德国宾夕法尼亚州酒精渴望尺度的心理测量属性
Helmut Nakovics1, Sabine Hoffmann1,2, Anne Koopmann1
1Department of Addictive Behavior and Addiction Medicine, Central Institute of Mental Health (CIMH), Medical Faculty Mannheim, Heidelberg University, J 5, 68159 Mannheim, Germany.
Alcohol and alcoholism (Oxford, Oxfordshire)
|July 27, 2023
概括
德国宾州酒精渴望量表 (PACS-G) 可能有两个因素,而不是一个. 这项研究发现了双因素结构 (
科学领域:
- 精神病学和心理学 精神病学和心理学
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 酒精使用障碍 (AUD) 诊断依赖于酒精渴望,这是复发的预测因素.
- 五项的宾夕法尼亚州酒精渴望量表 (PACS) 是一种广泛使用的测量方法,通常被认为具有单一的因素.
- 理论上的考虑表明,PACS的潜在的两要素结构.
研究的目的:
- 为了研究宾夕法尼亚州酒精渴望量表 (PACS-G) 的德国版本的因子结构.
- 评估AUD患者PACS-G潜在的双因素模型的稳定性和有效性.
- 为了比较PACS-G的一个因素与两个因素模型的合适性.
主要方法:
- 对PACS-G.进行了主要组成部分和确认因素分析.
- 利用了来自德国三个独立研究地点 (埃兰根,曼海姆,汉诺威) 的数据,其中包括AUD患者.
- 评估了内部一致性 (克朗巴赫的α) 和使用相关尺度 (渴望自动化尺度-酒精,强迫性饮酒尺度,贝克的抑郁和焦虑库存) 的收有效性.
主要成果:
- 在所有样本中,PACS-G的双因素解决方案表现出比假设的单因素模型更大的稳定性.
- 确定的因素是"难以抗拒" (4-5项) 和"对酒精的想法" (1-3项).
- 这两个因素都表现出良好的内部一致性 (克朗巴赫α在0.80到0.91之间) 和收有效性,与抑郁和焦虑有显著的相关性.
结论:
- 宾夕法尼亚州酒精渴望量表 (PACS-G) 的德国版本更好地用一个两因素结构来表示.
- "难以抗拒"和"关于酒精的想法"的因素提供了对AUD中酒精渴望的更细致的理解.
- 这项研究提供了第一个经验证据,证明了PACS-G的基础是双因素解决方案.
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