疾病相关的痛苦量表:开发和心理测量评估一个新的跨诊断措施
Annie S K Jones1, Natasha Seaton1, Ashley Brown1
1Health Psychology Section, Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Psychological medicine
|April 28, 2025
概括
一个新的与疾病相关的痛苦 (IRD) 尺度有助于区分患有长期疾病 (LTC) 的痛苦和主要心理健康问题. 这种经过验证的工具有助于临床评估和研究,以改善慢性疾病患者的心理调整.
科学领域:
- 心理医学 心理医学
- 临床心理学 临床心理学
- 健康心理学 心理健康心理学
背景情况:
- 患有长期身体健康状况 (LTC) 的人患抑郁和焦虑率较高.
- 目前的自我报告措施无法区分由LTCs和初级心理健康障碍产生的痛苦,影响治疗策略.
- 开发了一种新的跨诊断自我报告措施,用于各种LTC适用于与疾病相关的痛苦.
研究的目的:
- 开发和验证疾病相关的痛苦的跨诊断自我报告措施.
- 区分与LTCs相关的痛苦与初级心理健康状况.
- 为改善临床实践和研究中的评估提供一个工具.
主要方法:
- 与疾病相关的痛苦 (IRD) 尺度是使用主题编码,文献评论,患者/提供者采访和专家共识创建的.
- 对英国LTC患者的互联网样本 (n=1,398) 进行了心理测量分析.
- 探索性和确认性因子分析 (EFA,CFA) 和探索性结构方程建模 (ESEM) 用于项目减少和模型测试.
主要成果:
- 一个较低级的相关的2因素CFA模型与两个7项子表 (人内和人际困境) 被确定为最合适的.
- IRD尺度表现出性别的结构不变性,良好的内部一致性,非常好的测试-重试可靠性和良好的融合有效性.
- 对于内部 (15) 和人际 (12) 应急子尺度,建立了临床切点.
结论:
- 疾病相关痛苦 (IRD) 尺度是第一个旨在捕捉跨诊断性痛苦的措施.
- 这种尺度可以帮助临床实践和研究评估LTC患者的心理调整和痛苦.
- IRD尺度为了解和管理慢性健康状况的心理影响提供了有价值的工具.
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