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我们是否应该在 ASD 儿童的父母中使用父母压力指数-短式量表?一项法国验证研究。

Should we use the Parental Stress Index-Short Form in parents of children with ASD? A French validation study.

机构信息

Université de Paris, LPPS, F-92100, Boulogne-Billancourt, France.

Laboratoire Adaptation, Mesure et Évaluation en Santé, Approches Interdisciplinaires (APEMAC - EA 4360), Université de Lorraine, France.

出版信息

Res Dev Disabil. 2020 Sep;104:103716. doi: 10.1016/j.ridd.2020.103716. Epub 2020 Jun 23.

DOI:10.1016/j.ridd.2020.103716
PMID:32590181
Abstract

BACKGROUND

Parents of children with Autism Spectrum Disorder (ASD) exhibit higher levels of parental stress than parents of typically developing children. The most frequently used tools to assess parental stress is the Parenting Stress Index (PSI) or its Short Form (PSI-SF).

AIMS

This study was designed to test the validity of the PSI-SF in French parents of children with ASD (N = 370).

METHODS AND PROCEDURES

First, a confirmatory factor analysis was conducted to test the initial 3-factor structure (36 items) which indicate a poor model fit. Then, an exploratory factor analysis was performed and convergent validity was assessed.

OUTCOMES AND RESULTS

A 3-factor structure (21 items) explaining 44 % of the variance was observed. Dimensions were moderately correlated and exhibited good internal consistency. Convergent validity was checked through the PSI-SF association with anxiety and depression (HADS), quality of life (WHOQOL-Brief) and appraisal of being a parent of a child with ASD (ALES).

CONCLUSIONS AND IMPLICATIONS

Future research should use the full version of the PSI-SF and examine its factor structure. More studies on the factor structure of the PSI-SF are needed to find out if it is a suitable tool for measuring stress in parents of children with ASD in France.

摘要

背景

自闭症谱系障碍(ASD)儿童的父母比正常发育儿童的父母表现出更高水平的父母压力。评估父母压力最常用的工具是父母压力指数(PSI)或其简式(PSI-SF)。

目的

本研究旨在检验 PSI-SF 在法国 ASD 儿童父母(N=370)中的有效性。

方法和程序

首先进行验证性因素分析,以检验最初的 3 因素结构(36 项),结果表明模型拟合不佳。然后进行探索性因素分析,并评估收敛效度。

结果

观察到 3 因素结构(21 项),解释了 44%的方差。维度中度相关,表现出良好的内部一致性。通过 PSI-SF 与焦虑和抑郁(HADS)、生活质量(WHOQOL-Brief)和对 ASD 儿童父母的评价(ALES)的关联来检查收敛效度。

结论和意义

未来的研究应使用 PSI-SF 的完整版本,并检验其因子结构。需要更多关于 PSI-SF 因子结构的研究,以确定它是否是一种适合法国 ASD 儿童父母测量压力的工具。

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