The Reliability and Construct Validity of a Single-Item Assessment of Suicidal Ideation Among Patients With Mood and Anxiety Disorders.

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology Pub Date : 2025-01-09 DOI:10.1002/jclp.23768

Thomas E Joiner, Morgan Robison, Jamie Manwaring, Renee D Rienecke, Daniel Le Grange, Alan Duffy, Philip S Mehler, Dan V Blalock

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引用次数: 0

Abstract

Objective: Single-item questionnaire assessments may be summarily dismissed by some, but it is unclear if this is warranted. We suggest here that the answer to that question depends on their reliability and construct validity. Reliability of a single-item index cannot be assessed via indices like coefficient alpha, but it can be addressed otherwise; construct validity can be assessed as it would be with any other quantitative index.

Methods: In 489 patients with mood and anxiety disorders, we examined the Beck Depression Inventory Item 9's (BDI-Item 9) test-retest coefficient, and its validity, in part via invariance analyses. More specifically regarding invariance analyses, we determined whether a covariance structure including a multi-item assessment of suicidal ideation was invariant with a similar structure using a single-item assessment of suicidal ideation instead.

Results: Reasonably supportive evidence emerged for the reliability and construct validity of this specific one-item index.

Conclusions: The BDI-Item 9 can reliably assess suicidal ideation when data lack multi-item assessments.

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情绪与焦虑障碍患者自杀意念单项评估的信度与结构效度。

目的：单项问卷评估可能会被一些人草率地驳回，但尚不清楚这是否有根据。我们认为这个问题的答案取决于它们的信度和构念效度。单项目指标的可靠性不能通过系数等指标来评估，但可以通过其他方式来解决；构念效度可以像评估其他量化指标一样进行评估。方法：对489例情绪焦虑障碍患者进行贝克抑郁量表第9项（bdi -第9项）重测系数的检验，并通过不变性分析部分检验其效度。更具体地说，关于不变性分析，我们确定了包括自杀意念多项目评估的协方差结构是否与使用自杀意念单项目评估的类似结构不变。结果：该单项指标的信度和结构效度得到了合理的支持。结论：在缺乏多项目评估数据的情况下，bdi -第9项能可靠地评估自杀意念。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.40

自引率

3.30%

发文量

177

期刊介绍： Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.