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中文版《医学生和基层医护人员对精神疾病简短社区态度量表》的心理测量学特性

Psychometric Properties of the Chinese Version of Short-Form Community Attitudes Toward Mentally Illness Scale in Medical Students and Primary Healthcare Workers.

作者信息

Tong Yan, Wang Zhizhong, Sun Yan, Li Shulan

机构信息

Department of Social Medicine, School of Public Health, Shanxi Medical University, Taiyuan, China.

Department of Infectious Disease Control, Center for Disease Control and Prevent at Shizuishan City, Shizuishan, China.

出版信息

Front Psychiatry. 2020 Apr 24;11:337. doi: 10.3389/fpsyt.2020.00337. eCollection 2020.

Abstract

OBJECTIVE

To assess the psychometric properties of the short form Community Attitudes toward Mentally Illness (SF-CAMI) scale among medical students and primary healthcare workers in China.

METHODS

Original English version CAMI was translated following a standard procedure. and then short-form CAMI developed through the multistage procedure. The psychometric properties were tested among two separate samples which contained 1,092 primary healthcare workers and 1,228 medical students. Reliability was assessed by internal consistency reliability and test-retest reliability. Exploratory factor and confirmatory factor analyses were performed to determine the structure and to assess the validity of the scale.

RESULTS

The Chinese version of SF-CAMI consists of 20 items and with three subscales: Benevolence, Fear and Exclusion, and Support and Tolerance. The confirmatory factor analysis indicated good fitting models for medical students and primary healthcare workers. The Cronbach of total scale for both samples was good (0.82 for medical students and 0.85 for primary healthcare workers), and acceptable test-retest reliability was found (intraclass correlation coefficient is 0.62 for medical students and 0.60 for primary healthcare workers).

CONCLUSION

The Chinese version of SF-CAMI performed good reliability and validity among both primary healthcare workers and medical students, provide more feasible and available tools for assessing the effect of mental health service programs in China.

摘要

目的

评估中国医学生和基层医疗工作者中简版社区对精神疾病态度量表(SF-CAMI)的心理测量学特性。

方法

按照标准程序翻译原始英文版CAMI,然后通过多阶段程序开发简版CAMI。在两个独立样本(包含1092名基层医疗工作者和1228名医学生)中测试心理测量学特性。通过内部一致性信度和重测信度评估信度。进行探索性因素分析和验证性因素分析以确定量表结构并评估其效度。

结果

中文版SF-CAMI由20个条目组成,有三个子量表:仁爱、恐惧与排斥、支持与宽容。验证性因素分析表明该模型对医学生和基层医疗工作者拟合良好。两个样本总量表的Cronbach's α系数良好(医学生为0.82,基层医疗工作者为0.85),并发现了可接受的重测信度(医学生组内相关系数为0.62,基层医疗工作者为0.60)。

结论

中文版SF-CAMI在基层医疗工作者和医学生中均表现出良好的信度和效度,为评估中国心理健康服务项目的效果提供了更可行、更适用的工具。

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