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测量痴呆症患者的自我同情:探究自我同情量表简版(SCS-SF)的有效性。

Measuring self-compassion in people living with dementia: investigating the validity of the Self-Compassion Scale-Short form (SCS-SF).

作者信息

Baggaley Jessica A, Wolverson Emma, Clarke Chris

机构信息

School of Psychology and Social Work, University of Hull, Hull, UK.

Humber Teaching NHS Foundation Trust, Willerby, UK.

出版信息

Aging Ment Health. 2025 Jan;29(1):145-153. doi: 10.1080/13607863.2024.2374937. Epub 2024 Jul 21.

Abstract

OBJECTIVES

Self-compassion may be a psychological resource for living well with dementia, but research is limited by the lack of a validated self-compassion measure for people with dementia. This study aimed to explore the SCS-SF's psychometric properties as well as correlates of self-compassion for people with dementia.

METHOD

A total of 207 people with dementia were recruited to a cross-sectional survey involving the SCS-SF and measures of well-being, self-esteem, and depression. Data analyses ( = 193) included internal consistency reliability, correlational analyses, Exploratory Factor Analysis (EFA), plus ANOVAs and -tests.

RESULTS

Self-compassion significantly correlated positively with well-being and self-esteem, and negatively with depression. Reliability and preliminary construct validity of the SCS-SF was supported. EFA suggested two underlying factors formed by positive and negative components of self-compassion. The negative factor explained more variance and showed stronger correlations with total self-compassion, well-being, self-esteem, and depression compared to the positive factor. Self-compassion significantly differed based on age but not gender, dementia subtype or time since diagnosis.

CONCLUSION

The SCS-SF shows potential as a valid and reliable measure of self-compassion for people with dementia, but further research is needed. The SCS-SF may measure two distinct constructs, which possibly play different roles in relation to well-being in dementia: self-compassion and self-criticism. Clinicians and researchers may wish to interpret these factors separately.

摘要

目的

自我同情可能是痴呆症患者良好生活的一种心理资源,但由于缺乏针对痴呆症患者的经过验证的自我同情测量方法,相关研究受到限制。本研究旨在探讨自我同情量表简版(SCS-SF)的心理测量特性以及痴呆症患者自我同情的相关因素。

方法

共招募了207名痴呆症患者参与一项横断面调查,该调查涉及SCS-SF以及幸福感、自尊和抑郁的测量。数据分析(n = 193)包括内部一致性信度、相关分析、探索性因素分析(EFA),以及方差分析和t检验。

结果

自我同情与幸福感和自尊显著正相关,与抑郁显著负相关。SCS-SF的信度和初步结构效度得到了支持。EFA表明自我同情由积极和消极成分构成两个潜在因素。与积极因素相比,消极因素解释的变异更多,并且与总体自我同情、幸福感、自尊和抑郁的相关性更强。自我同情在年龄上存在显著差异,但在性别、痴呆症亚型或诊断后的时间方面没有差异。

结论

SCS-SF显示出作为痴呆症患者自我同情的有效且可靠测量方法的潜力,但仍需要进一步研究。SCS-SF可能测量了两个不同的结构,它们在痴呆症患者的幸福感方面可能发挥不同的作用:自我同情和自我批评。临床医生和研究人员可能希望分别解释这些因素。

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