Weigelt Anna, Kizilhan Jan Ilhan
Institute for Transcultural Health Science, Baden-Wuerttemberg Cooperative State University, Stuttgart, Germany.
Institute for Psychotherapy and Psychotraumatology, University of Duhok, Duhok, Iraq.
Front Psychiatry. 2024 Dec 2;15:1446724. doi: 10.3389/fpsyt.2024.1446724. eCollection 2024.
Perceived injustice is increasingly recognized as a key factor influencing mental health in war survivors. This cross-sectional study aimed to evaluate the psychometric properties of the Ukrainian translation of the Perceived Injustice Questionnaire (PIQ) among individuals directly exposed to the war in Ukraine.
170 war-exposed Ukrainians completed the Ukrainian PIQ and measures of post-traumatic tress disorder (PCL-5), depression (PHQ-9), generalized anxiety disorder (GAD-7), and potentially traumatic life events (LEC-5). Internal consistency, factor structure, and criterion validity were assessed.
While the factor structure of the English version could not be reproduced, indicating an issue with factor validity in the Ukrainian version, the Ukrainian PIQ demonstrated strong correlations with post-traumatic stress disorder (PTSD) symptoms (r = .71, <.01), moderate associations with depression (r = .62, <.01) and generalized anxiety disorder (r = .61, <.01), and a weaker link with potentially traumatic life events (PTLEs, r = .35, <.01). It significantly predicted PTSD, depression, and generalized anxiety disorder (GAD) symptoms beyond PTLE exposure, explaining 33% of variance in depression, 31% in GAD, and 45% in PTSD These findings provide evidence supporting the construct validity of the PIQ in terms of its relationships with mental health outcomes. The Ukrainian PIQ also demonstrated excellent overall reliability (α = .90), with factor reliabilities ranging from α = .74 to α = .81.
The Ukrainian version of the PIQ demonstrates promising psychometric properties and emerges as a highly significant correlate of mental health outcomes. This underscores its potential utility in clinical practice for assessing the treatment needs of Ukrainians affected by the consequences of war. Moreover, the findings highlight the importance of developing therapy modules specifically tailored to address perceived injustice. Further research is warranted to investigate the cross-cultural adaptability and comparability of the PIQ.
感知到的不公正越来越被认为是影响战争幸存者心理健康的关键因素。这项横断面研究旨在评估乌克兰语版感知不公正问卷（PIQ）在直接经历乌克兰战争的人群中的心理测量学特性。
170名经历过战争的乌克兰人完成了乌克兰语版PIQ以及创伤后应激障碍（PCL-5）、抑郁症（PHQ-9）、广泛性焦虑症（GAD-7）和潜在创伤性生活事件（LEC-5）的测量。评估了内部一致性、因子结构和效标效度。
虽然无法重现英文版的因子结构，这表明乌克兰语版存在因子效度问题，但乌克兰语版PIQ与创伤后应激障碍（PTSD）症状呈现出强相关性（r = 0.71，p < 0.01），与抑郁症（r = 0.62，p < 0.01）和广泛性焦虑症呈现出中度相关性（r = 0.61，p < 0.01），与潜在创伤性生活事件的关联较弱（PTLEs，r = 0.35，p < 0.01）。它显著预测了除PTLE暴露之外的PTSD、抑郁症和广泛性焦虑症（GAD）症状，解释了抑郁症中33%的变异、GAD中31%的变异以及PTSD中45%的变异。这些发现为PIQ在与心理健康结果的关系方面的结构效度提供了支持证据。乌克兰语版PIQ还表现出出色的整体信度（α = 0.90），因子信度范围从α = 0.74到α = 0.81。
乌克兰语版PIQ展示出了有前景的心理测量学特性，并成为心理健康结果的高度显著相关因素。这凸显了其在临床实践中评估受战争影响的乌克兰人治疗需求的潜在效用。此外，研究结果强调了开发专门针对解决感知到的不公正的治疗模块的重要性。有必要进一步研究以调查PIQ的跨文化适应性和可比性。
