Stress Disorder Questionnaire (PPQ) in a Chinese Context.

作者信息

Zhang Di, Zhang Jun, Gan Quan, Wang Qiaoling, Fan Nian, Zhang Rong, Song Yayun

机构信息

WuHan University School of Health Sciences, 155 Donghu Rd., Wuchang District, WuHan 430071, PR China.

WuHan University School of Health Sciences, 155 Donghu Rd., Wuchang District, WuHan 430071, PR China.

出版信息

Arch Psychiatr Nurs. 2018 Feb;32(1):57-61. doi: 10.1016/j.apnu.2017.09.016. Epub 2017 Sep 28.

Abstract

BACKGROUND

Perinatal posttraumatic stress disorder (PPTSD) is a common stress-induced mental disorder worldwide. The Perinatal Posttraumatic Stress Disorder Questionnaire (PPQ) is an excellent questionnaire that measures the symptoms of PPTSD, but has not been translated into Chinese yet.

OBJECTIVES

The aims of this study were to develop a translated Chinese version of the (PPQ) and validate the psychometric characteristics of the PPQ in a Chinese context.

METHODS

After translation, back-translation, and expert discussion, 280 mothers at 1 to 18months postpartum filled out the questionnaires through the Internet. Then the reliability and validity of the translated questionnaire were tested.

RESULTS

The Chinese version of PPQ (PPQ-C) was composed of 14 items. Cronbach's α coefficient was 0.84, test-retest reliability was 0.88, and the content validity was 0.99. Exploratory factor analysis extracted three factors (representing "arousal", "avoidance" and "intrusion") accounted for 53.30% of the variance. The established 3 factors model was well fitted with the collected data (χ=76.40, p<0.05).

IMPLICATIONS FOR PRACTICE

The PPQ-C is a short, reliable, and valid instrument that measures the symptoms of PPTSD, and it is recommend for clinical screening.

IMPLICATIONS FOR RESEARCH

Further research could involve diverse participants, as well as better adapt the PPQ-C to Chinese culture.

摘要

背景

围产期创伤后应激障碍(PPTSD)是全球常见的应激诱导性精神障碍。围产期创伤后应激障碍问卷(PPQ)是一种用于测量PPTSD症状的优秀问卷,但尚未被翻译成中文。

目的

本研究旨在开发PPQ的中文翻译版本,并在中国背景下验证PPQ的心理测量学特征。

方法

经过翻译、回译和专家讨论后,280名产后1至18个月的母亲通过互联网填写问卷。然后对翻译后的问卷进行信效度检验。

结果

中文版PPQ(PPQ-C)由14个项目组成。Cronbach's α系数为0.84,重测信度为0.88,内容效度为0.99。探索性因素分析提取了三个因素(代表“唤醒”、“回避”和“闯入”),解释了53.30%的方差。所建立的三因素模型与收集的数据拟合良好(χ=76.40,p<0.05)。

对实践的启示

PPQ-C是一种简短、可靠且有效的测量PPTSD症状的工具,推荐用于临床筛查。

对研究的启示

进一步的研究可以纳入不同的参与者,并使PPQ-C更好地适应中国文化。

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