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老年成人精神病理学:自我报告、间接报告和多 informant 一致性的国际比较。

Older adult psychopathology: international comparisons of self-reports, collateral reports, and cross-informant agreement.

机构信息

Bryn Mawr College, Bryn Mawr, PA, USA.

Department of Psychiatry, Larner College of Medicine, University of Vermont, Burlington, VT, USA.

出版信息

Int Psychogeriatr. 2022 May;34(5):467-478. doi: 10.1017/S1041610220001532. Epub 2020 Sep 4.

DOI:10.1017/S1041610220001532
PMID:32883392
Abstract

OBJECTIVES

To conduct international comparisons of self-reports, collateral reports, and cross-informant agreement regarding older adult psychopathology.

PARTICIPANTS

We compared self-ratings of problems (e.g. ) and personal strengths (e.g. ) for 10,686 adults aged 60-102 years from 19 societies and collateral ratings for 7,065 of these adults from 12 societies.

MEASUREMENTS

Data were obtained via the Older Adult Self-Report (OASR) and the Older Adult Behavior Checklist (OABCL; Achenbach ., ).

RESULTS

Cronbach's alphas were .76 (OASR) and .80 (OABCL) averaged across societies. Across societies, 27 of the 30 problem items with the highest mean ratings and 28 of the 30 items with the lowest mean ratings were the same on the OASR and the OABCL. correlations between the means of the 0-1-2 ratings for the 113 problem items averaged across all pairs of societies yielded means of .77 (OASR) and .78 (OABCL). For the OASR and OABCL, respectively, analyses of variance (ANOVAs) yielded effect sizes (ESs) for society of 15% and 18% for Total Problems and 42% and 31% for Personal Strengths, respectively. For 5,584 cross-informant dyads in 12 societies, cross-informant correlations averaged across societies were .68 for Total Problems and .58 for Personal Strengths. Mixed-model ANOVAs yielded large effects for society on both Total Problems (ES = 17%) and Personal Strengths (ES = 36%).

CONCLUSIONS

The OASR and OABCL are efficient, low-cost, easily administered mental health assessments that can be used internationally to screen for many problems and strengths.

摘要

目的

对老年人精神病理学的自我报告、旁证报告和交叉报告进行国际比较。

参与者

我们比较了来自 19 个社会的 10686 名 60-102 岁成年人的自我报告问题(例如)和个人优势(例如),以及来自 12 个社会的其中 7065 名成年人的旁证报告。

测量

数据通过老年自评量表(OASR)和老年行为检查表(OABCL;Achenbach)获得。

结果

在所有社会中,OASR 和 OABCL 的平均 Cronbach's alpha 值分别为.76 和.80。在所有社会中,30 个问题项目中,有 27 个具有最高平均评分,28 个具有最低平均评分,在 OASR 和 OABCL 上是相同的。在所有社会对 113 个问题项目的 0-1-2 评分的平均值进行的 2 次相关分析,得到了 OASR 和 OABCL 的平均值分别为.77 和.78。对于 OASR 和 OABCL,分别对来自所有社会的 113 个问题项目的评分进行方差分析(ANOVA),得到的总问题效应量(ES)分别为 15%和 18%,个人优势 ES 分别为 42%和 31%。在 12 个社会的 5584 个交叉信息源对中,社会之间的交叉信息相关性平均为总问题的.68 和个人优势的.58。混合模型 ANOVA 得出了社会对总问题(ES = 17%)和个人优势(ES = 36%)都有很大的影响。

结论

OASR 和 OABCL 是高效、低成本、易于管理的心理健康评估工具,可以在国际上用于筛查许多问题和优势。

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