阿拉伯文版心脏抑郁量表在约旦心血管疾病患者中的心理测量特性研究。
Psychometric properties of the Arabic version of the cardiac depression scale tested on Jordanian patients with cardiovascular diseases.
机构信息
Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110, Jordan.
Community and Psychiatric Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box: 3030, Irbid, 22110, Jordan.
出版信息
BMC Psychiatry. 2020 May 19;20(1):246. doi: 10.1186/s12888-020-02651-8.
BACKGROUND
The Cardiac Depression Scale (CDS) is an instrument to screen for depression, specifically in patients with cardiovascular diseases (CVD). The purpose of this study was to evaluate the psychometric properties of the Arabic version of the CDS in the Jordanian population.
METHOD
A cross-sectional design was used for 304 participants diagnosed with CVD. An exploratory factor analysis (EFA) was performed to explore the underlying structure of the new Arabic version of the CDS tool.
RESULTS
Cronbach's alpha for the total scale was 0.87. An EFA suggested a two-factor solution. The first factor has 18 items, measuring "My tolerance" of CVD, and the second factor has seven items, measuring "My activities" in the context of CVD. Based on the EFA simple structure, one item was removed due to its low factor loading (< 0.3). A confirmatory factor analysis (CFA) supported a two-factor model with the root mean square error of approximation (RMSEA = 0.06), comparative fit index (CFI = 0.856), and Tucker-Lewis index (TLI = 0.83) indicating acceptable fit. The Cronbach's alpha values for the first and second factors were 0.86 and 0.84, respectively.
CONCLUSION
The Arabic version of the CDS is a reliable and valid instrument to screen for depression among Jordanian patients with CVD.
背景
心脏抑郁量表（CDS）是一种用于筛查抑郁的工具，特别是在心血管疾病（CVD）患者中。本研究旨在评估阿拉伯版 CDS 在约旦人群中的心理测量特性。
方法
采用横断面设计对 304 名被诊断为 CVD 的患者进行研究。采用探索性因子分析（EFA）来探讨新的阿拉伯版 CDS 工具的潜在结构。
结果
总量表的 Cronbach's alpha 为 0.87。EFA 建议采用两因素解决方案。第一个因素有 18 个项目，测量 CVD 的“我的容忍度”，第二个因素有 7 个项目，测量 CVD 背景下的“我的活动”。根据 EFA 的简单结构，由于其因子负荷（<0.3）较低，有一个项目被删除。验证性因子分析（CFA）支持两因素模型，近似均方根误差（RMSEA=0.06）、比较拟合指数（CFI=0.856）和 Tucker-Lewis 指数（TLI=0.83）表明拟合良好。第一个和第二个因素的 Cronbach's alpha 值分别为 0.86 和 0.84。
结论
阿拉伯版 CDS 是一种可靠有效的工具，可用于筛查约旦 CVD 患者的抑郁。
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