【摘要】：目的探討老年抑郁量表(GDS-5)在城鄉(xiāng)項(xiàng)目功能差異(DIF)中的應(yīng)用。方法 2012年1—2月利用GDS-5對(duì)老齡化期望研究中的550例老年人進(jìn)行資料收集。采用χ2檢驗(yàn)分析GDS-5各條目〔條目1"您對(duì)您現(xiàn)在的生活是否基本上滿意"、條目2"您是否經(jīng)常感到無聊、厭倦"、條目3"您是否常感到生活沒有希望"、條目4"您是否常更想待在家里而不喜歡外出"、條目5"您是否覺得像現(xiàn)在這樣活著毫無意義"〕的城鄉(xiāng)差異;采用單維性檢驗(yàn)分析主要指標(biāo)〔比較擬合指數(shù)(CFI)、非規(guī)范擬合指數(shù)(TLI)、近似誤差均方差(REMSEA)、標(biāo)準(zhǔn)化殘差均方根(SRMR)〕;采用EASY-DIF軟件包進(jìn)行GDS-5城鄉(xiāng)DIF的探測(cè)。結(jié)果條目2、條目3的城鄉(xiāng)差異比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05);其余條目的城鄉(xiāng)差異比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。單維性檢驗(yàn)顯示,CFI、TLI、REMSEA、SRMR均符合適配標(biāo)準(zhǔn),表明GDS-5各條目測(cè)量的是同一概念特質(zhì),具有較好的結(jié)構(gòu)效度。EASY-DIF軟件包分析結(jié)果顯示,條目2、條目3的MH值比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05);其他條目的 MH值比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。條目2、條目3的ΔαMH值分別為0.915、1.279。結(jié)論 GDS-5的條目3存在中等強(qiáng)度城鄉(xiāng)DIF問題,今后在解釋抑郁城鄉(xiāng)差異時(shí)需注意條目城鄉(xiāng)DIF問題。
[Abstract]:Objective to explore the application of elderly depression scale (GDS-5) in urban and rural item function difference (DIF). Methods GDS-5 was used to collect data from 550 elderly people in the study of Aging expectation in January and February 2012. 蠂 2 test was used to analyze the items of GDS-5 (item 1, "are you basically satisfied with your present life", item 2, "do you often feel bored and tired", item 3, "do you often feel that your life is hopeless", Item 4, "do you often prefer to stay at home rather than go out", item 5, "do you feel that there is no point in living like this") the difference between urban and rural areas; The main indexes (comparison fitting index (CFI), nonstandard fitting exponent (TLI), approximation error mean square error (REMSEA), standardized residual mean square root (SRMR);) were analyzed by one-dimensional test. The EASY-DIF software package was used to detect the DIF in urban and rural areas of GDS-5. Results the differences between urban and rural areas of item 2 and item 3 were statistically significant (P0.05), while the differences of other items were not statistically significant (P0.05). One-dimensional test showed that CFI,TLI,REMSEA,SRMR met the adaptation criteria, indicating that each item of GDS-5 measured the same conceptual trait and had good structural validity. The results of EASY-DIF software package analysis showed that item 2, The MH value of item 3 was significantly different (P0.05). There was no significant difference in MH value of other items (P0.05). For entry 2, the 螖 偽 MH values for entry 3 are 0.915 / 1.279, respectively. Conclusion item 3 of GDS-5 has the problem of moderate intensity DIF in urban and rural areas. Attention should be paid to the problem of urban-rural DIF in explaining the difference between urban and rural depression in the future.
【作者單位】： 南京醫(yī)科大學(xué);承德醫(yī)學(xué)院;昌吉學(xué)院;
【基金】：江蘇省高校自然科學(xué)研究面上資助經(jīng)費(fèi)項(xiàng)目(15KJB320007) 南京醫(yī)科大學(xué)科技發(fā)展基金重點(diǎn)項(xiàng)目(2013NJMU026) 江蘇省一級(jí)學(xué)科重點(diǎn)學(xué)科護(hù)理學(xué)開放基金項(xiàng)目(NYHL201408)
【分類號(hào)】：R749.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 李現(xiàn)文;劉海寧;;老化期望對(duì)功能性健康狀況的影響:休閑活動(dòng)的中介作用及城鄉(xiāng)因素的調(diào)節(jié)作用[J];中國衛(wèi)生統(tǒng)計(jì);2014年05期

【二級(jí)參考文獻(xiàn)】

相關(guān)期刊論文 前3條

1 唐丹;;城鄉(xiāng)因素在老年人抑郁癥狀影響模型中的調(diào)節(jié)效應(yīng)[J];人口研究;2010年03期

2 劉寶,蔣烽,胡善聯(lián);人群健康的城鄉(xiāng)差距[J];中國衛(wèi)生資源;2005年05期

3 胡月;龔磊;陳福寬;孫大勤;董昀球;王萱萱;康琦;陳家應(yīng);;農(nóng)村老年人自評(píng)健康狀況的影響因素分析[J];中國衛(wèi)生統(tǒng)計(jì);2013年02期

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3 王祖新;老年抑郁綜合征[J];中國新藥與臨床雜志;1998年03期

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7 錢逸仙;縱觀老年抑郁[J];家庭醫(yī)學(xué);1994年02期

8 趙o，

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