Etiopatogènia i tractament dels trastorns mentals greus (MERITT), Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, CIBERSAM, Barcelona, Spain.
Clin Psychol Psychother. 2023 Nov-Dec;30(6):1464-1470. doi: 10.1002/cpp.2886. Epub 2023 Aug 2.
Stressful life events (SLE) tend to occur before the onset of psychosis, this highlights the importance of its detection and evaluation in these patients. The need to have instruments that assess SLE easily and quickly underpins the objective of this study, which is to validate a short version of the questionnaire of stressful life events (QSLE). 124 patients with first-episode psychosis and 218 healthy controls aged between 11 and 52 years were recruited. The QSLE scale underwent discrimination analysis, which revealed 18 items had good SLEs discriminability between the two samples. These 18 items were then used to create the shorter QSLE-SV. The QSLE-SV showed good internal consistency (Cronbach's alpha = 0.749). An AUC of 0.830 was observed, suggesting that the predictor was good. Using 2 as the cut-off score to predict an individual as a patient would yield a sensitivity of 91.1% and a specificity of 51.6%, and using a cut-off point of 3, the sensitivity was 77.4% and the specificity was 72.5%. QSLE-SV displayed satisfactory psychometric properties in a Spanish population. The QSLE-SV allows for investigating childhood, adolescent and adult life events by measuring current stress and age on a continuous scale in a quick and easy way.
生活应激事件(SLE)往往发生在精神病发作之前,这突出了在这些患者中检测和评估 SLE 的重要性。需要有易于快速评估 SLE 的工具,这是本研究的目的,本研究旨在验证生活应激事件问卷(QSLE)的简短版本。共招募了 124 名首发精神病患者和 218 名年龄在 11 至 52 岁之间的健康对照者。QSLE 量表进行了判别分析,结果显示该量表的 18 个项目在两个样本之间具有良好的 SLE 区分能力。然后,这 18 个项目被用于创建更短的 QSLE-SV。QSLE-SV 显示出良好的内部一致性(Cronbach's alpha = 0.749)。观察到 AUC 为 0.830,表明预测因子较好。使用 2 作为截点来预测个体为患者时,灵敏度为 91.1%,特异性为 51.6%,使用 3 作为截点时,灵敏度为 77.4%,特异性为 72.5%。QSLE-SV 在西班牙人群中具有令人满意的心理测量学特性。QSLE-SV 通过在连续量表上测量当前压力和年龄,以快速、简便的方式调查儿童、青少年和成人的生活事件。