《修订版儿童焦虑抑郁量表》德语版的心理测量学特征及 8 至 17 岁德国儿童的常模数据。

The German version of the Revised Children's Anxiety and Depression Scale-Psychometric properties and normative data for German 8- to 17-year-olds.

机构信息

German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany.

Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany.

出版信息

Int J Methods Psychiatr Res. 2023 Dec;32(4):e1965. doi: 10.1002/mpr.1965. Epub 2023 Mar 15.

DOI:10.1002/mpr.1965

PMID:36920869

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10698823/

Abstract

OBJECTIVES

Anxiety and depression are internalizing mental disorders often commencing in childhood and manifesting in adolescence. The Revised Anxiety and Depression Scale (RCADS) is an internationally widely used standardized diagnostic tool, but the German version has only been validated in a pediatric chronic pain sample; normative data are not available. The aim of this study is to test its reliability (internal consistency) and validity (factorial, convergent, known-groups) in a representative German school sample and to provide norm data.

METHODS

Data were collected from N = 1562 German schoolchildren (M = 12.2; SD = 2.33; range 8-17 years; 52.4% girls).

RESULTS

Cronbach's α ranged from 0.73 to 0.96 for the total and the six subscales (five anxiety and one depression). Confirmatory factor analysis showed the 6-factor model had acceptable to good model fit with CFI = 0.93, TLI = 0.93, RMSEA = 0.05, SRMR = 0.05, which was better than 1- and 2-factor models. The (sub)scales correlated moderate to high negatively with health-related quality of life (-0.31 ≤ τ ≤ -0.51; p < 0.001) and positively with functional impairment (0.31 ≤ τ ≤ 0.48; p < 0.001). Mean scores of anxiety and depression scales were significantly higher in girls and partly in adolescents.

CONCLUSION

Findings provide support for the good psychometric properties of the German RCADS in a community sample.

摘要

目的

焦虑和抑郁是常见于儿童期并在青春期表现出来的内化心理障碍。修订后的焦虑和抑郁量表（RCADS）是一种国际上广泛使用的标准化诊断工具，但德语版仅在儿科慢性疼痛样本中进行了验证；目前尚无规范数据。本研究的目的是在具有代表性的德国学校样本中测试其可靠性（内部一致性）和有效性（因子、收敛、已知群体），并提供规范数据。

方法

数据来自 1562 名德国学龄儿童（M = 12.2；SD = 2.33；范围 8-17 岁；52.4%为女孩）。

结果

RCADS 总分和六个分量表（五个焦虑分量表和一个抑郁分量表）的克伦巴赫 α 值范围为 0.73 至 0.96。验证性因素分析表明，六因素模型具有可接受至良好的模型拟合度，CFI = 0.93，TLI = 0.93，RMSEA = 0.05，SRMR = 0.05，优于 1 因素和 2 因素模型。（子）量表与健康相关的生活质量呈中等到高度负相关（-0.31≤τ≤-0.51；p<0.001），与功能障碍呈正相关（0.31≤τ≤0.48；p<0.001）。女孩和部分青少年的焦虑和抑郁量表的平均得分明显较高。