双相障碍患者样本中积极情绪反应问卷（RPA）的心理测量特性和效用。
Psychometric properties and utility of the Responses to Positive Affect questionnaire (RPA) in a sample of people with bipolar disorder.
机构信息
Department of Psychology, Health, and Technology, Center for eHealth and Well-being Research, University of Twente, Enschede, The Netherlands.
Center for Bipolar Disorders, Dimence Mental Health, Deventer, The Netherlands.
出版信息
J Clin Psychol. 2019 Oct;75(10):1850-1865. doi: 10.1002/jclp.22819. Epub 2019 Jun 25.
OBJECTIVES
To evaluate the psychometric properties of the Responses to Positive Affect (RPA) questionnaire in a sample of persons with bipolar disorder (BD).
METHOD
Cross-sectional survey study with 107 persons with BD. The original 3-factor model of the RPA was compared with a 2-factor model. Construct validity was determined with measures of well-being, personal recovery, social role participation, and psychopathology and incremental validity was evaluated.
RESULTS
The fit of the 3-factor model was acceptable for most fit indices. Subscores of the RPA revealed a significant relationship with aspects of well-being, personal recovery, and psychopathology. Dampening and self-focused positive rumination explained additional variance in personal recovery above and beyond well-being.
CONCLUSIONS
The RPA is an internally consistent and valid tool to assess positive emotion regulation processes in persons with BD. Specifically, the processes of dampening and emotion-focused positive rumination seem to play an important role in BD.
目的
评估积极情绪反应问卷（RPA）在双相情感障碍（BD）患者样本中的心理测量特性。
方法
横断面调查研究，共纳入 107 名 BD 患者。比较了 RPA 的原始 3 因素模型与 2 因素模型。采用幸福感、个人康复、社会角色参与和精神病理学的测量方法来确定结构效度，并评估增量效度。
结果
对于大多数拟合指标来说，3 因素模型的拟合度是可以接受的。RPA 的子分数与幸福感、个人康复和精神病理学的各个方面均显著相关。抑制和以自我为中心的积极沉思在幸福感之外，对个人康复有额外的解释作用。
结论
RPA 是评估 BD 患者积极情绪调节过程的一种内部一致且有效的工具。具体来说，抑制和情绪聚焦的积极沉思过程在 BD 中似乎起着重要作用。
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