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《简要韧性量表(BRS)的因子结构、内部信度和建构效度:一项针对社区中严重精神疾病患者的研究》

Factor structure, internal reliability, and construct validity of the Brief Resilience Scale (BRS): A study on persons with serious mental illness living in the community.

机构信息

Department of Rehabilitation and Counselor Education, The University of Iowa, Iowa City, Iowa, USA.

Department of Clinical Counseling and Mental Health, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.

出版信息

Psychol Psychother. 2021 Sep;94(3):620-645. doi: 10.1111/papt.12336. Epub 2021 Mar 22.

Abstract

OBJECTIVES

Resilience, the ability to bounce back from a stressful situation, is a valuable asset for aiding adults with serious mental illness (SMI) in navigating the recovery process. People with SMI experience stress, including traumatic experiences at disproportionate rates. The purposes of this study were to examine the factor structure, internal reliability, and construct validity of the Brief Resilience Scale (BRS) among adults with SMI living in the community.

DESIGN

A cross-sectional survey design was used. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and correlational analyses were employed.

METHODS

Three hundred fifteen adults with SMI were recruited for two studies (Sample 1, n = 122; Sample 2, n = 193) from three states. All participants completed the BRS along with nearly identical positive psychology- and psychopathology-related measures.

RESULTS

EFA revealed the BRS was unidimensional and explained 61.20% of the variance. Results from seven CFA models suggested a bifactor structure for the BRS, which fit the data best. Internal reliability of the BRS was computed to be within acceptable ranges (α = .87, ω = .90). The BRS was positively correlated with measures of positive coping and life satisfaction, providing convergent validity. Divergent validity was supported by negative correlations between the BRS and measures of psychiatric symptoms, succumbing, and self-stigma.

CONCLUSIONS

The BRS is a valid measure that can be used by clinical and research professionals to assess levels of resilience in adults with SMI at baseline and across time.

PRACTITIONER POINTS

The Brief Resilience Scale (BRS) was developed to measure a person's ability to bounce back from stressful situations. The BRS was examined in adults with serious mental illness living in the community. The BRS presented a bifactor structure measuring resilience (an outcome) and correlated with positive psychology- and psychopathology-related measures. The BRS can be used by practitioners to assess levels of resilience in their clients at baseline and over time to evaluate the effectiveness of therapeutic interventions.

摘要

目的

韧性是从压力情境中恢复的能力,对于帮助患有严重精神疾病(SMI)的成年人在康复过程中应对压力是一项宝贵的资产。患有 SMI 的人会经历压力,包括不成比例地经历创伤性经历。本研究的目的是检验社区中患有 SMI 的成年人的简明韧性量表(BRS)的结构因素、内部信度和构念效度。

设计

采用横断面调查设计。进行探索性因子分析(EFA)、验证性因子分析(CFA)和相关分析。

方法

从三个州招募了 315 名患有 SMI 的成年人参加两项研究(样本 1,n=122;样本 2,n=193)。所有参与者都完成了 BRS 以及几乎相同的积极心理学和精神病理学相关测量。

结果

EFA 显示 BRS 是单维的,解释了 61.20%的方差。七个 CFA 模型的结果表明,BRS 具有双因素结构,最符合数据。BRS 的内部信度计算在可接受范围内(α=0.87,ω=0.90)。BRS 与积极应对和生活满意度的测量呈正相关,提供了收敛效度。BRS 与精神症状、屈服和自我污名化的测量呈负相关,支持了区别效度。

结论

BRS 是一种有效的衡量工具,可由临床和研究专业人员在基线和随时间评估患有 SMI 的成年人的韧性水平。

从业者要点

简明韧性量表(BRS)旨在衡量一个人从压力情境中恢复的能力。BRS 在社区中患有严重精神疾病的成年人中进行了检查。BRS 呈现出双因素结构,衡量韧性(结果),并与积极心理学和精神病理学相关测量相关。从业者可以使用 BRS 在基线和随时间评估其客户的韧性水平,以评估治疗干预的效果。

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