癫痫耻辱感量表中文版的效度验证
Validation of the Chinese Version of the Stigma Scale of Epilepsy.
作者信息
Wu Yuanxia, Huang Kailing, Wen Shirui, Xiao Bo, Feng Li
机构信息
Department of Neurology, Xiangya Hospital, Central South University, Changsha, China.
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China.
出版信息
Front Neurol. 2022 Feb 7;13:796296. doi: 10.3389/fneur.2022.796296. eCollection 2022.
PURPOSE
This study was carried out to test the validity and reliability of the Chinese version of the Stigma Scale of Epilepsy (SSE), with aim to better understand the public stigmatizing attitudes of epilepsy in China and help elucidate stigma determinants for interventions.
METHODS
The SSE was translated into Simplified Chinese Mandarin. In this study, most of the participants were enrolled convenience sampling by randomly distributing questionnaires on the streets and parts of the participants were recruited by an online platform named Wenjuanxing. We assessed the psychometric properties of the SSE in 310 Chinese native-speaker. Cronbach's alpha was tested for reliability. Index of Content Validity (CVI) was calculated. Exploratory and confirmatory analysis were used to explore the factor structure and verify the validity of SSE.
RESULTS
The Cronbach's alpha is 0.936 for the overall scale, and the CVI value is greater than 0.78. The exploratory factor analysis (EFA) extracted SSE six factors: the fear of seizure attacks (factor 1), sympathy for patients with epilepsy (PWEs) (factor 2); difficulties faced by PWEs (factor 3); speculation on PWEs' feeling (factor 4); discrimination against PWEs (factor 5); and knowledge about epilepsy (factor 6). The item 13 was proven to be problematic and has been eliminated. The confirmatory factor analysis (CFA) ensured the great construct validity (χ/SD = 1.725, goodness of fit index (GFI) = 0.916, and root mean square error of approximation (RMSEA) = 0.048), convergent validity (the factor loads of each item corresponding to each latent variable >0.6, average variance extracted (AVE) > 0.5, and composite reliability (CR) > 0.7), and discrimination validity (all of the absolute value of correlation coefficient are <0.5,and less than the square root of AVE) of the SSE.
CONCLUSIONS
The Chinese version of the SSE scale was a valid and reliable tool to measure epilepsy-associated stigma in the Chinese society.
目的
本研究旨在检验中文版癫痫耻辱感量表（SSE）的有效性和可靠性，以便更好地了解中国公众对癫痫的耻辱态度，并有助于阐明耻辱感的决定因素以进行干预。
方法
将SSE翻译成简体中文普通话。在本研究中，大多数参与者通过在街上随机发放问卷进行便利抽样，部分参与者通过名为问卷星的在线平台招募。我们对310名以中文为母语的人评估了SSE的心理测量特性。测试了Cronbach's alpha系数以评估可靠性。计算了内容效度指数（CVI）。采用探索性和验证性分析来探索因子结构并验证SSE的有效性。
结果
整个量表的Cronbach's alpha系数为0.936，CVI值大于0.78。探索性因子分析（EFA）提取出SSE的六个因子：对癫痫发作的恐惧（因子1）、对癫痫患者（PWEs）的同情（因子2）；PWEs面临的困难（因子3）；对PWEs感受的猜测（因子4）；对PWEs的歧视（因子5）；以及对癫痫的了解（因子6）。第13项被证明存在问题并已被剔除。验证性因子分析（CFA）确保了SSE具有良好的结构效度（χ/SD = 1.725，拟合优度指数（GFI） = 0.916，近似均方根误差（RMSEA） = 0.048）、收敛效度（每个项目对应每个潜在变量的因子载荷>0.6，平均提取方差（AVE）> 0.5，以及组合信度（CR）> 0.7）和区分效度（所有相关系数的绝对值均<0.5，且小于AVE的平方根）。
结论
中文版SSE量表是测量中国社会中与癫痫相关耻辱感的有效且可靠的工具。
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