Howe Meghan M, Miller Steven A, Tran Susan, Buscemi Joanna, Bugno Lindsey, Greenley Rachel N
Department of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, IL, United States.
Department of Psychology, DePaul University, Chicago, Illinois, United States.
J Pediatr Psychol. 2024 Dec 1;49(12):856-865. doi: 10.1093/jpepsy/jsae084.
The COVID-19 Exposure and Family Impact Scale, Adolescent and Young Adult Version (CEFIS-AYA; Schwartz, L. A., Lewis, A. M., Alderfer, M. A., Vega, G., Barakat, L. P., King-Dowling, S., Psihogios, A. M., Canter, K. S., Crosby, L., Arasteh, K., Enlow, P., Hildenbrand, A. K., Kassam-Adams, N., Pai, A., Phan, T. L., Price, J., Schultz, C. L., Sood, E., Wood, J., & Kazak, A. (2022). COVID-19 exposure and family impact scales for adolescents and young adults. Journal of Pediatric Psychology, 47, 631-640. https://doi.org/10.1093/jpepsy/jsac036) was developed to assess the pandemic's effects on adolescents and young adults (AYA). Via principal component analysis, measure developers examined the structure and reliability of the CEFIS-AYA and identified seven exposure and five impact components. This study built upon prior work through use of item response theory (IRT) models to characterize the dimensionality of the CEFIS-AYA, determine the strength of relations between items and underlying trait(s), and examine associations between trait scores and pandemic-related distress.
This was a secondary analysis of data collected between July 2020 and July 2021 from three studies of emerging adults (ages 18-29; N = 834).
The CEFIS-AYA structure was multidimensional, with the strongest support for five traits. Trait 1 represented pandemic impact on social/emotional functioning and self-care. Trait 2 reflected other pandemic disruptions. Trait 3 represented pandemic disruptions to education and/or other milestones. Trait 4 represented pandemic impact on physical well-being. Trait 5 assessed pandemic disruptions to work/financial circumstances. Item loadings and parameters indicated variability in how consistently trait level was associated with item endorsement. Trait scores did not predict distress, except that increases in Trait 3 were associated with lower distress.
The present study examined the psychometric properties of the CEFIS-AYA among emerging adults using a statistical framework better suited for modeling categorical data. The identified dimensional structure was relatively consistent with the initial psychometric evaluation of the CEFIS-AYA, albeit more parsimonious. However, replication is critical in light of sample demographic characteristics.
新冠疫情暴露与家庭影响量表青少年及青年版（CEFIS - AYA；施瓦茨，L.A.，刘易斯，A.M.，奥尔德弗，M.A.，维加，G.，巴拉卡特，L.P.，金 - 道林，S.，西奥吉奥斯，A.M.，坎特，K.S.，克罗斯比，L.，阿拉斯泰，K.，恩洛，P.，希尔登布兰德，A.K.，卡萨姆 - 亚当斯，N.，派，A.，潘，T.L.，普赖斯，J.，舒尔茨，C.L.，苏德，E.，伍德，J.，& 卡扎克，A.（2022年）。青少年及青年的新冠疫情暴露与家庭影响量表。《儿科心理学杂志》，47卷，631 - 640页。https://doi.org/10.1093/jpepsy/jsac036）旨在评估疫情对青少年及青年（AYA）的影响。通过主成分分析，量表开发者检验了CEFIS - AYA的结构和信度，并确定了七个暴露成分和五个影响成分。本研究在先前工作的基础上，运用项目反应理论（IRT）模型来描述CEFIS - AYA的维度，确定项目与潜在特质之间关系的强度，并检验特质分数与疫情相关困扰之间的关联。
这是对2020年7月至2021年7月期间从三项针对新兴成年人（年龄18 - 29岁；N = 834）的研究中收集的数据进行的二次分析。
CEFIS - AYA的结构是多维的，对五个特质的支持力度最强。特质1代表疫情对社交/情感功能和自我照顾的影响。特质2反映了疫情的其他干扰。特质3代表疫情对教育和/或其他里程碑事件的干扰。特质4代表疫情对身体健康的影响。特质5评估疫情对工作/财务状况的干扰。项目负荷和参数表明特质水平与项目认可之间的一致性存在差异。特质分数并不能预测困扰，不过特质3的增加与较低的困扰相关。
本研究使用更适合对分类数据进行建模的统计框架，检验了CEFIS - AYA在新兴成年人中的心理测量特性。所确定的维度结构与CEFIS - AYA最初的心理测量评估相对一致，尽管更为简约。然而，鉴于样本的人口统计学特征，重复研究至关重要。
