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《老年人自评量表和老年人行为清单在华裔老年人中的应用:综合征结构和多信息者一致性》

Application of the Older Adult Self-Report and Older Adult Behavior Checklist to Chinese Older Adults: Syndrome Structure and Inter-Informant Agreement.

出版信息

J Gerontol Nurs. 2022 Aug;48(8):26-32. doi: 10.3928/00989134-20220630-01. Epub 2022 Aug 1.

Abstract

Despite the rapid aging of the world's population, comprehensive assessment tools to meet the mental health needs of older adults are lacking. The aim of the current study was to assess the multidimensionality of Chinese versions of U.S.-derived instruments designed to evaluate a broad spectrum of emotional, behavioral, social, and thought problems in older adults. The Older Adult Self-Report (OASR) and Older Adult Behavior Checklist (OABCL) were completed by 686 and 639 older adults, respectively, aged 60 to 99 years, from a sample of 755 older adults. Confirmatory factor analyses (CFAs) on the 97 OASR/OABCL problem items found that the models showed good fit according to our primary and secondary fit indices. None of the seven syndromes showed informant effects, whereas four showed small sex effects, and three showed small age effects. Overall, findings demonstrate the applicability of the seven syndrome OASR/OABCL model to Chinese older adults and support the use of these instruments to assess older adult mental health in Chinese clinical and research settings. These standardized tools can help health care professionals more comprehensively assess cognitive, behavioral, and mental health problems among Chinese-speaking older adult populations. [(8), 26-32.].

摘要

尽管世界人口迅速老龄化,但缺乏全面的评估工具来满足老年人的心理健康需求。本研究旨在评估源自美国的评估工具的中文版本的多维性,这些工具旨在评估老年人广泛的情感、行为、社会和思维问题。共有 755 名年龄在 60 至 99 岁的老年人分别完成了 686 份老年自评量表(OASR)和 639 份老年行为清单(OABCL)。对 97 个 OASR/OABCL 问题项目进行的验证性因素分析(CFAs)表明,根据我们的主要和次要拟合指标,模型拟合良好。没有一个综合征表现出信息提供者的影响,而四个综合征表现出较小的性别影响,三个综合征表现出较小的年龄影响。总体而言,研究结果表明,七综合征 OASR/OABCL 模型适用于中国老年人,支持在中文临床和研究环境中使用这些工具评估老年人的心理健康。这些标准化工具可以帮助医疗保健专业人员更全面地评估讲中文的老年人群的认知、行为和心理健康问题。[(8), 26-32.]。

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