适应性自杀认知量表的初始心理测量特征。

IF 2 3区 医学 Q2 PSYCHIATRY
Erik J Reinbergs, Megan L Rogers, Olivia D Teasdale, Madison G Risner
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引用次数: 0

摘要

有过自杀想法或行为的个人报告说,他们在社会交往和治疗提供者那里感到耻辱。尽管研究已经测量了与自杀相关的污名体验,但测量与自杀相关的去污名化或适应性认知的工具是有限的。这项研究采用了NowMattersNow.org网站上的一项资源,列出了有过自杀经历的人希望知道的10件事。这10件事被修改为试点项目,用于发展对自杀的适应性认知的测量。参与者(N = 1,258)完成了试点项目、人口统计项目和趋同/发散测量。样本随机分成25% (n = 314)/75% (n = 944)进行探索性和验证性分析。进行探索性因子分析、验证性因子分析、内部一致性估计、测量不变性检验以及与其他测量的相关性。研究发现一个双因素模型,其中一个因素与应对信念有关,另一个因素与去污名信念有关。有四个项目没有被清楚地纳入两个确定的因素中,在最终量表中留下六个项目(每个因素三个)。这在CFA框架中得到了很好的契合。这两个因素的得分与与耻辱、心理健康和自杀经历相关的措施在预期方向上相关。该指标在不同性别之间是不变的。然而,获得了低于理想的内部一致性估计。由此产生的测量,适应性自杀认知量表,评估了两个可能对进一步研究有用的结构,目标是减少与自杀相关的耻辱的严重性和影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Initial Psychometric Properties of the Adaptive Suicide Cognitions Scale.

Individuals who have experienced suicidal thoughts or behaviors report experiencing stigma from social contacts and treatment providers. Although research has measured experiences of stigma related to suicide, tools measuring destigmatizing or adaptive cognitions related to suicide are limited. This study adapted a resource from NowMattersNow.org listing 10 things people with lived experience of suicide said they wished they knew when they were suicidal. These 10 things were modified into pilot items for the development of a measure of adaptive cognitions about suicide. Participants (N = 1,258) completed the pilot items, demographic items, and convergent/divergent measures. The sample was randomly split 25% (n = 314)/75% (n = 944) for exploratory and confirmatory analyses. Exploratory factor analysis, confirmatory factor analysis, internal consistency estimates, measurement invariance testing, and correlations with other measures were performed. A two-factor model was identified, with one factor related to coping beliefs and one factor related to destigmatizing beliefs. Four items that did not clearly load into the two identified factors were dropped, leaving six items in the final scale (three for each factor). This obtained a good fit in a CFA framework. Scores on the two factors correlated in the expected directions with measures related to stigma, mental health, and experiences with suicide. The measure was invariant across gender. However, lower-than-desirable internal consistency estimates were obtained. The resultant measure, the Adaptive Suicide Cognitions Scale, assesses two constructs that may be useful to examine further, with the goal of reducing the severity and impacts of suicide-related stigma.

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来源期刊
CiteScore
6.10
自引率
7.10%
发文量
69
期刊介绍: Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.
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