Kustov G V, Zinchuk M S, Gersamija A G, Voinova N I, Yakovlev A A, Avedisova A S, Guekht A B
Solovyov Scientific and Practical Psychoneurological Center DZM, Moscow, Russia.
Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2021;121(10):87-94. doi: 10.17116/jnevro202112110187.
To investigate psychometric properties of the Russian version of the brief Reasons for Living Inventory (bRFL) in patients with non-psychotic mental disorders (NPMD) and to define its association with current suicide ideation.
Six hundred and 15 consecutive patients with NPMD were included. The median age was 27 (19) years; 403 (65.5%) were female. Cronbach's alpha, Cronbach's alpha coefficient if an item is deleted and corrected item-total correlation were used for the internal consistency evaluation. The internal structure assessment was based on the exploratory and confirmatory factor analysis. To identify an association of bRFL with current suicidal ideation, MANCOVA was used.
An internal consistency of bRFL was good (Cronbach's Alpha-0.856). The exploratory factor analysis revealed a 6-factor model, explaining 80.22% of variance. These factors were: «survival and coping beliefs», «responsibility to family», «child related concerns», «fear of suicide», «fear of social disapproval» and «moral objections». The confirmatory factor analysis indicated a good agreement of the 6-factor model with an empirical data (CMIN/DF - 2.98, CFI - 0.956, SRMR - 0.05, RMSEA - 0.057, PNFI - 0.497). Regardless of gender and age, the total scores of bRFL and its subscales were significantly lower in patients with suicide ideation (<0.01).
The Russian version of bRFL is a reliable and valid tool for the assessment of the adaptive beliefs and expectations that form an anti-suicidal barrier.
研究非精神病性精神障碍(NPMD)患者中俄罗斯版简明生存理由量表(bRFL)的心理测量特性,并确定其与当前自杀意念的关联。
纳入615例连续的NPMD患者。中位年龄为27(19)岁;403例(65.5%)为女性。使用克朗巴哈系数、删除某一项目后的克朗巴哈系数以及校正后的项目与总分相关性进行内部一致性评估。内部结构评估基于探索性和验证性因素分析。为确定bRFL与当前自杀意念的关联,采用多变量协方差分析。
bRFL的内部一致性良好(克朗巴哈系数=0.856)。探索性因素分析揭示了一个六因素模型,解释了80.22%的方差。这些因素为:“生存与应对信念”、“对家庭的责任”、“与孩子相关的担忧”、“对自杀的恐惧”、“对社会不认可的恐惧”和“道德异议”。验证性因素分析表明六因素模型与实证数据具有良好的一致性(CMIN/DF = 2.98,CFI = 0.956,SRMR = 0.05,RMSEA = 0.057,PNFI = 0.497)。无论性别和年龄如何,有自杀意念的患者bRFL及其分量表的总分均显著较低(<0.01)。
俄罗斯版bRFL是评估形成反自杀屏障的适应性信念和期望的可靠且有效的工具。