Tufts University.
Sch Psychol. 2019 Nov;34(6):637-645. doi: 10.1037/spq0000313.
Each year, 11.8 million adolescents in the United States cope with a chronic condition (CC), yet much of the research about these youth has been framed from a deficit perspective. The author developed and validated a measure of Positive Youth Development (PYD) for use with adolescents with CCs to address their unique circumstances. Expert ratings reduced 51 items selected from the Connecting Adolescents Beliefs and Behaviors survey to 16 items. Two exploratory factor analyses using orthogonal and oblique rotations further reduced the number of items to 12. Three factors emerged: PYD-Connections to Peers and Schools (α = .81), PYD-Connection to Family (α = .82), and PYD-Confidence (α = .89). Relations between these constructs and perceived health were assessed in healthy youth and youth with CCs. Youth with CCs reported feeling less healthy and worrying more about their health, and endorsed greater levels of feeling depressed. Compared with a matched sample of youth without CCs, youth with CCs had significantly higher correlations between both PYD-Confidence and composite PYD, and degree of health worry and feeling depressed, as well as between connection to peers and school and feeling depressed. The findings highlight the need for a measure of PYD specifically for adolescents with CCs. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
每年，美国有 1180 万青少年患有慢性疾病（CC），但关于这些青少年的许多研究都是从缺陷的角度来进行的。作者开发并验证了一种用于患有 CC 的青少年的积极青年发展（PYD）衡量标准，以解决他们的特殊情况。专家评价将从“连接青少年信念和行为调查”中选择的 51 个项目减少到 16 个项目。使用正交和斜交旋转的两个探索性因素分析进一步将项目数量减少到 12 个。出现了三个因素：PYD-与同伴和学校的联系（α=0.81），PYD-与家庭的联系（α=0.82）和 PYD-信心（α=0.89）。在健康的青少年和患有 CC 的青少年中评估了这些结构与感知健康之间的关系。患有 CC 的青少年报告说感觉不太健康，对健康的担忧更多，并且感到抑郁的程度更高。与没有 CC 的青少年的匹配样本相比，患有 CC 的青少年在 PYD-信心和综合 PYD 以及健康担忧程度和抑郁程度之间，以及与同伴和学校的联系与抑郁之间，具有更高的相关性。研究结果强调了需要针对患有 CC 的青少年专门制定 PYD 的衡量标准。（PsycINFO 数据库记录（c）2019 APA，保留所有权利）。
