Lawlor Caroline, Vitoratou Silia, Hepworth Claire, Jolley Suzanne
Department of Psychology, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
North Lambeth Promoting Recovery Team, South London and Maudsley NHS Foundation Trust, London, UK.
J Clin Psychol. 2021 Oct;77(10):2323-2340. doi: 10.1002/jclp.23164. Epub 2021 May 10.
Individuals with psychosis self-report difficulties in understanding, relating, and responding to emotions as treatment priorities, yet we lack comprehensive, reliable, and valid assessments for routine clinical use.
The psychometric properties of a brief version of the Difficulties in Emotion Regulation Scale-16 (DERS-16) were examined using anonymized data from a sample of 150 outpatients with psychosis.
Confirmatory factor analysis supported the five-factor structure of the DERS-16. The model fit was further improved by omitting two items. Measurement invariance was shown with respect to age and gender. The DERS-16 demonstrated good internal consistency, well comparable to the original DERS. Evidence toward convergent validity is also presented.
Findings suggest that the DERS-16 is a reliable and valid measure of self-reported emotion regulation difficulties in individuals with psychosis. Further research on the clinical utility of the DERS-16 is needed, including examination of its test-retest reliability and predictive validity in response to targeted interventions.
患有精神病的个体自述在理解、关联和应对情绪方面存在困难,将其作为治疗重点,但我们缺乏用于常规临床的全面、可靠且有效的评估方法。
使用来自150名精神病门诊患者样本的匿名数据,对情绪调节困难量表简版16项(DERS - 16)的心理测量特性进行了检验。
验证性因素分析支持了DERS - 16的五因素结构。通过删除两个项目,模型拟合得到进一步改善。在年龄和性别方面显示出测量不变性。DERS - 16表现出良好的内部一致性,与原始DERS具有良好的可比性。还提供了收敛效度的证据。
研究结果表明,DERS - 16是一种可靠且有效的工具,可用于测量患有精神病个体自述的情绪调节困难。需要对DERS - 16的临床效用进行进一步研究,包括检验其重测信度以及对针对性干预措施的预测效度。