Caci H, Boggero M, Mallet L, Bedira N, Giordana J-Y
Hôpitaux Pédiatriques de Nice, CHU Lenval, 57, avenue de la Californie, 06200 Nice, France.
Pôle Territoire Hôpitaux Sainte-Marie de Nice, 87, avenue Joseph Raybaud, 06100 Nice, France.
Encephale. 2023 Aug;49(4):393-398. doi: 10.1016/j.encep.2022.03.010. Epub 2022 Aug 13.
To translate into French and validate the BACE-3 scale (Barriers to Care Evaluation) and describe the barriers to access to care in mental health settings.
The instrument was translated into French with its author's authorisation and her supervision. Three outpatient consultation centres and two day hospitals in the same geographical region were involved. We included patients aged between 18 and 6years under regular follow-up with psychiatrists and diagnosed with a psychotic disorder, a bipolar disorder, a mood disorder, a personality disorder, an anxiety disorder or a somatoform disorder, all according to ICD-10 criteria. To be included subjects further had to have sought some health care support in the last twelve months or be be regularly treated in a continuous way at the time of inclusion.
One hundred twenty-one patients were successively included during a regular consultation. The exploratory factor analysis of the 30-item BACE-3 yielded to a method factor (items that could only be answered by patients with a family and/or at work were recoded) and two clinically meaningful factors were named, Stigmatisation and Cognitive Bias and Denial. We found that the first factor was nicely in line with the factors we had extracted from the Internalized Stigma Mental Illness (ISMI) scale in the same sample. This provided an external validation of the BACE but it was difficult to conclude any further given the limited size of our sample.
Barriers to care need to be addressed by clinicians. Internal and external validity properties of the BACE-3 scale show it can be used in French-speaking populations of outpatients suffering from mental health problems.
将BACE-3量表（护理障碍评估量表）翻译成法语并进行验证，描述心理健康环境中获得护理的障碍。
在该量表作者的授权和监督下将其翻译成法语。纳入了同一地理区域的三个门诊咨询中心和两家日间医院。我们纳入了年龄在18岁至6岁之间、接受精神科医生定期随访且根据国际疾病分类第10版标准被诊断患有精神分裂症、双相情感障碍、心境障碍、人格障碍、焦虑障碍或躯体形式障碍的患者。此外，纳入的受试者在过去十二个月内必须寻求过一些医疗保健支持，或者在纳入时正在接受持续的常规治疗。
在一次常规咨询期间，先后纳入了121名患者。对包含30个条目的BACE-3量表进行探索性因素分析，得出一个方法因素（对那些只能由有家庭和/或工作的患者回答的条目进行重新编码），并命名了两个具有临床意义的因素，即污名化与认知偏差及否认。我们发现第一个因素与我们在同一样本中从内化精神疾病污名量表（ISMI）中提取的因素非常一致。这为BACE量表提供了外部验证，但鉴于我们样本量有限，难以得出进一步结论。
临床医生需要解决护理障碍问题。BACE-3量表的内部和外部效度特性表明，它可用于患有心理健康问题的法语门诊患者群体。
