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创伤后悲伤量表自我报告附加版(TGI-SR+)德文版的心理测量学特性。

Psychometric properties of the German version of the Traumatic Grief Inventory-Self Report Plus (TGI-SR+).

机构信息

Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Leipzig, Germany.

Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany.

出版信息

Eur J Psychotraumatol. 2024;15(1):2421706. doi: 10.1080/20008066.2024.2421706. Epub 2024 Nov 6.

Abstract

: Prolonged Grief Disorder (PGD) has been recognized as a mental health disorder and was added to the ICD-11 and DSM-5-TR. Despite the same name, both versions of PGD differ in symptom count, content, and diagnostic algorithm. A single instrument to screen for both PGD diagnoses is critical for bereavement research and care. The study aimed to evaluate the psychometric properties of the German version of the Traumatic Grief Inventory Self-Report Plus (TGI-SR+), a self-report measure to assess PGD and PGD symptoms.: Out of a representative sample of the German general population ( = 2509), 1062 reported a significant loss and completed questions about sociodemographic and loss-related variables, the TGI-SR+, and a measure of health-related quality of life.: Item analyses demonstrated good item characteristics. Confirmatory factor analyses showed a good fit for two-factor models for PGD and PGD. Omega values demonstrated good internal consistency. In support of concurrent validity, symptoms of PGD and PGD were associated with worse health-related quality of life. In support of known-groups validity, symptoms of PGD and PGD were significantly higher among women, people with a lower educational level, more recently bereaved, those who lost a spouse or child (vs. other person), and those who lost someone due to unnatural causes (vs. natural causes). ROC analyses showed optimal cut-off scores of ≥60 and ≥65 to screen for probable caseness for PGD and PGD, respectively.: The analyses were based on a cross-sectional design, and data on retest-reliability and predictive validity is missing.: Results support the reliability and validity of the German TGI-SR+ as a screening instrument for PGD in research.

摘要

持续性丧亲障碍(PGD)已被确认为一种心理健康障碍,并被纳入 ICD-11 和 DSM-5-TR。尽管名称相同,但这两个版本的 PGD 在症状数量、内容和诊断算法上存在差异。一个能够同时筛查这两种 PGD 诊断的单一工具对于丧亲研究和护理至关重要。本研究旨在评估创伤性悲伤清单自我报告加(TGI-SR+)的德国版本的心理测量特性,这是一种用于评估 PGD 和 PGD 症状的自我报告工具。

在德国一般人群的代表性样本中(n=2509),有 1062 人报告了重大损失,并完成了关于社会人口学和损失相关变量、TGI-SR+以及健康相关生活质量的问题。

项目分析表明项目具有良好的特征。验证性因素分析表明,PGD 和 PGD 的两因素模型拟合良好。omega 值显示出良好的内部一致性。为了支持同时效度,PGD 和 PGD 的症状与较差的健康相关生活质量相关。为了支持已知群体的有效性,PGD 和 PGD 的症状在女性、受教育程度较低的人群、最近丧偶的人群、失去配偶或孩子的人群(与其他人相比)以及因非自然原因(与自然原因相比)失去某人的人群中显著更高。ROC 分析显示,分别为 ≥60 和 ≥65 的得分可作为筛查 PGD 和 PGD 可能病例的最佳截断值。

这些分析基于横断面设计,缺乏重测信度和预测效度的数据。

结果支持德国 TGI-SR+作为研究中 PGD 筛查工具的可靠性和有效性。

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