中国临床心理学杂志

体表缺陷青少年心理弹性量表的编制

单位：1 北京大学心理学系北京 100871
2 中国医学科学院整形外科医院北京 100144

分类号：R395.3

出版年,卷(期):页码：2013,21(3):379-384

摘要：

目的:编制适用于本土的体表缺陷青少年的心理弹性问卷。方法:根据访谈和文献回顾编制初测量表140题,对181名青少年小耳畸形患者进行初测,通过项目鉴别度分析和探索性因素分析,保留31个题目。234人参加复测,进行验证性因素分析和信效度分析。结果:通过探索性因素分析得到缺陷接受、情绪调控、适应能力、自我效能、外部支持、挫折应对6个因子,各个条目的因子负荷在0.38到0.78之间。验证性因素分析支持该量表的6因素结构。量表内部一致性信度系数为0.89,各分量表的信度系数均大于0.6。外部效度指标良好,与青少年韧性量表和意义应对量表的相关系数分别为0.64和0.39。结论:体表缺陷青少年心理弹性量表信效度良好。

Objective: To develop a resilience scale for adolescents with body surface defects and evaluate its psycho metric properties. Methods: Study 1 focused on scale development. The content of the 140-item preliminary scale was drawn from a number of sources including reviewing literatures and interviewing patients. Then the primary inventory was conducted among a group of 181 adolescent patients with microtia, and the scale length was refined to 31 items via item discriminant analysis and exploratory factor analysis. Study 2 consisted of confirmatory factor analysis, reliability and va lidity analysis with a sample of 234 adolescent patients with microtia. Results: Study 1 provided exploratory evidence for the 6-factor structure: acceptance of defects, emotion regulation, adaptability, self-efficacy, external support and frustra tion coping. Item-factor loadings ranged from 0.38 to 0.78. Evidence for construct validity was supported by confirmatory factor analysis. Internal consistency coefficient of overall scale was 0.89 with all six subscales above 0.60. External validity indexes included correlation coefficients of 0.64 and 0.39 with Resilience Scale for Chinese Adolescents and MeaningFocused Coping Scale respectively. Conclusion: The Scale shows good psychometric properties and is suitable for the as sessment of resilience for adolescents with body surface defects.

基金项目：

国家自然科学基金项目(项目负责人:蒋海越)“小耳畸形患者心理弹性结构模型构建和预警机制研究”(81071113)资助

作者简介：

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