Nantong University Medical School, Nantong, Jiangsu, 226001, China.
Department of Medical Oncology, Affiliated Tumor Hospital of Nantong University, Nantong, Jiangsu, 226631, China.
Future Oncol. 2023 Apr;19(12):845-854. doi: 10.2217/fon-2022-1077. Epub 2023 May 18.
To develop a Cancer Patient Suicidal Ideation Scale (CAPASIS) and test its reliability and validity. An initial CAPASIS was developed. Clinical assessment was conducted using an adjusted initial scale with 239 cancer patients for item reduction and 253 for scale validation. Item selection analyses resulted in 22 items. The revised model fits were acceptable (normal chi-square [/] = 1.919; standardized root mean residual = 0.057; root mean square error of approximation = 0.060; goodness fit index = 0.882; adjusted goodness fit index [AGFI] = 0.844; Tucker-Lewis index = 0.898; comparative fit index = 0.915; incremental fit index = 0.917). The Cronbach's alpha coefficient was 0.911. The CAPASIS has good validity and reliability, with a six-factor structure of 'entrapment', 'defeat', 'isolation', 'hopelessness', 'burdensomeness' and 'humiliation', which can help identify patients with suicidal ideation.
开发癌症患者自杀意念量表 (CAPASIS) 并检验其信度和效度。 初步开发了 CAPASIS。采用调整后的初始量表对 239 名癌症患者进行临床评估，以进行项目删减，对 253 名患者进行量表验证。项目选择分析得出 22 个项目。修正模型拟合度可接受（正态性卡方 [/]=1.919；标准化均方根残差 [SRMR]=0.057；近似均方根误差 [RMSEA]=0.060；拟合优度指数 [GFI]=0.882；调整拟合优度指数 [AGFI]=0.844；Tucker-Lewis 指数 [TLI]=0.898；比较拟合指数 [CFI]=0.915；增量拟合指数 [IFI]=0.917）。克朗巴赫 α 系数为 0.911。CAPASIS 具有良好的信度和效度，具有“困境”、“挫败”、“孤立”、“绝望”、“累赘”和“羞辱”六个因子结构，有助于识别有自杀意念的患者。
