Universitat Jaume I, CIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN).
Psicothema. 2019 Feb;31(1):17-23. doi: 10.7334/psicothema2018.159.
Adjustment Disorders (AjD) are one of the most prevalent psychological problems in primary and hospital care. It is necessary to have evidence-based instruments to help professionals diagnose and better understand this problem, which has been little studied. This study presents an adaptation of the Inventory of Complicated Grief for the assessment of AjD symptoms, referred to as the Inventory of Stress and Loss (ISL), and explores the differences in the response to stressful situations between general and clinical Spanish populations.
The general sample included 208 participants, and the clinical sample 91 patients with AjD.
Results showed that the ISL has high internal consistency. Confirmatory factor analysis showed one single factor, as in the original questionnaire. With respect to concurrent validity, the ISL correlated positively with the STAI-T. Finally, significant differences were found in the total score on the questionnaire between the clinical and general samples, and between men and women in the general sample.
Results suggest that the ISL is a simple, useful assessment tool that exhibits good psychometric properties and makes it possible to differentiate normal reactions to a stressful situation from pathological reactions.
适应障碍（AjD）是初级保健和医院护理中最常见的心理问题之一。有必要使用基于证据的工具来帮助专业人员诊断和更好地理解这个研究较少的问题。本研究介绍了一种用于评估 AjD 症状的复杂悲伤量表的改编版，称为压力和损失量表（ISL），并探讨了一般和临床西班牙人群对压力情况的反应差异。
一般样本包括 208 名参与者，临床样本包括 91 名 AjD 患者。
结果表明，ISL 具有较高的内部一致性。验证性因素分析显示，与原始问卷一样，存在一个单一因素。关于同时效度，ISL 与 STAI-T 呈正相关。最后，在临床和一般样本之间以及一般样本中的男性和女性之间，问卷的总分存在显著差异。
结果表明，ISL 是一种简单、有用的评估工具，具有良好的心理测量特性，可以区分正常的应激反应和病理性反应。
