本文選題：自殺遺族 + 悲傷問卷（GEQ）�。� 參考：《大連醫(yī)科大學(xué)》2012年碩士論文

【摘要】：背景：自殺是我國第五位死因，每年我國死于自殺的人數(shù)高達(dá)28.7萬，其中80%以上的自殺發(fā)生在農(nóng)村。研究表明每個(gè)自殺死亡者會(huì)使至少6位親友遭受沉痛的打擊，這些因自殺而失去親友的喪親者被稱為自殺遺族（survivors of suicide/survivors suicide）。自殺喪親以及其它喪親形式的悲傷十分嚴(yán)重，悲傷的評(píng)估尤其是自殺喪親的悲傷的處理和評(píng)估是有效干預(yù)的基礎(chǔ)和前提。 目的：引進(jìn)并修訂悲傷體驗(yàn)問卷(Grief Experience Questionnair, GEQ)中文版，分析檢驗(yàn)其在我國農(nóng)村地區(qū)使用的信度與效度，采用GEQ問卷對(duì)農(nóng)村喪親被試進(jìn)行悲傷的探索性因素分析研究，為我國農(nóng)村喪親居民的悲傷水平與自殺關(guān)系的研究提供有效的測(cè)量和評(píng)估工具。 方法：本研究在遼寧省莊河市所有鄉(xiāng)鎮(zhèn)中整群隨機(jī)抽取8個(gè)鄉(xiāng)鎮(zhèn)農(nóng)村地區(qū)的自殺喪親者,車禍喪親者,疾病喪親者作為被試取樣現(xiàn)場(chǎng)，選取在2006年6月1日至2011年5月30日期間目標(biāo)鄉(xiāng)鎮(zhèn)所有自殺死亡的目標(biāo)人，車禍死亡的目標(biāo)人,疾病死亡的目標(biāo)人,對(duì)每個(gè)目標(biāo)人根據(jù)實(shí)際情況選取自愿參加本研究的四級(jí)親屬中的父母、配偶、子女和兄弟姐妹中的1-3名被訪人，采取現(xiàn)場(chǎng)一對(duì)一半結(jié)構(gòu)式心理訪談和心理評(píng)估、問卷調(diào)查等工作。 結(jié)果：（1）試驗(yàn)項(xiàng)目分析刪除了CR值小于3，，相關(guān)系數(shù)小于0.3的47題。（2）經(jīng)探索性因素分析，刪除5，6，7，19，32，34，52題，把其余題目歸為9個(gè)因素，分別為軀體反應(yīng)（Somatic Reactions），尋求解釋（Search for Explanation），缺少社會(huì)支持（Loss of Social Support），恥辱感（Stigmatization），內(nèi)疚感（Guilt），死亡責(zé)任感（Responsibility），羞恥感（Shame），被遺棄感（Rejection），自毀行為（Self-Destructive Behavior）。（3）信度分析顯示修訂后的GEQ具有良好的內(nèi)部一致性和穩(wěn)定性。其中，總量表和軀體反應(yīng)，尋求解釋，缺少社會(huì)支持，恥辱感，內(nèi)疚感，死亡責(zé)任感，羞恥感，被遺棄感，自毀行為分量表的Cronbach’s α系數(shù)分別是0.933，0.806，0.819，0.742，0.750，0.868，0.646，0.871，0.839，0.760。分半信度分別是0.842，0.660，0.774，0.690，0.600，0.837，0.667，0.877，0.752，0.739。（4）問卷各因素之間及其與部分總分、問卷總分的相關(guān)矩陣表明，問卷有良好的內(nèi)容效度。(5) GEQ中文版與HAMD得分的Pearson相關(guān)系數(shù)為0.512（P0.01），校標(biāo)關(guān)聯(lián)效度較好。 結(jié)論: GEQ中文版的信度和效度基本符合心理測(cè)量學(xué)的要求，是評(píng)估喪親者悲傷水平有效且可靠的測(cè)量工具，可專門應(yīng)用于自殺喪親的研究,同時(shí)適用于其它喪親者的研究領(lǐng)域中。
[Abstract]:Background: suicide is the fifth cause of death in China. The number of suicides in China is as high as 287000 every year, more than 80% of which occur in rural areas. Studies have shown that at least six relatives and friends, who have lost loved ones as a result of suicide, are called survivors of suicide/survivors suicides. The grief of suicide bereavement and other forms of bereavement is very serious. The evaluation of sadness especially the treatment and evaluation of suicide bereavement is the foundation and premise of effective intervention. Objective: to introduce and revise the grief experience questionnaire (Grief Experience Questionnair, GEQ), to analyze and test the reliability and validity of Grief Experience Questionnair, GEQ) used in rural areas of China, and to use GEQ questionnaire to analyze the factors of sadness in rural bereavement subjects. It provides an effective measurement and evaluation tool for the study of the relationship between grief and suicide among the rural bereavement residents in China. Methods: the subjects were randomly selected from 8 villages and towns in Zhuanghe, Liaoning Province, including suicide bereaved persons, car accident bereaved persons and sick bereaved relatives. From June 1, 2006 to May 30, 2011, all the target people in the target towns were killed by suicide, those who died in traffic accidents, and those who died of diseases, According to the actual situation, 1-3 parents, spouses, children and siblings of the four-level relatives who volunteered to participate in this study were selected according to the actual situation. Questionnaire survey, etc. Results: in the analysis of the trial items, 47 questions (CR < 3 and correlation coefficient < 0.3) were deleted. By exploratory factor analysis, 5 / 6 / 7 / 19 / 32 / 34 / 52 were deleted, and the remaining items were classified as nine factors. Somatic response, seeking explanation, lack of social support for loss of Social support, stigma, guilt, sense of responsibility for death, shame, abandonment, self-destructive behavior, Self-Destructive Behavior.confidence analysis shows that the revised GEQ is good. Internal consistency and stability. The Cronbach's 偽 coefficients of total amount table and somatic response, lack of social support, shame, guilt, responsibility of death, shame, abandonment, self-destruction behavior were 0.933 / 0.806 / 0.8190.7420.750.680.646/ 0.8710.8790.760, respectively. The split-half reliability was 0.842 / 0.660 / 0.774/ 0.6000.600 / 0.3770.6670.8770.7520.7520.739.4) the correlation matrix of the total score of the questionnaire indicated that the questionnaire had a good content validity. 5) the Pearson correlation coefficient between the Chinese version of GEQ and the score of HAMD was 0.512 / P0.01and the correlation validity of the school standard was better. Conclusion: the reliability and validity of the Chinese version of GEQ basically meet the requirements of psychometrics. It is an effective and reliable tool to evaluate the grief level of bereaved persons and can be specially used in the study of suicide bereavement. It can also be used in other research fields of bereavement.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：B846

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

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本文編號(hào)：1889418