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[反思功能问卷(RFQ)德文版:一般人群中的心理测量学评估]

[The German Version of the Reflective Functioning Questionnaire (RFQ): A Psychometric Evaluation in the General Population].

作者信息

Spitzer Carsten, Zimmermann Johannes, Brähler Elmar, Euler Sebastian, Wendt Leon, Müller Sascha

机构信息

Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin Rostock.

Institut für Psychologie, Universität Kassel.

出版信息

Psychother Psychosom Med Psychol. 2021 Mar;71(3-04):124-131. doi: 10.1055/a-1234-6317. Epub 2020 Oct 15.

Abstract

The concept of mentalization has attracted broad clinical and scientific interest, particularly because of its high clinical and therapeutic relevance. To make this concept accessible for empirical research, the 8-item Reflective Functioning Questionnaire (RFQ-8) was developed, which comprises 2 subscales tapping into uncertainty about mental states (or hypomentalizing), and certainty about mental states (i. e. hypermentalizing). Although first psychometric examinations have evaluated the RFQ-8 positively, these findings must be interpreted with caution for methodological reasons. The aim of this study was the psychometric evaluation of the German version of the RFQ-8 in a large general population sample (n=2477). Various confirmatory and exploratory factor analyses indicated that the originally introduced 2-factor solution is mis-specified. Instead, the RFQ-8 seems to cover a unidimensional construct. Having excluded 2 items due to their insufficient psychometric qualities, the 6-item measure (RFQ-6) showed high internal consistency (McDonald's ω=0,88) as well as significant rank correlations with depression, anxiety and bodily complaints. Considering the psychometric limitations of the RFQ-8, its use in clinical routine and research should be viewed very critically, particularly with respect to its ability to assess hypermentalizing.

摘要

心理化的概念已引起广泛的临床和科学关注,尤其是因其具有高度的临床和治疗相关性。为了使这一概念能够用于实证研究,研究者开发了包含8个条目的反思功能问卷(RFQ - 8),该问卷包括两个分量表,分别探究对心理状态的不确定性(即心理化不足)和对心理状态的确定性(即过度心理化)。尽管最初的心理测量学检验对RFQ - 8给予了积极评价,但由于方法学原因,这些研究结果必须谨慎解读。本研究的目的是在一个大规模普通人群样本(n = 2477)中对RFQ - 8德文版进行心理测量学评估。各种验证性和探索性因素分析表明,最初提出的两因素解决方案设定错误。相反,RFQ - 8似乎涵盖一个单维结构。由于其中2个条目心理测量质量不足而将其排除后,6条目量表(RFQ - 6)显示出较高的内部一致性(麦克唐纳ω系数 = 0.88),并且与抑郁、焦虑和身体不适存在显著的等级相关性。鉴于RFQ - 8在心理测量学方面的局限性,尤其是在评估过度心理化能力方面,其在临床实践和研究中的应用应受到严格审视。

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