He Jiayue, Liu Yalin, Cheng Chang, Fang Shulin, Wang Xiang, Yao Shuqiao
Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, China.
Medical Psychological Institute of Central South University, Central South University, Changsha, China.
Front Psychiatry. 2021 May 26;12:626859. doi: 10.3389/fpsyt.2021.626859. eCollection 2021.
Rumination is considered as a key process in the mechanism of depression. Assessing rumination is important for both research and clinical practice. The Ruminative Response Scale (RRS) is a widely-used instrument to measure rumination. This study aimed to examine the psychometric properties of the Chinese 10-item Ruminative Response Scale (RRS-10) in a large sample of Chinese undergraduates and depressive patients. A total of 1,773 university students and 286 clinical patients with major depressive disorder finished the Chinese version of the RRS10, State Trait Anxiety Inventory (STAI), and Beck Depression Inventory (BDI). A confirmatory factor analysis (CFA) was performed to examine the two-factor structure (reflection and brooding) of the RRS-10. The correlations among RRS-10, STAI, and BDI were explored in two samples. In addition, the measurement invariance of the RRS-10 across gender, time, and groups with and without depressive symptoms were further investigated. The internal consistency and test-retest reliability were also evaluated. Confirmatory Factor Analysis revealed that the two-factor structure of RRS-10 fitted reasonably both in undergraduates (CFI = 0.933, TLI = 0.905, RMSEA = 0.071, SRMR = 0.035) and depressive patients (CFI = 0.941, TLI = 0.910, RMSEA = 0.077, SRMR = 0.057). The results of the multi-group confirmatory factor analysis supported the full strict invariance across genders and across groups (undergraduates and depressive patients). The full strong invariance over time was also supported by MGCFA. Besides, the RRS-10 showed acceptable internal consistency and good stability. The RRS-10 has good reliability and validity in different samples and over time, which demonstrated that RRS-10 is a valid measurement instrument to assess rumination.
沉思被认为是抑郁症发病机制中的一个关键过程。评估沉思对于研究和临床实践都很重要。沉思反应量表(RRS)是一种广泛用于测量沉思的工具。本研究旨在检验中文版10项沉思反应量表(RRS-10)在大量中国大学生和抑郁症患者样本中的心理测量特性。共有1773名大学生和286名重度抑郁症临床患者完成了中文版RRS10、状态特质焦虑量表(STAI)和贝克抑郁量表(BDI)。进行了验证性因素分析(CFA)以检验RRS-10的双因素结构(反思和沉思)。在两个样本中探讨了RRS-10、STAI和BDI之间的相关性。此外,还进一步研究了RRS-10在性别、时间以及有无抑郁症状组之间的测量不变性。还评估了内部一致性和重测信度。验证性因素分析表明,RRS-10的双因素结构在大学生(CFI = 0.933,TLI = 0.905,RMSEA = 0.071,SRMR = 0.035)和抑郁症患者(CFI = 0.941,TLI = 0.910,RMSEA = 0.077,SRMR = 0.057)中均拟合良好。多组验证性因素分析的结果支持了在性别和组间(大学生和抑郁症患者)的完全严格不变性。多组广义验证性因素分析也支持了随时间的完全强不变性。此外,RRS-10显示出可接受的内部一致性和良好的稳定性。RRS-10在不同样本和不同时间具有良好的信度和效度,这表明RRS-10是一种评估沉思的有效测量工具。