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幼儿夜间的恐惧与担忧:一项家长报告量表(FAWN-YC)的编制与心理测量学验证

Fears and Worries at Nighttime in Young Children: Development and Psychometric Validation of a Parent-Report Measure (FAWN-YC).

作者信息

Shiels Amy, Uhlmann Laura, Farrell Lara J, Munro-Lee Erinn, Donovan Caroline L

机构信息

School of Applied Psychology, 176 Messines Ridge Rd, Mount Gravatt, Brisbane, QLD, 4122, Australia.

Griffith University Centre for Mental Health, Mount Gravatt, Australia.

出版信息

Child Psychiatry Hum Dev. 2024 Sep 16. doi: 10.1007/s10578-024-01758-3.

DOI:10.1007/s10578-024-01758-3
PMID:39283504
Abstract

This paper outlines the development and psychometric evaluation of the Fears and Worries at Nighttime-Young Children (FAWN-YC) scale; a parent-rated measure for children aged 3-5 years. Based on previous literature, it was hypothesised that the measure would be represented by a six-factor solution, with four clusters of fear types and two behavioural manifestations of fears. Exploratory factor analysis (EFA; N = 436) and confirmatory factor analysis (CFA; N = 383), resulted in a final 17 items that loaded onto 3 factors: Nighttime Fear Focus (8 items, α = 0.92), Bedtime/Sleep Avoidance and Interference (5 items, α = 0.90), and Dark Fear (4 items, α = 0.88). Evidence of convergent validity was found through strong associations between the total score and subscales of the FAWN-YC with measures of child anxiety, fear, sleep, externalizing and conduct problems. Furthermore, there was support for divergent validity (through a very weak to no relationship with a measure of prosocial behaviours), and evidence for temporal stability was also established with 2-week test-retest reliability. Overall, the results provide strong preliminary evidence for the reliability and validity of the FAWN-YC total score and subscales. Implications for the use of the measure in research and clinical practice are discussed.

摘要

本文概述了夜间恐惧与担忧量表-幼儿版(FAWN-YC)的编制及心理测量学评估;这是一种由家长评定的针对3至5岁儿童的测量工具。基于以往文献,研究假设该量表将由一个六因素模型来表示,包含四类恐惧类型和两种恐惧行为表现。探索性因素分析(EFA;N = 436)和验证性因素分析(CFA;N = 383)最终得出17个项目,这些项目归为3个因素:夜间恐惧焦点(8个项目,α = 0.92)、就寝时间/睡眠回避与干扰(5个项目,α = 0.90)以及黑暗恐惧(4个项目,α = 0.88)。通过FAWN-YC总分及分量表与儿童焦虑、恐惧、睡眠、外化行为和品行问题测量指标之间的强关联,发现了聚合效度的证据。此外,还支持区分效度(通过与亲社会行为测量指标之间非常微弱或无关联来体现),并且通过两周的重测信度建立了时间稳定性的证据。总体而言,研究结果为FAWN-YC总分及分量表的信度和效度提供了有力的初步证据。文中还讨论了该测量工具在研究和临床实践中的应用意义。

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本文引用的文献

1
Helping Clinicians Conceptualise Behavioural Insomnia in Children: Development of the Manifestations and Vulnerabilities of Behavioural Insomnia in Childhood Scale (MAVBICS).帮助临床医生理解儿童行为性失眠:儿童行为性失眠的表现与易感性量表(MAVBICS)的编制
Child Psychiatry Hum Dev. 2023 Oct 5. doi: 10.1007/s10578-023-01606-w.
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Eur Child Adolesc Psychiatry. 2024 Jan;33(1):267-277. doi: 10.1007/s00787-023-02153-4. Epub 2023 Feb 13.
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Eur Child Adolesc Psychiatry. 2024 Jan;33(1):167-177. doi: 10.1007/s00787-023-02149-0. Epub 2023 Feb 7.
7
A 25-Year Review of Nighttime Fears in Children: Past, Present, and Future.儿童夜惊 25 年回顾:过去、现在和未来。
Clin Child Fam Psychol Rev. 2021 Sep;24(3):391-413. doi: 10.1007/s10567-021-00354-4. Epub 2021 Jun 14.
8
The Nighttime Fears Scale: Development and psychometric evidence of a standardized self-report scale to assess nighttime fears in children.夜间恐惧量表:用于评估儿童夜间恐惧的标准化自评量表的编制及心理测量学证据。
J Anxiety Disord. 2021 Apr;79:102369. doi: 10.1016/j.janxdis.2021.102369. Epub 2021 Feb 13.
9
The Relationship Between Parental Accommodation and Sleep-Related Problems in Children with Anxiety.父母顺应与儿童焦虑相关睡眠问题的关系。
J Dev Behav Pediatr. 2021;42(2):114-121. doi: 10.1097/DBP.0000000000000871.
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Longitudinal sleep problem trajectories are associated with multiple impairments in child well-being.纵向睡眠问题轨迹与儿童福祉的多种损害有关。
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