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测量人际认知扭曲:跨德语群体样本中人际认知扭曲量表的验证。

Measuring dysfunctional interpersonal beliefs: validation of the Interpersonal Cognitive Distortions Scale among a heterogeneous German-speaking sample.

机构信息

Department of Psychology, Clinical Psychology and Psychotherapy, Philipps-University of Marburg, Gutenbergstraße 18, 35037, Marburg, Germany.

Department of Psychology, Psychological Methods, Philipps-University of Marburg, Marburg, Germany.

出版信息

BMC Psychiatry. 2023 Sep 27;23(1):702. doi: 10.1186/s12888-023-05155-3.

Abstract

BACKROUND

Dysfunctional interpersonal beliefs (DIBs) are a key symptom domain in numerous mental disorders. Because DIBs exert a strong influence on social experience and behavior, they play an important role in a mental disorder's development and progression. To date, only the Interpersonal Cognitive Distortions Scale (ICDS) captures DIBs independently of specific disorders, populations, or contexts. The present study's aim was to psychometrically evaluate and validate a German translation of the ICDS.

METHODS

The ICDS was administered along with indicators of convergent (rejection sensitivity, depressive expectations, interpersonal trust, interpersonal problems, perceived social support), discriminant (self-efficacy, perseverative negative thinking, optimism), and clinical validity (psychopathology, perceived stress, well-being) to a pooled sample incorporating non-clinical (N = 114) and clinical (N = 94) participants.

RESULTS

An exploratory factor analysis (EFA) suggested a five-factor solution (factor loadings: .44 to .85). Correlational analyses demonstrated acceptable convergent (ρ = -.29 to -.35, ρ = .27 to .59), suboptimal discriminant (ρ = -.27 to -.38, ρ = .52), and acceptable clinical validity (ρ = -.21, ρ = .36 to .44) at the total-scale level. However, results at the subscale level were mixed and required nuanced interpretation. Likewise, internal consistency was acceptable at the total-scale level (α = .76), but ranged from good to poor at the subscale level (α = .61 to .80). DIBs mediated the negative relationship between mental disorder onset and psychopathology levels.

DISCUSSION

Our results imply DIBs' relevance to mental health and related outcomes. When working with the ICDS's German version, we recommend employing only the "insecurity" subscale, as this was the only scale revealing acceptable psychometric properties. Future studies should improve the construct validity of the ICDS (and its subscales), e.g., by adding more items to the respective subscales and further classes of DIBs.

摘要

背景

人际信念障碍(DIB)是许多精神障碍的一个主要症状领域。由于 DIB 对社交体验和行为有很强的影响,它们在精神障碍的发展和进展中起着重要作用。迄今为止,只有人际认知扭曲量表(ICDS)能够独立于特定的障碍、人群或背景来捕捉 DIB。本研究的目的是对 ICDS 的德语文本进行心理测量学评估和验证。

方法

在一个包含非临床(N=114)和临床(N=94)参与者的混合样本中,同时使用人际认知扭曲量表(ICDS)以及趋同(拒绝敏感、抑郁预期、人际信任、人际问题、感知社会支持)、判别(自我效能、持续消极思维、乐观)和临床有效性(精神病理学、感知压力、幸福感)的指标进行测试。

结果

探索性因素分析(EFA)表明存在五因素解决方案(因子负荷:.44 到.85)。相关分析表明,在总量表水平上,趋同(ρ=-.29 到 -.35,ρ=-.27 到.59)、判别欠佳(ρ=-.27 到 -.38,ρ=-.52)和临床有效性可接受(ρ=-.21,ρ=-.36 到.44)。然而,在子量表水平上的结果则各不相同,需要进行细致的解释。同样,在总量表水平上,内部一致性是可以接受的(α=.76),但在子量表水平上则从良好到较差(α=.61 到.80)。DIB 介导了精神障碍发病与精神病理学水平之间的负相关关系。

讨论

我们的研究结果表明,DIB 与心理健康和相关结果有关。在使用 ICDS 的德文版本时,我们建议仅使用“不安全感”子量表,因为这是唯一显示出可接受的心理测量特性的量表。未来的研究应该提高 ICDS(及其子量表)的结构效度,例如,通过在各自的子量表中添加更多的项目,以及进一步的 DIB 类别。

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