de Chazeron I, Ducher J-L, Renoux M, Brousse G, Llorca P-M
CHU Clermont-Ferrand, Psychiatrie B, Clermont-Ferrand F-63003, France.
Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, Institut Pascal, F-63000 Clermont-Ferrand, France.
Can J Psychiatry. 2025 Feb;70(2):109-116. doi: 10.1177/07067437241301712. Epub 2025 Jan 6.
Although self-esteem is a relatively new concept, first developed in the field of social psychology, it has gained increasing importance in psychiatry, especially as a diagnostic criterion. However, it is poorly evaluated in clinical practice. The lack of an instrument allowing an easy global assessment may be the reason for this. It is therefore a question of validating a short, one-dimensional self-esteem scale in French, possibly allowing an evolutionary follow-up by self-correction.
The study involved 106 patients with various psychiatric disorders, except psychotic disorder, stabilized or of varying severity. The creation of the original tool included 10 items. It was submitted to the selection of items followed by an exploratory factor analysis. The correlation between the items and the measurement of consistency and convergent validity were then performed.
The evaluation of acceptability and distribution of results led to the selection of 6 items. Exploratory factor analysis revealed a unique dimension and good reliability (Tucker-Lewis Index = 0.89). No item displays correlations with a total score of less than 0.50 and the concept of construct is consistent. There is also a good internal consistency which confirms that the 6-item ESD version is optimal.
This new, validated scale will allow therapists to more accurately investigate the notion of self-esteem in a clinical or research setting.
尽管自尊是一个相对较新的概念,最初在社会心理学领域提出,但它在精神病学中的重要性日益增加,尤其是作为一种诊断标准。然而,在临床实践中对其评估不足。缺乏一种便于进行整体评估的工具可能是造成这种情况的原因。因此,有必要验证一种简短的、一维的法语自尊量表,可能通过自我校正实现对其进展的跟踪。
该研究纳入了106例患有各种精神疾病(除精神障碍外)、病情稳定或严重程度各异的患者。原始工具的创建包括10个项目。先进行项目筛选,然后进行探索性因素分析。接着对项目之间的相关性以及一致性和收敛效度测量进行分析。
对可接受性和结果分布的评估导致选择了6个项目。探索性因素分析揭示了一个单一维度且具有良好的信度(塔克 - 刘易斯指数 = 0.89)。没有项目与总分的相关性低于0.50,且结构概念一致。同时还具有良好的内部一致性,这证实了6项自尊量表(ESD)版本是最佳的。
这种经过验证的新量表将使治疗师能够在临床或研究环境中更准确地研究自尊概念。