Groves James, Luberto Christina, Fricchione Gregory, Park Elyse
Department of Social and Behavioral Sciences, Harvard University Harvard T. H. Chan School of Public Health, Cambridge, MA, USA.
Department of Psychiatry, Harvard Medical School, Harvard University, Boston, MA, USA.
Glob Adv Health Med. 2022 Oct 4;11:2164957X221128521. doi: 10.1177/2164957X221128521. eCollection 2022.
Stress-related disease is increasing, with high resilience proposed as protective. Whilst the Current Experiences Scale (CES) shows promise as a measure of resilience, its psychological correlates and relationship to psychological stress remain unclear.
(1) Further explore the psychometric properties of the CES, (2) identify modifiable psychological factors associated with the CES and (3) test a previously published model for the influence of adaptive strategies and stress management factors on resiliency and stress.
N 455 individuals (mean age = 47.8, 65.1% female) completed measures of adaptive strategies: mindfulness (Cognitive and Affective Mindfulness Scale-Revised), positive affect (Positive and Negative Affect Schedule) and gratitude (The Gratitude Questionnaire), stress management skills: coping (Measure of Current Status-A), depression (Patient Health Questionnaire-8) and anxiety (General Anxiety Disorder Assessment) and outcomes: resilience (CES) and stress (Perceived Stress Scale). Cronbach's alpha and confirmatory factor analysis (CFA) examined the psychometric properties of the CES. Multivariable regression identified psychological variables associated with resilience. Structural equation modelling (SEM) tested the previously published model for resilience.
The CES and its subscales showed good internal consistency (ɑ = .75-.93). The 23-item CES produced excellent results for model fit (Root Mean Square Error of Approximation (RMSEA) = .07, Standardized Root Mean Square Residual (SRMR) = .06, Comparative Fit Index (CFI) = .99; Tucker-Lewis Index (TLI) = .99). Higher gratitude (P < .0001), mindfulness (P < .0001), positive affect (P < .0001) and coping (P < .0001) were associated with higher resilience. Depression (P = .23) and anxiety (P = .34) were not. A model of resilience which included gratitude, mindfulness, positive affect and coping as determinants of resilience and perceived stress performed well (RMSEA = .03, SRMR = .02, CFI = .99; TLI = .99).
The CES was validated in a large sample. The association of gratitude, mindfulness, positive affect and coping with resilience may guide practitioners seeking to design resilience-enhancing programs.
与压力相关的疾病正在增加,高心理韧性被认为具有保护作用。虽然当前体验量表(CES)有望作为一种心理韧性的测量工具,但其心理关联以及与心理压力的关系仍不明确。
(1)进一步探索CES的心理测量特性,(2)确定与CES相关的可改变心理因素,以及(3)检验先前发表的关于适应性策略和压力管理因素对心理韧性和压力影响的模型。
455名个体(平均年龄 = 47.8岁,65.1%为女性)完成了适应性策略的测量:正念(修订后的认知与情感正念量表)、积极情绪(正负情绪量表)和感恩(感恩问卷);压力管理技能的测量:应对方式(现状测量-A)、抑郁(患者健康问卷-8)和焦虑(广泛性焦虑障碍评估);以及结果测量:心理韧性(CES)和压力(感知压力量表)。Cronbach's alpha系数和验证性因素分析(CFA)检验了CES的心理测量特性。多变量回归确定了与心理韧性相关的心理变量。结构方程模型(SEM)检验了先前发表的心理韧性模型。
CES及其子量表显示出良好的内部一致性(ɑ = 0.75 - 0.93)。23项的CES在模型拟合方面产生了优异的结果(近似均方根误差(RMSEA) = 0.07,标准化均方根残差(SRMR) = 0.06,比较拟合指数(CFI) = 0.99;塔克-刘易斯指数(TLI) = 0.99)。更高的感恩程度(P < 0.0001)、正念(P < 0.0001)、积极情绪(P < 0.0001)和应对方式(P < 0.0001)与更高的心理韧性相关。抑郁(P = 0.23)和焦虑(P = 0.34)则不然。一个将感恩、正念、积极情绪和应对方式作为心理韧性和感知压力决定因素的心理韧性模型表现良好(RMSEA = 0.03,SRMR = 0.02,CFI = 0.99;TLI = 0.99)。
CES在一个大样本中得到了验证。感恩、正念、积极情绪和应对方式与心理韧性的关联可能会指导从业者设计增强心理韧性的项目。