Wojujutari Ajele Kenni, Idemudia Erhabor Sunday
Faculty of Humanities, North-West University, Mafikeng, South Africa.
Depress Anxiety. 2024 Oct 16;2024:3801950. doi: 10.1155/2024/3801950. eCollection 2024.
Psychological distress is a critical concern in mental health, significantly impacting the quality of life across lifespan. Reliable and culturally adaptable assessment tools are essential for effective diagnosis and intervention. The Kessler Psychological Distress Scales (K-10 and K-6) are widely used for their efficiency and psychometric strength, but the reliability of K-10 and K-6 across different populations and settings remains to be determined. This study aims to evaluate the reliability generalization (RG) of the K-10 and K-6 scales across diverse demographic and cultural contexts, providing a comprehensive meta-analysis of their performance. A RG meta-analysis was conducted using data from peer-reviewed articles published between 2002 and 2024, sourced from databases such as Web of Science, Scopus, and ScienceDirect. The analysis included 48 studies that reported reliability measures like Cronbach's , focusing on the psychometric properties of the scales across various populations and settings. The meta-analysis revealed high internal consistency for both the K-10 (mean = 0.90, 95% confidence interval (CI) [0.88, 0.91]) and K-6 (mean = 0.84, 95% CI [0.80, 0.88]) scales. Reliability varied across different populations and languages. For the K-10, the highest reliability was found among adolescents ( = 0.93) and carers ( = 0.91). The K-10 demonstrated exceptional reliability in settings such as Australia ( = 0.97) and significant variability in Tanzania ( = 0.78). The K-6 scale showed high reliability among outpatients ( = 0.89) and the general population ( = 0.87). The scales were adapted into multiple languages, including English, Chinese, Swahili, Farsi, Indonesian, Japanese, Hindi, and Portuguese, reflecting their global applicability and adaptability. The Kessler Psychological Distress Scales (K-10 and K-6) are reliable tools for measuring psychological distress in general and clinical populations. Their high reliability and adaptability across diverse settings highlight their value in clinical practice and research. These findings support the continued use and adaptation of these scales in global mental health assessments, emphasizing the importance of cultural and linguistic considerations.
心理困扰是心理健康领域的一个关键问题，对整个生命周期的生活质量都有重大影响。可靠且具有文化适应性的评估工具对于有效诊断和干预至关重要。凯斯勒心理困扰量表（K-10和K-6）因其效率和心理测量优势而被广泛使用，但K-10和K-6在不同人群和环境中的可靠性仍有待确定。本研究旨在评估K-10和K-6量表在不同人口统计学和文化背景下的可靠性概括（RG），对其性能进行全面的荟萃分析。使用2002年至2024年间发表的同行评审文章中的数据进行RG荟萃分析，这些数据来自科学网、Scopus和ScienceDirect等数据库。分析包括48项报告了如克朗巴哈系数等可靠性指标的研究，重点关注量表在不同人群和环境中的心理测量特性。荟萃分析显示，K-10量表（均值=0.90，95%置信区间[CI][0.88,0.91]）和K-6量表（均值=0.84，95%CI[0.80,0.88]）均具有较高的内部一致性。可靠性在不同人群和语言中有所差异。对于K-10量表，青少年（=0.93）和护理人员（=0.91）中的可靠性最高。K-10量表在澳大利亚等环境中表现出极高的可靠性（=0.97），而在坦桑尼亚则存在显著差异（=0.78）。K-6量表在门诊患者（=0.89）和普通人群（==0.87）中显示出较高的可靠性。这些量表已被翻译成多种语言，包括英语、中文、斯瓦希里语、波斯语、印度尼西亚语、日语、印地语和葡萄牙语，体现了它们的全球适用性和适应性。凯斯勒心理困扰量表（K-10和K-6）是测量一般人群和临床人群心理困扰的可靠工具。它们在不同环境中的高可靠性和适应性凸显了其在临床实践和研究中的价值。这些发现支持在全球心理健康评估中继续使用和调整这些量表，强调了文化和语言因素的重要性。
