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有 homelessness 史的青年成年人的情绪调节困难量表(DERS-18)的结构、并发和真实世界预测效度。

Construct, concurrent, and real-world predictive validity of the Difficulties in Emotion Regulation (DERS-18) among young adults with history of homelessness.

机构信息

Suzanne Dworak-Peck School of Social Work, University of Southern California.

Department of Preventive Medicine, University of Southern California.

出版信息

Psychol Assess. 2021 May;33(5):385-394. doi: 10.1037/pas0000991. Epub 2021 Feb 25.

Abstract

Skills in emotional regulation are vitally important for enabling homeless young adults to navigate the complex and chaotic settings associated with homelessness. The current study seeks to test the construct, concurrent, and predictive validity of the Difficulties in Emotional Regulation Scale (DERS-18) in a sample of formerly and currently homeless young adults. Data come from a study of HIV risk among young adults who have experienced homelessness, including both those currently experiencing homelessness (n = 99) and in permanent housing (n = 120), collected between 2017 and 2019 in Los Angeles, CA. Structural Equation Modeling was used to complete Confirmatory Factor Analysis and Path Models focused on the relationship between mental health symptomatology and emotional regulation. Linear regression models tested the link between affective intensity and instability and the DERS-18. Model fit indices pointed to the five-factor solution of the DERS-18, excluding the Awareness subscale. Clinical scores of anxiety, depression, and PTSD were found to have a significant, positive correlation with DERS. Both intensity and instability of negative affect were associated with greater difficulty in emotional regulation, while the increased intensity of positive affect was associated with increased skills in emotional regulation. This study addressed several gaps in both homelessness and emotional regulation literature. The DERS-18 was found to have construct, concurrent, and predictive validity in our sample. Future work should consider the use of the DERS-18 to assess skills in emotional regulation, understand outcomes, and better tailor interventions for young adults who have experienced homelessness. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

情绪调节技能对于使无家可归的年轻成年人能够应对与无家可归相关的复杂和混乱环境至关重要。本研究旨在测试情绪调节困难量表(DERS-18)在一组曾经和现在无家可归的年轻成年人中的结构、同时和预测有效性。数据来自一项关于经历过无家可归的年轻人的 HIV 风险研究,包括目前无家可归的年轻人(n=99)和有固定住房的年轻人(n=120),于 2017 年至 2019 年在加利福尼亚州洛杉矶收集。结构方程模型用于完成确认性因子分析和路径模型,重点关注心理健康症状与情绪调节之间的关系。线性回归模型测试了情感强度和不稳定性与 DERS-18 之间的联系。模型拟合指数指向 DERS-18 的五因素解决方案,不包括意识子量表。焦虑、抑郁和创伤后应激障碍的临床评分与 DERS 呈显著正相关。负性情感的强度和不稳定性都与情绪调节困难有关,而正性情感的强度增加与情绪调节技能的提高有关。本研究解决了无家可归和情绪调节文献中的几个空白。在我们的样本中,DERS-18 具有结构、同时和预测有效性。未来的工作应该考虑使用 DERS-18 来评估情绪调节技能,了解结果,并更好地为经历过无家可归的年轻人量身定制干预措施。

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