Departments of Physical Medicine and Rehabilitation (Drs Neumann and Hammond) and Biostatistics (Dr Perkins and Ms Bhamidipalli), Indiana University School of Medicine, Indianapolis; Rehabilitation Hospital of Indiana, Indianapolis (Drs Neumann and Hammond); Division of Clinical Neuropsychology and Rehabilitation Psychology, H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine and Harris Health System, Houston, Texas; Brain Injury Research Center, TIRR Memorial Hermann, Houston, Texas (Dr Sander); Indiana University School of Medicine, Indianapolis (Ms Witwer); and Department of Psychology, University of Texas at Tyler, Tyler (Dr Combs).
J Head Trauma Rehabil. 2020 Sep/Oct;35(5):E450-E457. doi: 10.1097/HTR.0000000000000581.
(1) To explore the construct validity of the Ambiguous Intentions Hostility Questionnaire (AIHQ) in participants with traumatic brain injury (TBI) (ie, confirm negative attributions are associated with anger and aggression); and (2) use the AIHQ to examine negative attribution differences between participants with and without TBI.
Two rehabilitation hospitals.
Eighty-five adults with TBI and 86 healthy controls (HCs).
Cross-sectional survey.
The AIHQ, a measure of negative attributions (intent, hostility, and blame), anger, and aggressive responses to hypothetical scenarios.
Attributions were significantly correlated with anticipated anger and aggressive responses to AIHQ scenarios. Compared with HCs, participants with TBI reported stronger negative attributions (P ≤ .001), anger (P = .021), and aggressive responses (P = .002) to the scenarios.
Negative attributions were associated with anger and aggression responses, demonstrating construct validity of the AIHQ in the TBI population. Participants with TBI judged others' behaviors more severely than HCs, similar to prior research using a different attribution measure. The AIHQ has promise as a practical instrument for assessing negative attributions after TBI.
（1）在创伤性脑损伤（TBI）患者中探索模糊意图敌意问卷（AIHQ）的结构效度（即，确认负面归因与愤怒和攻击有关）；（2）使用 AIHQ 检查 TBI 患者与无 TBI 患者之间的负面归因差异。
两家康复医院。
85 名 TBI 成年患者和 86 名健康对照者（HCs）。
横断面调查。
AIHQ，一种衡量负面归因（意图、敌意和责备）、愤怒和对假设情景的攻击反应的工具。
归因与对 AIHQ 情景的预期愤怒和攻击反应显著相关。与 HCs 相比，TBI 患者对情景的负面归因（P ≤.001）、愤怒（P =.021）和攻击反应（P =.002）更强。
负面归因与愤怒和攻击反应相关，表明 AIHQ 在 TBI 人群中具有结构效度。与使用不同归因测量工具的先前研究类似，TBI 患者比 HCs 更严厉地判断他人的行为。AIHQ 有望成为评估 TBI 后负面归因的实用工具。
