Psychometric properties of the Chinese-version Behavioral Inhibition System/Behavioral Activation System Scales among stroke survivors with depressive symptoms

IF 2.9 3区医学 Q1 NURSING

International Journal of Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijnss.2024.12.002

Dan Shi , Yuen Yu Chong , Lijuan Zhou , Ho Yu Cheng

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引用次数: 0

Abstract

Objective

This study aimed to examine the reliability and validity of the Chinese version of the Behavioral Inhibition System/Behavioral Activation System (BIS/BAS) scales among stroke survivors.

Methods

The cross-sectional study was conducted at four comprehensive hospitals in Taizhou, Jiangsu, China. A sample of 232 first-ever stroke survivors were recruited from June to August 2023. Validity was examined using face validity and construct validity, which used confirmatory factor analysis (CFA) and known-group analysis. Reliability was evaluated by internal consistency and test-retest reliability.

Results

The BIS/BAS scales demonstrated satisfactory face validity. The findings of CFAs supported the original four-factor structure of BAS-reward, BAS-drive, BAS-fun seeking, and BIS with acceptable model fit indices. Discriminative validity, assessed via known-group analysis, indicated that stroke survivors with probable depression had significantly lower mean BAS-reward, BAS-drive, and BAS-fun seeking scores (P < 0.001) and a higher mean BIS score (P = 0.028) compared to those without probable depression. The internal consistency, measured by Cronbach’s α coefficients for the subscales, ranged from 0.669 to 0.964. Test-retest reliability, assessed using intra-class correlation coefficients, ranged from 0.61 to 0.93.

Conclusions

The Chinese version of the BIS/BAS scales could be a reliable and valid instrument for measuring behavioral activation among stroke survivors.

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中文版行为抑制系统/行为激活系统量表在卒中幸存者抑郁症状中的心理测量特征

目的研究脑卒中幸存者行为抑制系统/行为激活系统（BIS/BAS）量表的信度和效度。方法在江苏省泰州市四所综合性医院进行横断面研究。从2023年6月至8月招募了232名首次中风幸存者的样本。效度采用面效度和构念效度进行检验，构念效度采用验证性因子分析和已知组分析。信度采用内部一致性和重测信度评价。结果BIS/BAS量表具有满意的面效度。本研究结果支持BAS-reward、BAS-drive、BAS-fun - seeking和BIS的四因子结构，模型拟合指数均可接受。通过已知组分析评估的判别效度表明，可能患有抑郁症的中风幸存者的平均bas -奖励、bas -驱动和bas -乐趣寻求得分显著降低(P <；0.001)，平均BIS评分较高（P = 0.028）。用Cronbach 's α系数测量的内部一致性范围为0.669 ~ 0.964。用类内相关系数评估的重测信度范围为0.61 ~ 0.93。结论中文版BIS/BAS量表是一种可靠、有效的脑卒中幸存者行为激活量表。

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

International Journal of Nursing Sciences Nursing-Nursing (all)

CiteScore

6.10

自引率

2.60%

发文量

408

审稿时长

25 days

期刊介绍： This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.