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评估精神分裂症中的元动机:动机调节量表(BRoMS)的初步研究。

Assessing metamotivation in schizophrenia: A pilot study of the Brief Regulation of Motivation Scale (BRoMS).

机构信息

Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, and New York-Presbyterian, 5 Columbus Circle, New York, NY 10019, United States.

Department of Psychiatry, New York University Grossman School of Medicine, 550 1st Ave, New York, NY 10016, United States.

出版信息

Psychiatry Res. 2022 Nov;317:114799. doi: 10.1016/j.psychres.2022.114799. Epub 2022 Aug 19.

DOI:10.1016/j.psychres.2022.114799
PMID:36037743
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10660851/
Abstract

Metamotivation is defined as the ability to identify, monitor, and self-regulate motivation in service of goal attainment. As metamotivation is becoming an area of increased interest for intervention among people with psychiatric disorders, there is a need for valid and reliable self-report measures. The current pilot study adapted the Brief Regulation of Motivation Scale (BRoMS; Kim et al., 2018), a self-report measure validated among college students, for use with individuals with schizophrenia spectrum disorders, as a first step towards identifying a metamotivation measure. Thirty-four participants diagnosed with schizophrenia or schizoaffective disorder completed the adapted BRoMS measure and a measure of community functioning. The BRoMS was found to be acceptable, feasible and internally consistent. Higher BRoMs scores were associated with better work related skills. Concurrent and predictive validity were further evaluated among a subsample (n = 21), with comparisons between the BRoMS and participant responses on a semi-structured interview, and measures of self-motivation, and quality of life. The BRoMS demonstrated limited concurrent validity with the interview responses and motivation-related subscales; however, there was modest predictive validity regarding quality of life. This pilot data informs the need for continued efforts to develop and validate metamotivation scales.

摘要

元动机被定义为识别、监控和自我调节动机以实现目标的能力。由于元动机在精神病障碍人群的干预中越来越受到关注,因此需要有效的、可靠的自我报告测量工具。本研究为识别元动机测量工具,对大学生群体中验证过的简短动机调节量表(BRoMS;Kim 等人,2018)进行了改编,将其应用于精神分裂谱系障碍患者。34 名被诊断为精神分裂症或分裂情感障碍的参与者完成了改编后的 BRoMS 测量和社区功能测量。研究发现,BRoMS 具有可接受性、可行性和内部一致性。更高的 BRoMS 分数与更好的工作相关技能相关。在一个子样本(n=21)中进一步评估了同时期和预测性的有效性,比较了 BRoMS 与参与者在半结构化访谈中的反应,以及自我激励和生活质量的测量。BRoMS 与访谈反应和与动机相关的子量表的同时期有效性有限;然而,在生活质量方面具有适度的预测有效性。本研究为开发和验证元动机量表提供了数据支持。

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本文引用的文献

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Metamotivation in people diagnosed with schizophrenia: A conceptual introduction and qualitative study.精神分裂症患者的元动机:概念介绍与定性研究。
Schizophr Res. 2022 May;243:317-321. doi: 10.1016/j.schres.2021.06.003. Epub 2021 Jul 27.
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