Willemse Heidi, Geenen Rinie, Van Loey Nancy E
Association of Dutch Burn Centres, P.O. Box 1015, 1940 EA Beverwijk, The Netherlands; Department of Clinical Psychology, Utrecht University, P.O. Box 80140, 3508 TC Utrecht, The Netherlands.
Department of Clinical Psychology, Utrecht University, P.O. Box 80140, 3508 TC Utrecht, The Netherlands.
Burns. 2021 Sep;47(6):1381-1388. doi: 10.1016/j.burns.2020.11.017. Epub 2020 Dec 11.
Burn scars can attract attention from others which can be perceived as stigmatizing behavior with negative psychological consequences. The Perceived Stigmatization Questionnaire (PSQ) is a validated instrument measuring the perception of stigmatization in burn survivors. The objective of this study was to examine the psychometric properties of the Dutch version of the PSQ, specifically its factor structure, reliability, and associations with other relevant constructs.
Patients (N = 220) completed the PSQ at 3 months after burn. The factor structure was examined with explorative (EFA) and confirmatory (CFA) factor analyses at 3 and 12 months after burn, and reliability was examined using Cronbach's alpha. Three months measurements were used to examine associations of the PSQ with 'depressive mood' (Beck Depression Inventory, BDI-II), 'interpersonal relations' and 'body image' (Burn Specific Health Scale-Brief, BSHS-B), and two scales of the Illness Invalidation Inventory (3*I).
A four factor model showed the best fit to the data. Two factors, 'confused/staring behavior' and 'hostile behavior', were identical to the original PSQ. The third original factor, 'absence of friendly behavior', was now divided into two factors separating absence of friendly behavior of strangers and other people. Internal consistency ranged from .60 to .88. Especially the 'confused/staring behavior' factor was related to the other questionnaire scores.
The current study shows acceptable reliability and structural validity of the Dutch version of the PSQ in a 4-factor solution. Further research into measurement invariance across languages is recommended to establish a uniform multicultural instrument.
烧伤疤痕会引起他人注意，这可能被视为一种带有负面心理后果的污名化行为。感知污名化问卷（PSQ）是一种经过验证的工具，用于测量烧伤幸存者的污名化感知。本研究的目的是检验荷兰语版PSQ的心理测量特性，特别是其因子结构、信度以及与其他相关结构的关联。
患者（N = 220）在烧伤后3个月完成PSQ。在烧伤后3个月和12个月，通过探索性（EFA）和验证性（CFA）因子分析检验因子结构，并使用克朗巴赫α系数检验信度。使用3个月时的测量结果来检验PSQ与“抑郁情绪”（贝克抑郁量表，BDI-II）、“人际关系”和“身体意象”（烧伤特异性健康量表简版，BSHS-B）以及疾病无效化量表（3*I）的两个分量表之间的关联。
一个四因子模型对数据的拟合度最佳。两个因子，“困惑/凝视行为”和“敌意行为”，与原始PSQ相同。第三个原始因子，“缺乏友好行为”，现在被分为两个因子，分别是陌生人缺乏友好行为和其他人缺乏友好行为。内部一致性范围为0.60至0.88。特别是“困惑/凝视行为”因子与其他问卷得分相关。
本研究表明荷兰语版PSQ在四因子解决方案中具有可接受的信度和结构效度。建议进一步研究跨语言的测量不变性，以建立一个统一的多元文化工具。
