Myers M G, Brown S A
Department of Psychiatry, University of California, San Diego, La Jolla 92093-0603, USA.
J Stud Alcohol. 1996 Jan;57(1):40-6. doi: 10.15288/jsa.1996.57.40.
The present study was undertaken to assess the factor structure and psychometric validity of the Adolescent Relapse Coping Questionnaire (ARCQ). The ARCQ is designed to assess alcohol and other drug abusing adolescents coping with situations providing temptations for alcohol and other drug use.
This was a prospective longitudinal study of 136 (79 male) alcohol and other drug abusing adolescents who were an average of 16.9 years old. Consecutive admissions were recruited from two adolescent, inpatient alcohol and drug abuse treatment facilities. Subjects completed the ARCQ as part of a 1-year-posttreatment interview and were subsequently interviewed 2 years posttreatment.
Analyses yielded three coping factors which were evaluated for construct and criterion validity. Factor 1 contained generic cognitive and behavioral problem-solving strategies, Factor 2 represented self-critical cognitions and Factor 3 included abstinence-focused coping strategies. The factors had good internal consistency (alpha = .78 to .82) and collectively accounted for 40% of the variance in the principle components analysis. The abstinence-oriented coping factor was significantly correlated with current alcohol and drug use and measures of situation appraisal, and significantly predicted alcohol and drug use during the year following assessment.
The findings provide evidence for the psychometric validity of the ARCQ, provide convergent validation for the utility of the temptation-coping construct and further highlight differences between adult and teen addictive relapse.
本研究旨在评估青少年复发应对问卷（ARCQ）的因子结构和心理测量效度。ARCQ旨在评估酗酒及其他药物滥用的青少年应对为饮酒和使用其他药物提供诱惑的情境的能力。
这是一项对136名（79名男性）平均年龄为16.9岁的酗酒及其他药物滥用青少年进行的前瞻性纵向研究。连续入组的患者来自两家青少年住院酒精和药物滥用治疗机构。受试者在治疗后1年的访谈中完成了ARCQ，随后在治疗后2年接受访谈。
分析得出了三个应对因子，并对其结构效度和效标效度进行了评估。因子1包含一般的认知和行为问题解决策略，因子2代表自我批评认知，因子3包括以节制为重点的应对策略。这些因子具有良好的内部一致性（α = 0.78至0.82），在主成分分析中共同解释了40%的方差。以节制为导向的应对因子与当前的酒精和药物使用以及情境评估指标显著相关，并显著预测了评估后一年内的酒精和药物使用情况。
研究结果为ARCQ的心理测量效度提供了证据，为诱惑应对结构的效用提供了聚合效度，并进一步突出了成人和青少年成瘾复发之间的差异。
