[“思想情感问卷”(QTF-14)对边缘型人格障碍的因子和聚合有效性]。

Pub Date : 2024-01-01 Epub Date: 2023-11-06 DOI:10.1055/a-2177-1676
Brigitte Dippold, Johannes Beller, Christoph Kröger, Kathrin Dreyße
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引用次数: 0

摘要

“思想和感觉问卷”(QTF)被用作筛选工具,以及边缘型人格障碍(BPD)患者的治疗计划和治疗评估工具。本研究的主要目标是验证具有14个项目的短版本QTF-14的尺寸结构。此外,还检验了项目特征、信度和收敛有效性的证据。对一家心身诊所的BPD患者(N=3035)的诊断同质样本进行了多项自我评估,包括QTF-14。FGG结构的预期单因素模型显示出不可接受的模型拟合指数(CFI=0.751;TLI=0.706;RMSEA=0.115;SRMR=0.073)。探索性因素分析显示有两个或三个特定因素的证据。在随后的验证性因素分析中,具有两个特定因素的双因子模型被证明是优选的(CFI=0.956;TLI=0.936;RMSEA=0.054;SRMR=0.034)。总量表以及建议的分量表“关系困难和情绪调节障碍”和“自主性”的内部一致性是可以接受的(ω=.81-.84;α=.79-.85)。具有相似量表的关联性是预期的。QTF-14良好的心理测量特性可以在本研究中得到证实。使用建议的分量表可以支持治疗计划。
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[Factorial and Convergent Validity of the Short Form of the "Questionnaire of Thoughts and Feelings" (QTF-14) for Borderline Personality Disorder].

The "Questionnaire of Thoughts and Feelings" (QTF) is being used as screening instrument as well as tool for treatment planning and treatment evaluation for patients with borderline personality disorder (BPD). The primary goal of this study was the validation of the dimensional structure of the short version with 14 items, QTF-14. Additionally, item characteristics, reliability and evidence of convergent validity were examined. A diagnostically homogenous sample of patients with BPD (N=3035) of a psychosomatic clinic was presented with several self-assessment inventories, including the QTF-14. The expected single-factor model of the structure of the FGG showed unacceptable model fit indices (CFI=0.751; TLI=0.706; RMSEA=0.115; SRMR=0.073). Exploratory factor analysis showed evidence of two or three specific factors. In a subsequent confirmatory factor analysis, a bifactor model with two specific factors proved to be preferable (CFI=0.956; TLI=0.936; RMSEA=0.054; SRMR=0.034). The internal consistency of the total scale as well as the suggested subscales "Relationship Difficulties and Emotional Dysregulation" and "Autoaggression" was acceptable to good (ω=.81-.84; α=.79-.85). Associations with similar scales were as expected. Good psychometric properties of the QTF-14 can be confirmed in this study. Using the suggested subscales could support treatment planning.

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