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医护人员压力简易筛查:医生健康指数-西班牙语版的心理测量学特性。

Brief Screening for Distress among Healthcare Professionals: Psychometric Properties of the Physician Well-Being Index-Spanish Version.

机构信息

Global Mental Health Research Center, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City 14370, Mexico.

Laboratory of Clinical Epidemiology, Subdirectorate of Clinical Research, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City 14370, Mexico.

出版信息

Int J Environ Res Public Health. 2022 Aug 2;19(15):9451. doi: 10.3390/ijerph19159451.


DOI:10.3390/ijerph19159451
PMID:35954808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9368125/
Abstract

BACKGROUND: The Physician Well-Being Index (PWBI) is a brief, valid, reliable self-assessment instrument to identify health professionals' distress and those in need of an intervention. OBJECTIVE: to evaluate the construct, predictive validity (of depression, suicidal ideation, insomnia, and generalized anxiety), and internal consistency of the 7-item Spanish version of the PWBI (PWBI-S). METHODS: out of a national population of approximately 1 million Mexican healthcare professionals, a sample of 3506 subjects (42.0% physicians, 28.7% nurses and 29.3% psychologists) completed an online survey between 17 April and 7 May 2020, at the time of the COVID-19 case cluster transmission scenario in Mexico. RESULTS: In the three sub-samples, PWBI-S's Confirmatory factor analyses (adding residual covariances) exhibited adequate goodness of fit indices for the PWBS original unidimensional model. Overall Cronbach's alphas were 0.89 for physicians, 0.90 for nurses, and 0.86 for psychologists. Univariate logistic regression models showed that a cutoff point of 3 on the total score of the PWBI-S was generally related to the presence of depression, suicidal ideation, and insomnia, but not with generalized anxiety among nurses and psychologists. When trying with a cutoff point of 3, a relationship with GA was shown in psychologists, but not in nurses. CONCLUSIONS: our findings suggest that PWBI-S is a valid, reliable measure for clinical and research purposes in the field.

摘要

背景:医师健康指数(PWBI)是一种简短、有效、可靠的自我评估工具,用于识别卫生专业人员的压力和需要干预的人员。

目的:评估 7 项西班牙文版 PWBI(PWBI-S)的结构、预测效度(抑郁、自杀意念、失眠和广泛性焦虑)和内部一致性。

方法:在墨西哥约 100 万医疗保健专业人员的全国人群中,3506 名受试者(42.0%为医生,28.7%为护士,29.3%为心理学家)于 2020 年 4 月 17 日至 5 月 7 日期间在墨西哥 COVID-19 病例群传播情景时完成了在线调查。

结果:在三个子样本中,PWBI-S 的验证性因素分析(增加残差协方差)显示,PWBS 原始单维模型具有良好的拟合度指数。医生、护士和心理学家的整体 Cronbach's alpha 分别为 0.89、0.90 和 0.86。单变量逻辑回归模型表明,PWBI-S 的总分达到 3 分通常与抑郁、自杀意念和失眠有关,但与护士和心理学家的广泛性焦虑无关。当尝试使用 3 分的截止值时,在心理学家中显示出与 GA 的关系,但在护士中则没有。

结论:我们的研究结果表明,PWBI-S 是一种有效的、可靠的衡量标准,可用于该领域的临床和研究目的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6e3/9368125/f3729bf7e1de/ijerph-19-09451-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6e3/9368125/6d265e620da6/ijerph-19-09451-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6e3/9368125/f3729bf7e1de/ijerph-19-09451-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6e3/9368125/6d265e620da6/ijerph-19-09451-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6e3/9368125/f3729bf7e1de/ijerph-19-09451-g002a.jpg

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引用本文的文献

[1]
Ability and utility of the Physician Well-Being Index to identify distress among Chinese physicians.

Ann Med. 2025-12

本文引用的文献

[1]
After a disaster: Validation of PTSD checklist for DSM-5 and the four- and eight-item abbreviated versions in mental health service users.

Psychiatry Res. 2021-11

[2]
Mental health problems among healthcare workers involved with the COVID-19 outbreak.

Braz J Psychiatry. 2021

[3]
Psychiatric symptomatology associated with depression, anxiety, distress, and insomnia in health professionals working in patients affected by COVID-19: A systematic review with meta-analysis.

Prog Neuropsychopharmacol Biol Psychiatry. 2020-8-7

[4]
Efficacy of the Well-Being Index to identify distress and stratify well-being in nurse practitioners and physician assistants.

J Am Assoc Nurse Pract. 2019-7

[5]
Efficacy of the Well-Being Index to Identify Distress and Well-Being in U.S. Nurses.

Nurs Res. 2018

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Los médicos especialistas en México.

Gac Med Mex. 2018

[7]
Screening for anxiety, depression, and anxious depression in primary care: A field study for ICD-11 PHC.

J Affect Disord. 2017-4-15

[8]
Validity and Utility of the Patient Health Questionnaire (PHQ)-2 and PHQ-9 for Screening and Diagnosis of Depression in Rural Chiapas, Mexico: A Cross-Sectional Study.

J Clin Psychol. 2017-9

[9]
Executive Leadership and Physician Well-being: Nine Organizational Strategies to Promote Engagement and Reduce Burnout.

Mayo Clin Proc. 2017-1

[10]
Case finding and screening clinical utility of the Patient Health Questionnaire (PHQ-9 and PHQ-2) for depression in primary care: a diagnostic meta-analysis of 40 studies.

BJPsych Open. 2016-3-9

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