Department of Psychology Health and Technology, University of Twente, Enschede, the Netherlands.
Foundation Centrum '45 | Partner in Arq Psychotrauma Expert Group, Oegstgeest and Diemen, the Netherlands.
J Trauma Stress. 2018 Dec;31(6):816-825. doi: 10.1002/jts.22348.
The World Assumption Scale (WAS) is a frequently used measure in trauma research. The 32 items of the WAS are intended to represent eight assumptions about the benevolence of the world, the meaningfulness of events, and the worthiness of the self. Debate about the validity of the WAS is ongoing, particularly in terms of its empirical factor structure; some studies have confirmed a model of eight correlated factors whereas several other studies have not. The WAS items were administered to a clinical sample of patients who sought professional help because of posttraumatic complaints (n = 1,791) as well as a sample of healthcare professionals (n = 236). We split the clinical sample into three subsamples, then performed exploratory factor analysis using data from one subsample and tested the factor structure with confirmatory factor analysis using the other two subsamples. A consistent model of eight correlated factors was demonstrated, with almost all factors showing acceptable reliability, Cronbach's αs = .68-.84. We tested this factor model against data from the sample of healthcare professionals with increasingly stringent levels of invariance and found it to be scalar invariant (same structure, loadings, and thresholds). In a regression analysis, five factors showed significant associations with posttraumatic stress disorder (PTSD) symptoms, and two factors had unique associations with PTSD symptoms after we controlled for traumatic events: Self-Worth, β = -.31; and Luck, β = -.15. Future research should aim to distinguish between different assumptions and their individual influences on posttraumatic complaints.
世界假设量表(WAS)是创伤研究中常用的一种测量工具。WAS 的 32 个项目旨在代表关于世界的仁慈、事件的意义和自我价值的八种假设。关于 WAS 的有效性的争论仍在继续,特别是在其经验因素结构方面;一些研究证实了一个包含八个相关因素的模型,而其他一些研究则没有。WAS 项目被用于因创伤后投诉而寻求专业帮助的临床患者样本(n=1791)和医疗保健专业人员样本(n=236)。我们将临床样本分为三个子样本,然后使用一个子样本的数据进行探索性因素分析,并使用其他两个子样本进行验证性因素分析来测试因素结构。结果表明,存在一致的八个相关因素模型,几乎所有因素的可靠性都较高,Cronbach's αs =.68-.84。我们使用医疗保健专业人员样本的数据以越来越严格的不变性水平对该因子模型进行了测试,发现其具有标度不变性(相同的结构、负荷和阈值)。在回归分析中,五个因素与创伤后应激障碍(PTSD)症状显著相关,两个因素在控制创伤事件后与 PTSD 症状具有独特的关联:自我价值,β=-.31;和运气,β=-.15。未来的研究应该旨在区分不同的假设及其对创伤后投诉的个体影响。