心理健康自我管理问卷在中国心境和焦虑障碍患者中的信效度研究

Reliability and validity of the Mental Health Self-management Questionnaire among Chinese patients with mood and anxiety disorders.

作者信息

Wang Mengmeng, Wang Jingjun, Wang Ya, Huang Xia, Huang Yalin, Huang Junqiang, Feng Yan, Li Xiaolin

机构信息

West China School of Nursing and West China Hospital, Sichuan University, Chengdu, China.

Department of Nursing, West China Hospital and West China School of Nursing, Sichuan University, Chengdu, China.

出版信息

Front Psychiatry. 2022 Jul 29;13:952951. doi: 10.3389/fpsyt.2022.952951. eCollection 2022.

DOI:10.3389/fpsyt.2022.952951

PMID:35966465

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9372341/

Abstract

BACKGROUND

Self-management plays an important role in promoting and restoring mental health for individuals with mental health issues. However, there is no valid and reliable Chinese tool assessing the self-management behaviors of people with mood and anxiety disorders. This study aimed to develop a Chinese version of the Mental Health Self-management Questionnaire (MHSQ-C) and to verify its psychometric properties.

METHODS

A total of 440 potential participants were recruited by convenience sampling from June to August 2020. Item analysis and analyses of internal consistency, test-retest reliability, content validity, construct validity and criterion validity were performed.

RESULTS

Data from 326 participants were used. Three factors obtained principal component analysis and varimax rotation explained 53.68% of the total variance. The average content validity index was 0.99. The Cronbach's α coefficient (total: 0.874, clinical: 0.706, empowerment: 0.818, vitality: 0.830) and test-retest reliability (ICC: total: 0.783, 95% confidence interval (CI) [0.616, 0.882], clinical: 0.525, 95% CI [0.240, 0.725], empowerment: 0.786, 95% CI [0.622, 0.884], vitality: 0.748, 95% CI [0.564, 0.862]) were good. The MHSQ-C was well correlated with the Partners in Health scale and showed no floor or ceiling effect.

DISCUSSION

The MHSQ-C is a reliable and valid tool to evaluate the self-management strategies of patients with mood and anxiety disorders.

摘要

背景

自我管理在促进和恢复有心理健康问题的个体的心理健康方面起着重要作用。然而，目前尚无有效且可靠的中文工具来评估情绪和焦虑障碍患者的自我管理行为。本研究旨在开发中文版心理健康自我管理问卷（MHSQ-C）并验证其心理测量学特性。

方法

2020年6月至8月通过便利抽样招募了440名潜在参与者。进行了项目分析以及内部一致性、重测信度、内容效度、结构效度和效标效度分析。

结果

使用了326名参与者的数据。通过主成分分析和方差最大化旋转得到的三个因子解释了总方差的53.68%。平均内容效度指数为0.99。克朗巴赫α系数（总量表：0.874，临床分量表：0.706，赋权分量表：0.818，活力分量表：0.830）和重测信度（组内相关系数：总量表：0.783，95%置信区间[CI][0.616, 0.882]，临床分量表：0.525，95% CI[0.240, 0.725]，赋权分量表：0.786，95% CI[0.622, 0.884]，活力分量表：0.748，95% CI[0.564, 0.862]）良好。MHSQ-C与健康伙伴量表相关性良好，且无地板效应或天花板效应。