Universidad de Zaragoza, Departamento de Psicología y Sociología, Teruel, Spain; Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain.
Universidad de Zaragoza, Departamento de Psicología y Sociología, Teruel, Spain; Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain.
J Affect Disord. 2023 Jan 1;320:65-73. doi: 10.1016/j.jad.2022.09.140. Epub 2022 Sep 29.
BACKGROUND: The categorical approach to diagnosing mental disorders has been criticized for a number of reasons (e.g., high rates of comorbidity; larger number of diagnostic categories and combination). Diverse alternatives have been proposed using a hybrid or totally dimensional perspective. Despite the evidence supporting use of the Multidimensional Emotional Disorders Inventory (MEDI) for assessing the transdiagnostic dimensions of Emotional Disorders using a dimensional-categorical hybrid approach, no data exist on Spanish clinical samples. The present study explores the validity and reliability of the 49-item MEDI in a clinical sample and provides data for its use. METHODS: A total of 280 outpatients with emotional disorders attended in different Spanish public Mental Health Units in Spain filled out all questionnaires during the assessment phase and the MEDI again one week after. The instruments used evaluate four main constructs: personality, mood, anxiety and avoidance. RESULTS: The nine original factors were confirmed and showed adequate reliability (α: 0.66-0.91) and stability (r = 0.76-0.87). No differences in mean scores by sex were presented in any subscale (p ≥ .07). The MEDI subscales correlated significantly with the scales of each of the selected constructs (0.45 < r < 0.76). LIMITATIONS: The main limitations of this study were the limited sample size and not being able to count on MEDI scores post-transdiagnostic intervention. CONCLUSIONS: The MEDI demonstrates adequate reliability and validity. It allows to assess diverse symptoms efficiently, thus being of interest for clinical studies and practice.
背景:由于多种原因,精神障碍的分类诊断方法一直饱受批评(例如,共病率高;诊断类别和组合数量更多)。已经提出了多种替代方法,采用混合或完全维度的方法。尽管有证据支持使用多维情感障碍量表(MEDI),采用维度分类混合方法评估情感障碍的跨诊断维度,但在西班牙临床样本中尚无相关数据。本研究旨在探索 49 项 MEDI 在临床样本中的有效性和可靠性,并提供其使用的数据。
方法:共有 280 名患有情感障碍的门诊患者在西班牙不同的公共心理健康单位就诊,在评估阶段填写了所有问卷,并在一周后再次填写 MEDI。所使用的工具评估了四个主要结构:人格、情绪、焦虑和回避。
结果:确认了最初的九个因素,显示出足够的信度(α:0.66-0.91)和稳定性(r=0.76-0.87)。任何子量表的性别平均得分均无差异(p≥.07)。MEDI 子量表与所选每个结构的量表显著相关(0.45<r<0.76)。
局限性:本研究的主要局限性是样本量有限,无法获得跨诊断干预后的 MEDI 分数。
结论:MEDI 具有足够的信度和效度。它可以有效地评估多种症状,因此对临床研究和实践具有重要意义。
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