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中国大学生和临床人群中快乐体验时间量表(TEPS)的因子结构和性别不变性。

Factor structure and sex invariance of the temporal experience of pleasure scale (TEPS) in Chinese university students and clinical population.

机构信息

Medical Psychological Center, the Second Xiangya Hospital,Central South University, Changsha, 410011, China.

Student Affairs Department, Central South University, Changsha, 410083, China.

出版信息

BMC Psychiatry. 2021 Jul 28;21(1):378. doi: 10.1186/s12888-021-03379-9.

Abstract

BACKGROUND

A motivation dimension of the core psychiatric symptom anhedonia additional has been suggested. The Temporal Experience of Pleasure Scale (TEPS) has been reported to assess anticipatory and consummatory pleasure separately in multiple factor-structure models. This study explored the factor structure of a Chinese version of the 18-item TEPS and further explored the measurement invariance of the TEPS across sex and clinical status (non-clinical, psychiatric).

METHODS

Best-fit factor structure of the TEPS was examined in a non-clinical cohort of 7410 undergraduates, randomized into sample 1 (N = 3755) for exploratory factor analysis (EFA) and sample 2 (N = 3663) for confirmatory factor analysis (CFA). Additionally, serial CFA was conducted to evaluate measurement invariance across sex and between clinical (N = 313) and non-clinical (N = 341) samples.

RESULTS

EFA supported a new four-factor structure with a motivation component, based on the original two-factor model (consummatory pleasure with/without motivation drive, anticipatory pleasure with/without motivation drive). CFA confirmed the four-factor model as the best-fit structure and revealed a second-order hierarchy in non-clinical and clinical samples. Full scalar invariance was observed across clinical and non-clinical samples and across sex in the clinical sample; only partial scalar invariance was observed across sex in the non-clinical sample.

CONCLUSIONS

A four-factor structured TEPS can assess motivation-driving dimensions of anticipatory and consummatory pleasure, consistent with the recently advanced multidimensional structure of anhedonia. CFA and measurement invariance results support application of the TEPS for assessing motivation aspects of anhedonia.

摘要

背景

核心精神症状快感缺失的一个动机维度已被提出。时间体验愉悦量表(TEPS)已被报道在多个因素结构模型中分别评估预期和满足的愉悦。本研究探索了中文版 18 项 TEPS 的因素结构,并进一步探索了 TEPS 在性别和临床状态(非临床、精神科)之间的测量不变性。

方法

在一个 7410 名本科生的非临床队列中,使用最佳拟合因子结构检验 TEPS,将样本 1(N=3755)随机分为探索性因子分析(EFA),样本 2(N=3663)用于验证性因子分析(CFA)。此外,还进行了串行 CFA,以评估性别和临床(N=313)与非临床(N=341)样本之间的测量不变性。

结果

EFA 支持基于原始两因素模型的新的四因素结构,即有/无动机驱动的满足性愉悦和有/无动机驱动的预期愉悦。CFA 证实了四因素模型是最佳拟合结构,并在非临床和临床样本中揭示了二阶层次结构。在临床和非临床样本中,观察到完全标度不变性;在临床样本中,仅观察到性别间的部分标度不变性。

结论

一个四因素结构的 TEPS 可以评估预期和满足愉悦的动机驱动维度,与最近提出的快感缺失多维结构一致。CFA 和测量不变性结果支持使用 TEPS 评估快感缺失的动机方面。

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