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心理健康与监禁:巴基斯坦旁遮普省罪犯的交叉症状测量。

Mental health and imprisonment: Measuring cross-cutting symptoms among convicts in Punjab, Pakistan.

机构信息

National Institute of Psychology, Quaid-i-Azam University, Islamabad, Pakistan.

出版信息

Asian J Psychiatr. 2019 Aug;44:127-132. doi: 10.1016/j.ajp.2019.07.036. Epub 2019 Jul 24.

DOI:10.1016/j.ajp.2019.07.036
PMID:31369948
Abstract

BACKGROUND

DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure-Adult (APA, 2013) is a self-reported instrument to measure comorbidity of psychiatric symptomology. Translation and validation of this instrument contribute to the literature, both in terms of its availability in native language Urdu and its usefulness in the prison settings of Pakistan.

AIM

The purpose of the present study is to translate DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure-Adult (APA, 2013) and to measure comorbid psychiatric symptomology among convicted criminals of Central Jail Bahawalpur (CJB) and Central Jail Sahiwal (CJS).

MATERIALS AND METHOD

Cross-sectional design was used and guideline proposed by Mapi Institute (Acquadro et al., 2012) was used for the translation and adaptation process. Data were collected from 362 imprisoned convicts.

STATISTICAL ANALYSIS

For construct validity, Confirmatory Factor Analysis (CFA) was done by taking domains as continuous variables. The analysis was conducted using AMOS. Cross-tabulation analysis was conducted to see the association of comorbid psychiatric symptomology with respect to crime-related variables by using SPSS.

RESULTS AND CONCLUSION

Goodness of fit showed that the translated version of the instrument has a satisfactory to good construct validity. For domains with more than one items, Guttmann and Alpha reliability analysis showed satisfactory reliability of domains (.52-.71) and Alpha reliability of .89 for the overall instrument. Sleep disturbance and anger related symptoms showed a high prevalence in the current sample. Current and previous crime-related variables do associate significantly with comorbid psychiatric symptomology.

摘要

背景

DSM-5 自我评定 1 级跨切症状量表-成人版(APA,2013)是一种自我报告工具,用于衡量精神症状的共病情况。该工具的翻译和验证有助于文献的发展,不仅因为它在母语乌尔都语中的可用性,还因为它在巴基斯坦监狱环境中的有用性。

目的

本研究的目的是翻译 DSM-5 自我评定 1 级跨切症状量表-成人版(APA,2013),并测量中央监狱 Bahawalpur(CJB)和中央监狱 Sahiwal(CJS)的已定罪罪犯的共患精神症状。

材料和方法

采用横断面设计,采用 Mapi 研究所(Acquadro 等人,2012)提出的指南进行翻译和改编过程。数据来自 362 名监禁罪犯。

统计分析

为了进行结构有效性分析,采用连续变量的方法对领域进行验证性因子分析(CFA)。分析使用 AMOS 进行。使用 SPSS 进行交叉表分析,以了解共患精神症状与犯罪相关变量的关联。

结果与结论

拟合优度表明,该工具的翻译版本具有令人满意的结构有效性。对于具有多个项目的领域,Guttmann 和 Alpha 可靠性分析显示领域的可靠性令人满意(.52-.71),整个工具的 Alpha 可靠性为.89。睡眠障碍和愤怒相关症状在当前样本中表现出较高的发生率。当前和以前的犯罪相关变量与共患精神症状显著相关。

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