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DetectaWeb-苦恼量表:一种用于筛查儿童和青少年情绪障碍症状的基于网络的全球多维筛查工具。

DetectaWeb-Distress Scale: A Global and Multidimensional Web-Based Screener for Emotional Disorder Symptoms in Children and Adolescents.

作者信息

Piqueras Jose A, Garcia-Olcina Mariola, Rivera-Riquelme Maria, Martinez-Gonzalez Agustin E, Cuijpers Pim

机构信息

Department of Health Psychology, Faculty of Social and Health Sciences, Center for Applied Psychology, Miguel Hernandez University, Elche, Spain.

Department of Developmental Psychology and Didactics, Faculty of Education, University of Alicante, San Vicente del Raspeig, Spain.

出版信息

Front Psychol. 2021 Feb 15;12:627604. doi: 10.3389/fpsyg.2021.627604. eCollection 2021.

Abstract

Emotional disorder symptoms are highly prevalent and a common cause of disability among children and adolescents. Screening and early detection are needed to identify those who need help and to improve treatment outcomes. Nowadays, especially with the arrival of the COVID-19 outbreak, assessment is increasingly conducted online, resulting in the need for brief online screening measures. The aim of the current study was to examine the reliability and different sources of validity evidence of a new web-based screening questionnaire for emotional disorder symptoms, the DetectaWeb-Distress Scale, which assesses mood (major depression and dysthymic disorder), anxiety (separation anxiety, generalized anxiety, social phobia, panic disorder/agoraphobia, and specific phobia), obsessive-compulsive disorder, post-traumatic stress disorder, suicidality (suicidal ideation, plans, and attempts), and global distress. A total of 1,499 participants (aged 8-18) completed the DetectaWeb-Distress Scale and specific questionnaires for emotional disorder symptoms, suicidal behaviors, and well-being through a web-based survey. Results indicated that a structural model of 10 correlated factors fits reasonably better in comparison to the remaining models; measurement invariance for age and gender; good internal consistency (McDonald's ω ranging from 0.65 to 0.94); and significant positive correlation with other measures of anxiety, depression, PTSD, or distress, and negative correlation with well-being measures, displaying support for convergent-discriminant validity. We also found that girls scored higher than boys on most of the subscales, and children had higher scores for social anxiety, specific phobia, panic disorder, and obsessive-compulsive symptoms, whereas adolescents scored higher on depressive symptoms, suicidality, and generalized anxiety, but the effect sizes were small to medium for all comparisons. The DetectaWeb-Distress Scale is a valid, innovative, and useful online tool for the screening and evaluation of preventive programs for mental health in children and adolescents.

摘要

情绪障碍症状在儿童和青少年中极为普遍,是导致残疾的常见原因。需要进行筛查和早期检测,以识别那些需要帮助的人,并改善治疗效果。如今,特别是随着新冠疫情的爆发,评估越来越多地通过在线方式进行,这就需要简短的在线筛查措施。本研究的目的是检验一种新的基于网络的情绪障碍症状筛查问卷——DetectaWeb-痛苦量表的可靠性和有效性证据的不同来源,该量表评估情绪(重度抑郁和恶劣心境障碍)、焦虑(分离焦虑、广泛性焦虑、社交恐惧症、惊恐障碍/广场恐惧症和特定恐惧症)、强迫症、创伤后应激障碍、自杀倾向(自杀意念、计划和企图)以及整体痛苦程度。共有1499名8至18岁的参与者通过网络调查完成了DetectaWeb-痛苦量表以及针对情绪障碍症状、自杀行为和幸福感的特定问卷。结果表明,与其他模型相比,一个包含10个相关因素的结构模型拟合度相对更好;在年龄和性别上具有测量不变性;具有良好的内部一致性(麦克唐纳ω系数在0.65至0.94之间);并且与焦虑、抑郁、创伤后应激障碍或痛苦的其他测量指标呈显著正相关,与幸福感测量指标呈负相关,显示出对聚合区分效度的支持。我们还发现,在大多数子量表上女孩得分高于男孩,儿童在社交焦虑、特定恐惧症、惊恐障碍和强迫症状方面得分较高,而青少年在抑郁症状、自杀倾向和广泛性焦虑方面得分较高,但所有比较的效应大小均为小到中等。DetectaWeb-痛苦量表是一种有效、创新且有用的在线工具,可用于筛查和评估儿童和青少年心理健康预防项目。

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