Department of Psychology, University of Bucharest, Romania.
Department of Psychology, University of Bucharest, Romania.
Res Dev Disabil. 2021 May;112:103921. doi: 10.1016/j.ridd.2021.103921. Epub 2021 Mar 4.
The Kingston Caregiver Stress Scale (KCSS) was designed to measure stress in caregivers of people with dementia, but empirical studies have used this instrument to measure stress in caregivers of children and adults with disabilities, without investigating its psychometric properties.
This study analysed the factor structure, reliability, and validity of the KCSS in Romanian caregivers of children and adults with disabilities.
A total of 276 familial caregivers of children and adults with various disabilities completed measures of caregiver stress and related concepts. After 3 months, 72 participants were retested.
A new bifactorial model with eight items was compared against the originally proposed trifactorial model and a previously proposed bifactorial model with 10 items. The bifactorial eight-item model had the best fit indices (χ2 = 41.4, df = 19, p = .002, CFI = .981, TLI = .971, RMSEA = .065 [90 % CI = .038, .092]), along with good test-retest reliability and convergent, divergent, and predictive validity of anxiety and depression.
The KCSS is a reliable instrument for assessing caregiver stress among caregivers of children and adults with disabilities. Implications, limitations, and future research suggestions are discussed.
Kingston 照顾者压力量表（KCSS）旨在测量痴呆症患者照顾者的压力，但实证研究已经使用该工具来测量儿童和成年残疾照顾者的压力，而没有调查其心理测量特性。
本研究分析了 KCSS 在罗马尼亚残疾儿童和成人照顾者中的结构、信度和效度。
共有 276 名有各种残疾的儿童和成人的家庭照顾者完成了照顾者压力和相关概念的测量。3 个月后，72 名参与者接受了重测。
一个新的包含 8 个项目的双因素模型与最初提出的三因素模型和以前提出的包含 10 个项目的双因素模型进行了比较。双因素八项目模型具有最佳的拟合指数（χ2=41.4，df=19，p=0.002，CFI=0.981，TLI=0.971，RMSEA=0.065 [90% CI=0.038，0.092]），同时具有良好的重测信度以及焦虑和抑郁的收敛、发散和预测效度。
KCSS 是评估残疾儿童和成人照顾者压力的可靠工具。讨论了其意义、局限性和未来研究建议。
