老年人心身研究诊断标准的临床特征

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2023-01-06 DOI:10.1002/cpp.2822

Caterina Romaniello, Sara Romanazzo, Fiammetta Cosci

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引用次数: 3

摘要

在老年人中，评估心身综合征的工具是有限的。本研究旨在检验半结构化访谈在普通老年人心身研究诊断标准(dpr -r - ssi)中的信度和并发效度。方法共招募受试者108例。参与者接受临床评估，包括dpr - r - ssi、疾病态度量表(IAS)、老年抑郁量表(GDS)、心理社会指数(PSI)、多伦多述情障碍量表-20 (TAS-20)。对dpr -r - ssi量表进行量表间信度分析，并对dpr -r - ssi量表与自填问卷的并发效度进行分析。结果dpr -r - ssi具有良好的评分间信度，一致性百分比为90.7% (K Cohen: 0.856 [SE = 0.043]， 95% CI: 0.77-0.94)。dpr - r消沉与GDS的并发效度尚可;dpr - r述情障碍与TAS-20、dpr - r适应负荷与PSI适应负荷之间的并发效度为中等，而dpr - r疾病恐惧症与IAS之间的并发效度为中等。结论dpr - r - ssi是一种可靠、有效的评估老年人心身综合征的工具。在老年临床评价中需要实施dpr - r。

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Clinimetric properties of the diagnostic criteria for psychosomatic research among the elderly

Introduction

Among the elderly, the availability of tool assessing psychosomatic syndromes is limited. The present study aims at testing inter-rater reliability and concurrent validity of the semi-structured interview for the Diagnostic Criteria for Psychosomatic Research (DCPR-R-SSI) in the elderly of the general population.

Method

One hundred eight subjects were recruited. Participants received a clinical assessment which included the DCPR-R-SSI, the Illness Attitude Scale (IAS), the Geriatric Depression Scale (GDS), the Psychosocial Index (PSI), the Toronto Alexithymia Scale-20 (TAS-20). Analyses of inter-rater reliability of DCPR-R-SSI and concurrent validity between DCPR-R-SSI and self-administered questionnaires were conducted.

Results

DCPR-R-SSI showed excellent inter-rater reliability with a percent of agreement of 90.7% (K Cohen: 0.856 [SE = 0.043], 95% CI: 0.77–0.94). DCPR-R demoralization showed fair concurrent validity with GDS; concurrent validity was also fair between DCPR-R Alexithymia and TAS-20, and between DCPR-R allostatic overload and PSI allostatic load, while the concurrent validity between DCPR-R Disease Phobia and IAS was moderate.

Conclusion

DCPR-R-SSI represents a reliable and valid tool to assess psychosomatic syndromes in the elderly. DCPR-R is in need of being implemented in the elderly clinical evaluation.

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.