Centro para Doença de Alzheimer e Outros Transtornos Mentais da Velhice, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
Departamento de Sociologia e Ciência Política, Universidade Federal de Santa Catarina (UFSC), Florianópolis, SC, Brazil.
Trends Psychiatry Psychother. 2021 Oct-Dec;43(4):311-319. doi: 10.47626/2237-6089-2020-0179. Epub 2021 May 21.
Resilience is a dynamic process that acts to modify the effects of an adverse life event. In this study, we aimed to test the construct validity of the Resilience Scale by employing exploratory and confirmatory procedures, and to investigate the relationship between caregiver's resilience and clinical status of people with Alzheimer's disease.
A sample of 143 dyads of people with Alzheimer's disease and their primary caregivers were included.
The total Resilience Scale mean score was 140.3 (standard deviation [SD] = 16.289), ranging from 25 to 175, indicating a high level of resilience. Cronbach's alpha was high (α = 0.77), indicating excellent internal consistency. The mean of corrected item-total correlation coefficients was moderate. The Resilience Scale presented a four-factor solution with a well-defined structure: sense of life and self-sufficiency, perseverance, self-confidence and equanimity, and meaningfulness.
The findings indicate excellent internal consistency of the Resilience Scale when used to evaluate psychological and emotional difficulties of caregivers, even though the correlations observed between the Resilience Scale and clinical variables were not significant for functionality, mood, awareness, neuropsychiatric symptoms, or burden.
韧性是一种动态过程，可调节不良生活事件的影响。在这项研究中，我们旨在通过探索性和验证性程序来测试韧性量表的结构效度，并研究照顾者的韧性与阿尔茨海默病患者的临床状况之间的关系。
共纳入了 143 对阿尔茨海默病患者及其主要照顾者。
韧性量表总分平均为 140.3（标准差[SD] = 16.289），范围为 25 至 175，表明韧性水平较高。克朗巴赫的 α 值很高（α = 0.77），表明内部一致性极好。校正项目总分相关系数的平均值为中度。韧性量表呈现出具有明确结构的四因素解决方案：生活意识和自给自足、毅力、自信和沉着以及意义。
研究结果表明，即使韧性量表与功能、情绪、意识、神经精神症状或负担等临床变量之间的相关性不显著，但当用于评估照顾者的心理和情感困难时，该量表具有极好的内部一致性。
