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青少年內化性問題及外化性問題危險因素的追蹤研究

發(fā)布時間:2019-05-28 01:32
【摘要】: 目的:(1)建立癥狀篩查量表——長處和困難量表自評問卷的中文版,并分析其信效度;(2)研究非自主反應、冗思、自我批評和依賴、自我知覺以及社會支持等危險因素與應激協(xié)同作用對等內化性及外化性問題的影響。 方法:(1)中文版長處和困難量表自評問卷的信效度研究由湖南省長沙市某五所學校共1,135名青少年參與完成。8周后,157名高二學生參加了重測。信度檢驗采用Cronbach'sα系數(shù)、條目與分量表分相關和重測信度。效度檢驗包括結構效度(驗證性因素分析及分量表分相關)和內容效度(聚合效度及區(qū)分效度)。(2)對湖南省長沙城鄉(xiāng)兩所學校高一共618名青少年進行了4次共一年的追蹤研究。第一次采樣過程中,所有參與者均完成了應激反應方式問卷、反應方式問卷、青少年抑郁體驗問卷、自我知覺問卷、青少年社會支持問卷、青少年生活事件問卷和長處和困難量表。隨后每三個月追蹤測量一次所有參與者的內、外化性問題及生活事件發(fā)生情況。危險因素分析采用了多層線性模型的統(tǒng)計方法。 結果:(1)SDQ自評問卷的困難總量表Cronbach'sα系數(shù)為0.81;各因子α系數(shù)在0.52~0.87之間;重測信度為0.71;條目與相應的因子作相關系數(shù)在0.47到0.75之間。驗證性因子分析的指標均達到測量學要求。區(qū)分效度和聚合效度滿意。(2)采用多層線性模型,分析結果表明:可預測追蹤過程中情緒癥狀變化趨勢的有:總體自我知覺和社會支持分別與應激的交互作用、非自主應對反應、非自主逃避反應、對抑郁癥狀的冗思、冥思、對應激事件的冗思、自我批評和依賴,以及外貌、行為以及社會交往自我知覺;可預測品追蹤過程中行問題變化趨勢的有:社會支持與應激的交互作用、非自主應對反應、非自主逃避反應、對應激事件的冗思和自我批評,以及行為、社會交往和總體自我知覺;可預測追蹤過程中多動/注意障礙相關癥狀變化趨勢的有:非自主應對反應、非自主逃避反應及社會支持分別與應激的交互作用、對應激事件的冗思、自我批評,以及學習能力、行為和總體自我知覺。 結論:(1)中文版長處和困難量表自評問卷有良好的信效度,在中國有廣泛的應用前景。(2)非自主反應、對應激事件的冗思、自我批評、行為和總體自我知覺以及社會支持是內化性問題和外化性問題共同的危險因素;社會交往自我知覺是情緒問題和品行問題共同的危險因素;而冥思、依賴和外表自我知覺僅是情緒問題的危險因素;學習自我知覺僅為多動/注意障礙相關癥狀的危險因素。
[Abstract]:Objective: (1) to establish a Chinese version of the symptom screening scale, the strengths and difficulties scale, and to analyze its reliability and validity. (2) to study the effects of risk factors, such as non-autonomous response, redundancy, self-criticism and dependence, self-perception and social support, on the equivalence, internalization and externalization of stress synergy. Methods: (1) the reliability and validity of the Chinese version of strengths and difficulties scale self-rating questionnaire were completed by 1135 adolescents from five schools in Changsha, Hunan Province. eight weeks later, 157 sophomores took part in the re-test. Cronbach's 偽 coefficient, item and subscale score correlation and retest reliability were used in reliability test. Validity test included structural validity (confirmatory factor analysis and subscale score correlation) and content validity (aggregate validity and differential validity). (2). A total of 618 adolescents from two urban and rural schools in Changsha, Hunan Province were studied. A follow-up study for a total of one year. During the first sampling, all the participants completed the stress response style questionnaire, the adolescent depression experience questionnaire, the self-perception questionnaire, the adolescent social support questionnaire. Adolescent life events questionnaire and strengths and difficulties scale. All participants were followed up every three months to measure internal and external problems and life events. The statistical method of multi-layer linear model is used in the analysis of risk factors. Results: (1) the Cronbach's 偽 coefficient of the SDQ self-assessment questionnaire was 0.81, the 偽 coefficient of each factor was 0.52 鈮,

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