Ritsner M, Rabinowitz J, Slyuzberg M
Psychiatric Epidemiology Research Unit, Talbieh Mental Health Center, Jerusalem, Israel.
Compr Psychiatry. 1995 Nov-Dec;36(6):448-53. doi: 10.1016/s0010-440x(95)90253-8.
The purpose of this study was to develop and test the Talbieh Brief Distress Inventory (TBDI), a 24-item self-report questionnaire that measures psychological distress among immigrants. The TBDI combines items from the Brief Symptom Inventory (BSI) and the Psychiatric Epidemiology Research Interview Demoralization Scale (PERI-D). It includes a global score and six scales (obsessiveness, hostility, sensitiveness, depression, anxiety, and paranoid ideation). A convenience sample of 966 recent immigrants to Israel from the former Soviet Union were asked to complete a Russian-language version of the BSI and PERI-D as part of a study on immigrants' psychological adjustment. The TBDI is a combination of 13 items from the BSI and 11 items from the PERI-D. Items for inclusion were based on results of a separate factor analysis for the BSI and PERI-D and removal of repetitive items. We compared the total score with the total PERI-D and BSI and developed gender-specific cutoff points of caseness for the TBDI by comparison to known PERI-D and BSI cutoff points. We also checked for reliability using Cronbach's alpha. The TBDI correlated highly with the PERI-D (r = .93) and with the BSI (r = .82). Reliability of the scales and the overall instrument ranged from Cronbach's alpha of .60 to .89. TBDI caseness cutoff points were in close agreement with the BSI and PERI-D as reflected by kappa scores that ranged from .66 to .79. The TBDI is a promising instrument for screening populations for psychological distress and symptomatology. It is available in English, Hebrew, and Russian.
本研究的目的是开发并测试塔尔比耶简易痛苦量表（TBDI），这是一份包含24个条目的自陈问卷，用于测量移民群体的心理痛苦程度。TBDI结合了简易症状量表（BSI）和精神疾病流行病学研究访谈失志量表（PERI-D）的条目。它包括一个总体得分以及六个分量表（强迫观念、敌意、敏感、抑郁、焦虑和偏执观念）。作为一项关于移民心理适应的研究的一部分，我们邀请了966名近期从前苏联移民至以色列的便利样本，让他们完成俄语版的BSI和PERI-D。TBDI由13个来自BSI的条目和11个来自PERI-D的条目组成。纳入的条目基于对BSI和PERI-D分别进行的因子分析结果以及重复条目的去除。我们将总分与PERI-D和BSI的总分进行比较，并通过与已知的PERI-D和BSI临界值比较，为TBDI制定了特定性别的病例临界值。我们还使用克朗巴哈系数（Cronbach's alpha）检验了信度。TBDI与PERI-D高度相关（r = 0.93），与BSI也高度相关（r = 0.82）。分量表和整个工具的信度范围为克朗巴哈系数0.60至0.89。TBDI的病例临界值与BSI和PERI-D高度一致，kappa分数范围为0.66至0.79。TBDI是一种很有前景的工具，可用于筛查人群的心理痛苦和症状。它有英文、希伯来文和俄文版本。
