Master of Occupational Medicine Study Program, Faculty of Medicine, University of Indonesia, Pegangsaan Timur, Jakarta 10320, Indonesia.
Department of Community Medicine, Faculty of Medicine, University of Indonesia, Pegangsaan Timur, Jakarta 10320, Indonesia.
Asian J Psychiatr. 2023 Aug;86:103676. doi: 10.1016/j.ajp.2023.103676. Epub 2023 Jun 14.
Psychological disorders in workers is associated with physical health problems and decreased work productivity costing the impact of workplace accidents. We can minimize these problems by introducing screening programs with a simple screening tool for psychological disorders. One of the questionnaires used in several countries to assess psychological disorders is the Brief Symptom Rating Scale - 5 (BSRS-5). Thus, this study aimed to assess the validity and reliability of the Brief Symptom Rating Scale - 5 (BSRS-5) in the Indonesian version.
The BSRS-5 was translated into a local language (Bahasa), and experts judgment in the forward and backward translation process. What collected BSRS-5 data in a primary health care setting on 64 respondents. Internal reliability was tested using Cronbach's alpha. Factorial validity was done using exploratory factor analysis to investigate whether BSRS-5 items properly measure the underlying dimensions of psychological disorders. External (criterion) validity was analysed by looking at the relationship between BSRS-5 and Depression, Anxiety and Stress Scale - 21 (DASS-21), using the coefficient correlation.
The BSRS-5 questionnaire was produced from transcultural validation using the ISPOR method. The results of the construct validity test for all questions between (0.634-0.781) with a significance level < 0.05. The factor analysis values for all statements > 0.3 were all items having Eigenvalues > 1 yielded into one factor. The instrument performed well in detecting common psychological disorders. The BSRS-5 had good internal reliability (α = 0.770). The external validity test results with DASS-21 showed that BSRS-5 correlated with the DASS-21 dimensions of depression and stress with correlation values of 0.397 and 0.399. In opposition to correlated BSRS-5 with the dimension of anxiety in DASS-21 showed no correlation with a correlation value of 0.237. Therefore, another gold standard questionnaire is required to evaluate psychological distress based on each item in BSRS-5.
The BSRS-5 is a satisfactory screening tool for identifying common psychological disorders such as Insomnia, Anxiety, Depression, Hostility, and Inferiority in the community. The absence of correlation with anxiety in this assessment tool needs another gold standard questionnaire, or professional assistance is required for further evaluation to follow up on psychological disorders.
工人的心理障碍与身体健康问题和工作效率下降有关，这些问题会导致工作场所事故的发生。通过引入简单的心理障碍筛查工具的筛查计划，我们可以最大限度地减少这些问题。在许多国家，用于评估心理障碍的问卷之一是Brief Symptom Rating Scale-5（BSRS-5）。因此，本研究旨在评估Brief Symptom Rating Scale-5（BSRS-5）在印度尼西亚版本中的有效性和可靠性。
BSRS-5 被翻译成当地语言（印尼语），并通过专家在正向和反向翻译过程中的判断。在初级保健环境中收集了 64 名受访者的 BSRS-5 数据。使用 Cronbach's alpha 测试内部信度。使用探索性因子分析进行因子有效性测试，以调查 BSRS-5 项目是否恰当地测量心理障碍的潜在维度。通过查看 BSRS-5 与抑郁、焦虑和压力量表-21（DASS-21）之间的关系来分析外部（标准）有效性，使用系数相关性。
BSRS-5 问卷是通过使用 ISPOR 方法进行跨文化验证生成的。所有问题的结构有效性测试结果均为（0.634-0.781），具有统计学意义（<0.05）。所有语句的因子分析值（0.3）都大于 0.3，均具有大于 1 的特征值，生成一个因子。该工具在检测常见心理障碍方面表现良好。BSRS-5 的内部可靠性良好（α=0.770）。与 DASS-21 的抑郁和压力维度的外部有效性测试结果表明，BSRS-5 与 DASS-21 的维度相关，相关性值分别为 0.397 和 0.399。相反，BSRS-5 与 DASS-21 中的焦虑维度相关，相关性值为 0.237。因此，需要另一个金标准问卷来评估 BSRS-5 中每个项目的心理困扰。
BSRS-5 是一种用于识别社区中常见心理障碍（如失眠、焦虑、抑郁、敌意和自卑）的令人满意的筛查工具。该评估工具与焦虑无相关性，需要另一个金标准问卷或专业帮助进行进一步评估，以跟进心理障碍。
