Xuyang Deng, Yu Wang, Dan Zhi, Liuqing Xu, Zhongquan Li
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引用次数: 0
摘要
目的:常规评估中的临床结果(CORE-OM)是一种临床结果测量方法,已被广泛应用于心理健康研究中。然而,对 CORE-OM 因子结构的探索却产生了不同的结果。本研究旨在采用一种被称为探索性图分析(EGA)的创新方法,并辅以双因素建模法来探索其因素结构:方法:我们对 1361 名临床医学专业大学生进行了中文版 CORE-OM 测评。我们首先使用 EGA 分析了 CORE-OM 的因子结构,然后使用 CFA 将 EGA 得出的模型与其他模型进行比较,找出最合理的模型:结果:EGA 的结果表明 CORE-OM 是一个四因素模型。CFA 进一步提出了一个由四个因子结构和一个一般因子相结合的双因子模型。双因素模型表明,变量之间的共同方差有很大一部分归因于一般因素。四因素双因素模型与数据的拟合效果令人满意:结论:研究结果证实了中文版 CORE-OM 的四因素双因素模型的稳健性和简洁性。结论:研究结果证实了中文版 CORE-OM 的四因素双因子模型的稳健性和简洁性,该模型适用于测量中国人的个人内部心理困扰、积极情绪、人际关系问题和风险相关问题。
Exploring the factor structure of a Chinese version of the CORE-OM: insights from network approach and bifactor modeling.
Objective: The Clinical Outcomes in Routine Evaluation (CORE-OM) is a measure of clinical outcomes that has been widely used in mental health research. Nevertheless, the exploration of the factor structure of the CORE-OM yields diverse results. This study aims to explore the factor structure with an innovative method known as exploratory graph analysis (EGA) and supplemented with bifactor modeling.
Method: A Chinese version of the CORE-OM was administrated to a total of 1361 clinical college students. We first examined the factor structure of the CORE-OM using EGA, and then compared the model derived by EGA with other models using CFA to find the most reasonable model.
Results: The result of EGA indicated a four-factor model of CORE-OM. The CFA further suggested a bifactor model with a four-factor structure combined with a general factor. The bifactor modeling suggested a significant proportion of shared variance among the variables was attributed to the general factor. The four-factor bifactor model exhibited a satisfactory fit to the data.
Conclusion: The results confirm the robustness and parsimonious nature of a four-factor bifactor model for the Chinese version of CORE-OM. It is suitable for measuring intrapersonal psychological distress, positive emotions, interpersonal problems, and risk-related issues among the Chinese population.
期刊介绍:
Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.