在秘鲁利马,针对青少年的结核病污名度表的调整和验证
S S Chiang1, C Zeng2, B Roman-Sinche3
1Division of Pediatric Infectious Diseases, Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI, Center for International Health Research, Rhode Island Hospital, Providence, RI.
概括
一个新的尺度有效地测量了青少年的结核病 (TB) 耻辱感,发现它与抑郁症和不良童年经历有关. 这个工具可以帮助评估减少青少年耻辱感的干预措施.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 青少年健康 青少年健康
背景情况:
- 与结核病 (TB) 相关的耻辱负面影响患者的结果和幸福感.
- 由于社会压力,青少年特别容易受到耻辱的伤害.
- 需要一个验证的工具来测量青少年的结核病污名.
研究的目的:
- 为青少年适应和验证范瑞结核病污名度量表 (VTSS).
- 为了评估适应尺度的心理特征.
- 探索结核病污名和青少年心理社会因素之间的关系.
主要方法:
- 在秘鲁利马,VTSS被修改并给249名青少年 (10-19岁) 进行.
- 心理测量验证包括因子分析,内部一致性 (克朗巴赫的α) 和收有效性.
- 该调查还收集了有关抑郁症,不良童年经历 (ACE) 和社会支持的数据.
主要成果:
- 最后的10项尺度显示出良好的内部一致性 (α = 0.82) 和适当的模型匹配.
- 结核病的耻辱与ACEs (γ = 0.13),抑郁症 (γ = 0.39) 和自杀念头 (γ = 0.27) 有正相关.
- 结核病耻辱与社会支持负相关 (γ = -0.19).
结论:
- 开发的青少年结核病耻辱度表是一个实用的测量工具.
- 该尺度可用于评估青少年的耻辱减少干预措施.
- 研究结果强调了结核病污名对青少年的重大心理社会影响.
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