Tieu Yvonne, Konnert Candace, Quigley Leanne
Kings Regional Rehabilitation Centre, Waterville, Nova Scotia.
Department of Psychology, University of Calgary, Calgary, Alberta.
Can J Aging. 2018 Jun;37(2):234-244. doi: 10.1017/S0714980818000041. Epub 2018 Mar 19.
ABSTRACTResearch on underutilization patterns of mental health services among older Chinese immigrants is limited, partly due to the absence of translated, psychometrically sound measures for assessing attitudes towards seeking help. In this study we interviewed 200 older Chinese Canadian immigrants using a translated version of the Inventory of Attitudes Toward Seeking Mental Health Services scale (IASMHS), and assessed mental health care utilization over the past 12 months and intentions to seek help. Confirmatory factor analysis failed to replicate the original three-factor structure; thus, we used exploratory factor analysis to create a 20-item Chinese version, the C-IASMHS. It had acceptable internal consistency and was positively correlated with intentions to seek help. The Help-Seeking Propensity subscale had the strongest psychometric properties whereas the Psychological Openness subscale performed poorly based on factor analysis results and unacceptable internal consistency. Future research should focus on the conceptual equivalence of psychological openness among Chinese older adults.
关于中国老年移民心理健康服务利用不足模式的研究有限，部分原因是缺乏经过翻译且心理测量学上可靠的评估寻求帮助态度的量表。在本研究中，我们使用《寻求心理健康服务态度量表》（IASMHS）的翻译版本对200名加拿大华裔老年移民进行了访谈，并评估了他们在过去12个月的心理健康服务利用情况以及寻求帮助的意向。验证性因素分析未能重现原始的三因素结构；因此，我们使用探索性因素分析创建了一个包含20个条目的中文版，即C-IASMHS。它具有可接受的内部一致性，且与寻求帮助的意向呈正相关。寻求帮助倾向子量表具有最强的心理测量学特性，而心理开放性子量表根据因素分析结果表现不佳且内部一致性不可接受。未来的研究应关注中国老年人心理开放性的概念等效性。
