School of Psychoeducation, Université de Montréal, Montreal, Quebec, Canada.
Trauma Studies Center, Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada.
J Trauma Stress. 2019 Aug;32(4):566-576. doi: 10.1002/jts.22410. Epub 2019 Jul 2.
The Professional Quality of Life (ProQOL) scale is one of the most widely used measures of compassion satisfaction and fatigue despite there being little publicly available evidence to support its validity. This study, conducted among a sample of 310 child protection workers, assessed the construct validity of this measure using confirmatory factor analysis (CFA) and bifactor modeling. The CFA failed to confirm the adequacy of the three-factor structure proposed by Stamm (2010). In response, a bifactor model postulating a factor structure with a general factor in addition to independent factors (compassion satisfaction, job burnout, and secondary traumatic stress) was proposed, highlighting the unidimensionality of the ProQOL while allowing for each subscale to be used separately. Moreover, this bifactor model of the ProQOL was moderately correlated with the Posttraumatic Disorder Checklist, r = -.427, p < .001, and strongly correlated with scales of well-being at work, r = .694, p < .001, and psychological distress at work, r = -.666, p < .001, thus supporting the ProQOL's convergent validity. No associations were found between the ProQOL and the Life Event Checklist, which supports the ProQOL's discriminant validity. Overall, the results indicated that compassion satisfaction and compassion fatigue represent higher and lower levels of the same construct rather than two different constructs. Researchers and clinicians could therefore compute a single score to rate professionals' individual levels of professional quality of life.
专业生活质量(ProQOL)量表是最广泛使用的同情满足和疲劳测量方法之一,尽管几乎没有公开证据支持其有效性。本研究在 310 名儿童保护工作者的样本中进行,使用验证性因子分析(CFA)和双因素模型评估了该测量方法的结构有效性。CFA 未能证实 Stamm(2010)提出的三因素结构的充分性。作为回应,提出了一种双因素模型,假设除了独立因素(同情满足、职业倦怠和二次创伤压力)之外,还有一个一般因素的因素结构,突出了 ProQOL 的单一维度,同时允许单独使用每个子量表。此外,ProQOL 的这种双因素模型与创伤后障碍检查表中度相关,r = -.427,p <.001,与工作幸福感量表强烈相关,r =.694,p <.001,与工作心理困扰相关,r = -.666,p <.001,从而支持了 ProQOL 的收敛有效性。ProQOL 与生活事件检查表之间没有关联,这支持了 ProQOL 的区分有效性。总体而言,研究结果表明,同情满足和同情疲劳代表同一结构的较高和较低水平,而不是两个不同的结构。因此,研究人员和临床医生可以计算单个分数来评估专业人员的个人专业生活质量水平。