Stern Biljana, Socan Gregor, Rener-Sitar Ksenija, Kukec Andreja, Zaletel-Kragelj Lijana
University Clinical Centre Maribor, Department of Neurologic Diseases, Ljubljanska 5, 2000 Maribor, Slovenia.
University of Ljubljana, Faculty of Medicine, Chair of Public Health, Zaloška 4, 1000 Ljubljana, Slovenia.
Zdr Varst. 2019 Jan 21;58(1):31-39. doi: 10.2478/sjph-2019-0004. eCollection 2019 Mar.
To validate the Slovenian version (SOC-13-SVN) of Sense of Coherence 13-item instrument (SOC-13) in Slovenian multiple sclerosis (MS) patients.
A consecutive 134 Slovenian MS patients were enrolled in a cross-sectional study in 2013. The reliability of the SOC-13-SVN was assessed for internal consistency by Cronbach's alpha coefficient (α), dimensionality by the confirmatory factor analysis (CFA), and criterion validity by Pearson correlation coefficient (r) between SOC-13-SVN global score and MSQOL-54 composite scores - Mental Health Composite score (MHC) and Physical Health Composite score (PHC).
For the SOC-13-SVN instrument as a whole, internal consistency was high (α=0.88) while it was low for three subscales (α=0.79; α=0.66; α=0.69). The results of the CFA confirmed a three-factor structure with good fit (RMSEA=0.059, CFI=0.953, SRMR=0.065), however, the correlations between the factors were very high (r=0.938; r=0.811; r=0.930). The criterion validity analysis showed a moderate positive strength of relationship between SOC-13-SVN global score and both MSQOL-54 composite scores (MHC: r=0.597, p<0.001; PHC: r=0.437, p<0.001).
Analysis of some psychometric properties confirmed that this instrument is a reliable and valid tool for use in Slovenian MS patients. Despite the three-dimensional structure of the instrument, the use of the global summary score is encouraged due to the low reliability of the subscale scores and high correlations between them.
验证连贯感13项量表（SOC - 13）的斯洛文尼亚语版本（SOC - 13 - SVN）在斯洛文尼亚多发性硬化症（MS）患者中的有效性。
2013年，134名连续入选的斯洛文尼亚MS患者参与了一项横断面研究。通过Cronbach's α系数（α）评估SOC - 13 - SVN的内部一致性可靠性，通过验证性因子分析（CFA）评估维度，通过SOC - 13 - SVN总分与MSQOL - 54综合评分——心理健康综合评分（MHC）和身体健康综合评分（PHC）之间的Pearson相关系数（r）评估效标效度。
对于整个SOC - 13 - SVN量表，内部一致性较高（α = 0.88），而三个子量表的内部一致性较低（α = 0.79；α = 0.66；α = 0.69）。CFA结果证实了具有良好拟合度的三因素结构（RMSEA = 0.059，CFI = 0.953，SRMR = 0.065），然而，各因素之间的相关性非常高（r = 0.938；r = 0.811；r = 0.930）。效标效度分析表明，SOC - 13 - SVN总分与两个MSQOL - 54综合评分之间均存在中等强度的正相关关系（MHC：r = 0.597，p < 0.001；PHC：r = 0.437，p < 0.001）。
对一些心理测量学特性的分析证实，该量表是用于斯洛文尼亚MS患者的可靠且有效的工具。尽管该量表具有三维结构，但由于子量表分数的可靠性较低且它们之间的相关性较高，因此鼓励使用总体总分。
