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青少年不确定性容忍度评估:意大利非临床男童和女童中不确定性容忍度量表修订版的检验。

The assessment of Intolerance of uncertainty in youth: An examination of the Intolerance of Uncertainty Scale-Revised in Italian nonclinical boys and girls.

机构信息

Department of General Psychology, University of Padova, via Venezia 8, 35131, Padova, Italy.

Department of Psychology of Developmental and Socialisation Processes, Sapienza University of Rome, via dei Marsi 78, 00185, Rome, Italy.

出版信息

Res Child Adolesc Psychopathol. 2023 Feb;51(2):209-222. doi: 10.1007/s10802-022-00944-y. Epub 2022 Jul 2.

Abstract

Intolerance of Uncertainty (IU) is a transdiagnostic factor involved in several psychological disorders. Adolescence is characterized by elevated uncertainty and psychopathological vulnerability, but insufficient attention has been paid to IU at this age. This study aimed to investigate the factor structure and psychometric properties of the Intolerance of Uncertainty Scale-Revised (IUS-R) in Italian preadolescents and adolescents. 862 Italian students (57.3% girls) aged 11-17 (M = 14.8 ± 1.91) completed the IUS-R and measures of internalizing and externalizing symptoms, and psychological well-being. To test the factor structure of the IUS-R, one-factor, two-factor, and bifactor models were compared; measurement invariance, reliability, and validity were also addressed. Results showed that the bifactor model outperformed alternative factor models, and a general factor was needed to model the IUS-R. Bifactor model indices supported using the total score to assess IU reliably. Configural and metric invariance by age and sex were fully supported, while the IUS-R achieved partial scalar invariance. Significant correlations emerged for the IUS-R total score with psychopathological constructs, while no relationships with psychological well-being were found. Compared to adult normative data, higher total IUS-R scores were detected, suggesting that IU may be a phase-specific characteristic of adolescence. Our findings support using the IUS-R to measure IU across the lifespan. The recommended use of the total score and its associations with psychopathological dimensions highlight the transdiagnostic nature of IU in adolescence. Therefore, including IU when implementing interventions to prevent maladaptive outcomes in teenagers would be beneficial.

摘要

不确定性容忍度(IU)是涉及多种心理障碍的一种跨诊断因素。青春期的特点是不确定性增加和心理病理脆弱性,但人们对此年龄段的 IU 关注不足。本研究旨在调查意大利青少年 IU 量表修订版(IUS-R)的结构和心理测量特性。862 名意大利学生(57.3%为女生)年龄在 11-17 岁之间(M=14.8±1.91),完成了 IUS-R 以及内化和外化症状和心理幸福感的测量。为了检验 IUS-R 的因子结构,比较了单因子、双因子和双因子模型;还研究了测量不变性、可靠性和有效性。结果表明,双因子模型优于替代因子模型,需要一个总因子来对 IUS-R 进行建模。双因子模型指标支持使用总分可靠地评估 IU。年龄和性别的结构和度量不变性得到完全支持,而 IUS-R 达到了部分标度不变性。IUS-R 总分与心理病理结构之间存在显著相关性,而与心理幸福感之间无相关性。与成人常模数据相比,检测到更高的 IUS-R 总分,这表明 IU 可能是青春期的一个特定阶段的特征。我们的研究结果支持在整个生命周期中使用 IUS-R 来测量 IU。总分的推荐使用及其与心理病理维度的关联突出了 IU 在青春期的跨诊断性质。因此,在实施干预措施以防止青少年出现适应不良结果时,包括 IU 将是有益的。

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