青少年自我伤害风险评估 (ASRA) 尺度的开发和心理验证:一个多维的方法
Jiawei Zhou1, Haonan Liu2, Zheng Zhang3
1Department of Psychiatry, the Second Xiangya Hospital of Central South University, National Center for Mental Disorders, National Clinical Research Center for Mental Disorders, Changsha, China; Department of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH Aachen University, 52062, Aachen, Germany.
Journal of affective disorders
|March 15, 2026
概括
一个新的青少年自我伤害风险评估 (ASRA) 工具有效地使用生态系统理论选青少年自我伤害风险. 该ASRA尺度表现出高可靠性和有效性,用于早期检测和干预.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 青少年心理学 青少年心理学
- 公共卫生 公共卫生
背景情况:
- 青少年自我伤害是一个关键的全球公共卫生问题.
- 目前的评估工具缺乏全面性,依赖于自我报告,未能捕捉系统风险因素.
- 需要一个多维工具来有效评估青少年的自我伤害风险.
研究的目的:
- 开发和验证一个全面的青少年自伤风险评估 (ASRA) 工具.
- 将生态系统理论和累积生态风险模型整合到一个新的评估工具中.
- 解决现有的自我伤害评估方法的局限性.
主要方法:
- 通过文献审查,专家咨询 (德尔菲方法) 和预调查,开发初步的ASRA比例表.
- 从1073名青少年 (年龄在12-24岁) 收集数据.
- 使用探索性因子分析 (EFA),网络分析和确认性因子分析 (CFA) 的验证.
主要成果:
- 最终的ASRA尺度包括8个维度和49个项目,解释了72.82%的差异.
- 通过网络分析和CFA (χ2/df=2.422,RMSEA=0.052,CFI=0.929) 证实了结构稳定性.
- 该尺度表现出了良好的内部一致性 (克朗巴赫的α=0.97),良好的测试-重新测试可靠性 (0.805),以及与自我伤害行为,抑郁,焦虑和冲动性 (p<0.01) 的显著相关性.
结论:
- 该ASRA尺度拥有优良的心理测量特性,建立其可靠性和有效性.
- 它作为一个有效的多维和系统的工具,用于早期查青少年自伤风险.
- 生态系统理论和累积风险模型的整合为青少年自我伤害预防和干预提供了重要的理论和实践支持.
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