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[智利医学生和医生中五因素正念问卷量表的验证]

[Validation of the Five Facet Mindfulness Questionnaire scale in medical students and doctors in Chile].

作者信息

Villalón López Francisco J, Escaffi-Schwarz Maximiliano, Mundt Adrian

机构信息

Centro de Educación Médica y Simulación Clinica, Facultad de Medicina, Universidad Diego Portales, Santiago, Chile.

Facultad de Administración y Economía, Universidad Diego Portales, Santiago, Chile.

出版信息

Rev Med Chil. 2023 Apr;151(4):435-445. doi: 10.4067/s0034-98872023000400435.

Abstract

BACKGROUND

The increasing use of Mindfulness-based interventions requires standardized construct-based measurement instruments for clinical and research purposes. The Five Facet Mindfulness Questionnaire scale with five factors was developed in the United States and validated in Spain. There are versions of 39, 24 and 15 items (FFMQ-39, FFMQ-24 and FFMQ-15).

OBJECTIVE

To validate the FFMQ-24 and FFMQ-15 scale in Chile.

METHODOLOGY

Six experts performed a linguistic adaptation of the Spanish version of the FFMQ-24. The adapted instrument was applied to a sample of 795 physicians. Internal validity was analyzed by calculating Cronbach's alpha (α) and confirmatory factor analysis (CFA). Finally, 15 items were retained, and the 5-factor solution was maintained. The FFMQ-15 scale was applied to a sample of 365 medical students and analyzed by calculating (α) and CFA. The external validity of FFMQ-15 was evaluated with the Mental Health Continiuum-14 (MHC-14) scale.

RESULTS

Linguistic changes were made. The CFA of FFMQ-24 obtained a lower-than-expected fit for a 5-factor solution. The (α) value varied between .68 and .86 in all dimensions. The FFMQ-15 had an adequate fit for five factors for physicians (c2 = 216.17, df = 80, p < .01; CFI = .96; TLI = .94; RMSEA = .05 [.04, .06]; SRMR = .04) and students (c2 = 163.61, df = 80, p < .01; CF = .96; TLI = .94; RMSEA = .05 [.04, .07]; SRMR = .05). External validity with MHC-14 was adequate.

CONCLUSION

The FFMQ-15 scale has acceptable internal consistency and adequate internal and external validity in Chile.

摘要

背景

基于正念的干预措施的使用日益增加,这就需要用于临床和研究目的的基于标准化结构的测量工具。美国开发了包含五个因素的五因素正念问卷量表,并在西班牙进行了验证。有39项、24项和15项的版本(FFMQ - 39、FFMQ - 24和FFMQ - 15)。

目的

在智利验证FFMQ - 24和FFMQ - 15量表。

方法

六位专家对FFMQ - 24的西班牙语版本进行了语言改编。将改编后的工具应用于795名医生的样本。通过计算克朗巴哈系数(α)和验证性因素分析(CFA)来分析内部效度。最后,保留了15个项目,并维持了五因素解决方案。将FFMQ - 15量表应用于365名医学生的样本,并通过计算(α)和CFA进行分析。使用心理健康连续体 - 14(MHC - 14)量表评估FFMQ - 15的外部效度。

结果

进行了语言修改。FFMQ - 24的CFA对五因素解决方案的拟合度低于预期。所有维度的(α)值在0.68至0.86之间变化。FFMQ - 15对医生(卡方 = 216.17,自由度 = 80,p < 0.01;CFI = 0.96;TLI = 0.94;RMSEA = 0.05 [0.04, 0.06];SRMR = 0.04)和学生(卡方 = 163.61,自由度 = 80,p < 0.01;CF = 0.96;TLI = 0.94;RMSEA = 0.05 [0.04, 0.07];SRMR = 0.05)的五个因素具有足够的拟合度。与MHC - 14的外部效度足够。

结论

FFMQ - 15量表在智利具有可接受的内部一致性以及足够的内部和外部效度。

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