在大型住院患者样本中,对DSM-5酒精使用障碍的Rasch分析
Emily M Britton1, Radia Taisir1, Shannon Remers2
1Homewood Research Institute, Guelph, Ontario, Canada.
Alcohol, clinical & experimental research
|April 11, 2025
概括
在临床样本中对DSM-5酒精使用障碍 (AUD) 标准的Rasch分析支持单维性,但揭示了项目不适合性和有限的严重程度范围. 这表明在区分高重度AUD时存在潜在的局限性.
科学领域:
- 心理测量 心理测量 心理测量
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
背景情况:
- 以前对DSM-5酒精使用障碍 (AUD) 标准的心理测量评估得到了扩展.
- 用于分析的是AUD成年患者的大型临床样本.
研究的目的:
- 使用拉什分析对DSM-5AUD标准进行心理测量评估.
- 根据性别和年龄来检查模型合适性,物品严重性和差异性物品功能.
主要方法:
- 拉什分析是对11个DSM-5AUD标准的反应进行的.
- 在例行临床评估期间,从1101名AUD成年患者收集了数据.
- 对性别和年龄的差异性项目功能进行了评估.
主要成果:
- 在DSM-5 AUD标准中,显示出单维性和地方独立性.
- 危险使用显示不适合Rasch模型.
- 在这个高严重性样本中,项目严重性并不涵盖问题严重性的全部范围.
- 观察到因性别和年龄而异的物品功能,但效果大小在临床上没有意义.
结论:
- DSM-5 AUD诊断被支持为一个维的.
- 某些物品的不合适性和狭窄的严重程度范围限制了高严重性AUD样本中的颗粒状差异.
- 间隔水平测量的假设可能不适用于临床群体.
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