Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, Ciudad Universitaria de Cantoblanco, 28049 Madrid, Spain; Centro de Investigation Biomédica en Red de Salud Mental, Cibersam, C/Diego de León, 62, 28006 Madrid, Spain; Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS Princesa), C/Diego de León, 62, 28006 Madrid, Spain.
A-Clinic Foundation, Ratamestarinkatu 7 A, 00520 Helsinki, Finland.
Addict Behav. 2019 Aug;95:125-128. doi: 10.1016/j.addbeh.2019.03.009. Epub 2019 Mar 17.
Improvement of overall functioning is an important goal in the treatment of substance use disorders, and thus tools for monitoring change are needed. The current study aimed to evaluate the longitudinal metric invariance and sensitivity to change for the PARADISE24fin questionnaire.
A total of 1153 patients with substance use disorders completed the PARADISE24fin in two measurement occasions along their treatment. Patients were categorized into three groups according to their treatment status at the second occasion (end of the treatment, on-treatment follow-up, and re-start treatment). The latent structure of the PARADISE24fin questionnaire was analyzed in the two measurement occasions with confirmatory factor analyses. Evidence of the PARADISE24fin sensitivity to change was studied comparing mean change scores for the three treatment status groups.
The PARADISE24fin showed a strong longitudinal metric invariance across the two occasions in the three treatment status groups. The PARADISE24fin scores decreased during treatment, especially among the group of patients that had completed their treatment.
The PARADISE24fin is a reliable questionnaire to measure changes in psychosocial difficulties in substance use disorders overtime.
改善整体功能是治疗物质使用障碍的一个重要目标,因此需要用于监测变化的工具。本研究旨在评估 PARADISE24fin 问卷的纵向度量不变性和对变化的敏感性。
共有 1153 名物质使用障碍患者在治疗过程中完成了两次 PARADISE24fin 测量。根据第二次(治疗结束、治疗中随访和重新开始治疗)时的治疗状况,将患者分为三组。采用验证性因子分析对 PARADISE24fin 问卷的潜在结构进行了两次测量的分析。通过比较三组治疗状况的平均变化得分,研究了 PARADISE24fin 对变化的敏感性的证据。
PARADISE24fin 在三个治疗状况组的两个时间点上均表现出很强的纵向度量不变性。PARADISE24fin 评分在治疗期间下降,尤其是在完成治疗的患者组中。
PARADISE24fin 是一种可靠的问卷,可以衡量物质使用障碍患者随时间变化的心理社会困难。