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美国人口中炎症性背痛标准的心理测量

Mark C Hwang¹, Seokhun Kim², Shervin Assassi¹

¹Division of Rheumatology, Department of Internal Medicine, John P. and Kathrine G. McGovern School of Medicine at The University of Texas Health Science Center at Houston, Houston, TX, USA.

EULAR rheumatology open

|January 9, 2026

概括

炎症性背痛标准对于临床使用是有效的,但年龄和性别会影响患者的反应. 在评估轴性脊柱关节炎时,需要针对不同人群进行量身定制的评估.

科学领域:

类风湿病学类风湿病学
流行病学流行病学
心理测量心理测量心理测量

背景情况:

轴性脊椎关节炎 (axSpA) 的评估取决于炎症性背痛 (IBP) 的标准.
这些标准在不同的人口群体中可能会有不同的解释.
了解这些差异对于准确的诊断和管理至关重要.

研究的目的:

检查IBP标准的维度性.
评估跨年龄,性别和种族群体的差异性项目功能 (DIF).
在不同人群中验证IBP标准的临床应用.

主要方法:

使用了2009-2010年国家健康和营养检查调查 (NHANES) 数据集.
应用确认因素分析 (CFA) 来进行维度评估.
通过使用物品响应理论在人口学子组进行了DIF分析.

主要成果:

确认因素分析支持IBP标准的1因素模型.
年龄和性别在几个IBP项目中显示出显著的DIF.
在标准表现方面,种族差异很小.

结论:

IBP标准主要捕捉到一个单一的底层结构,支持其临床实用性.
年龄和性别引入了显著的响应变异性,需要量身定制的临床评估.
需要进一步的研究来证实这些发现在更广泛的人群中.

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Self-Report Tests of Personality

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Self-report inventories are objective personality assessments that use multiple-choice items or numbered scales, typically ranging from 1 (strongly disagree) to 5 (strongly agree). They are often called Likert scales after Rensis Likert. These inventories are widely used due to their ease of administration and cost-effectiveness. One of the most prominent examples is the Minnesota Multiphasic Personality Inventory (MMPI), initially developed in the 1940s to assess abnormal personality traits.