Aluh Deborah Oyine, Azeredo-Lopes Sofia, Pedrosa Barbara, Silva Manuela, Grigaitė Ugnė, Martins Ana Rita, Mousinho Maria Ferreira de Almeida, Cardoso Graça, Caldas-de-Almeida José Miguel
Lisbon Institute of Global Mental Health, Lisbon, Portugal.
Comprehensive Health Research Centre (chrc), NOVA Medical School, NOVA University of Lisbon, Lisbon, Portugal.
Heliyon. 2024 Jan 9;10(2):e24114. doi: 10.1016/j.heliyon.2024.e24114. eCollection 2024 Jan 30.
Cultural factors play a significant role in shaping the perception of coercion during psychiatric admissions. The present study aimed to assess the psychometric properties of the Portuguese Admission Experience Survey(P-AES). The study employed a cross-sectional approach in five psychiatric departments in three regions of Portugal. A total of 208 patients participated in the survey. Reliability was assessed through internal consistency and test-retest procedures. Internal validity was analyzed using a two-parameter logistic item response model, exploring three models, including a bifactor model. Convergent validity was determined by correlating AES scores with the Coercion Ladder (CL), Client Assessment of Satisfaction (CAT), and Global Assessment of Functioning (GAF) scale. Discriminatory power was assessed by comparing scores between patients with voluntary and involuntary admission status. The P-AES demonstrated satisfactory internal consistency and test-retest reliability. The bifactor model exhibited superior fit compared to the one-factor and three-factor models. Correlations between P-AES and CL, as well as CAT scores, indicated good convergent validity. Additionally, P-AES scores were notably higher in patients with compulsory psychiatric hospital admission compared to those admitted voluntarily, confirming its discriminatory power. The bifactor model suggests that all three domains of the AES should be used to measure the subjective experience of coercion.
文化因素在塑造精神科住院期间对强制的认知方面发挥着重要作用。本研究旨在评估葡萄牙住院体验调查（P-AES）的心理测量特性。该研究在葡萄牙三个地区的五个精神科部门采用了横断面研究方法。共有208名患者参与了调查。通过内部一致性和重测程序评估信度。使用双参数逻辑项目反应模型分析内部效度，探索三种模型，包括双因素模型。通过将AES得分与强制阶梯（CL）、患者满意度评估（CAT）和功能总体评估（GAF）量表进行关联来确定收敛效度。通过比较自愿和非自愿住院状态患者的得分来评估区分能力。P-AES表现出令人满意的内部一致性和重测信度。与单因素和三因素模型相比，双因素模型表现出更好的拟合度。P-AES与CL以及CAT得分之间的相关性表明具有良好的收敛效度。此外，与自愿入院的患者相比，强制住院的患者的P-AES得分明显更高，证实了其区分能力。双因素模型表明，AES的所有三个领域都应用于测量强制的主观体验。
