A Measurement Invariance Analysis of the Interpersonal Needs Questionnaire and Acquired Capability for Suicide Scale in Autistic and Non-Autistic Adults
A Measurement Invariance Analysis of the Interpersonal Needs Questionnaire and Acquired Capability for Suicide Scale in Autistic and Non-Autistic Adults
复制标题
自闭症和非自闭症成人人际需求问卷和获得性自杀能力量表的测量不变性分析
作者：
M. Pelton;Hayley Crawford;Ashley E. Robertson;J. Rodgers;S. Baron;Sarah A. Cassidy
背景：自闭症成年人更容易有自杀念头和行为，但很少有研究探讨其潜在原因。目前尚不清楚为非自闭症患者设计的自杀量表是否准确地衡量了自闭症患者的自杀风险结构。因此，本研究首次探索了自闭症成人和非自闭症成年人的自杀人际理论自评量表的测量性质是否相同。方法：采用测量不变性分析方法，对342例自闭症患者和353例非自闭症患者的人际需求问卷(INQ-10)和自杀能力获得性量表(ACSS-FAD)进行比较。数据是通过对自我报告措施进行的在线横断面调查收集的。结果：自闭症患者INQ-10的测量特性不同。自闭症患者的特征，如不同的心理理论和对具体语言的偏好，可能导致自闭症组和非自闭症组的量表条目在因素上的负荷不同。自闭症患者和非自闭症患者ACSS-FAD的测量特性是一致的。结论：由于测量性质的不同，自闭症患者和非自闭症患者在INQ-10上的得分不能进行有意义的比较。未来的研究可能会探索自闭症患者如何体验负担和归属感的概念，以考虑衡量标准如何准确地捕捉到这一点。这将使研究人员能够探索这些结构在自闭症患者自杀想法和行为发展中的作用。临床医生应该意识到，自杀风险因素在自闭症患者中可能存在不同的表现。ACSS-FAD的分数可以进行有意义的比较，但措辞消极的量表项目可能会给自闭症患者和非自闭症患者带来类似的反应困难。
Background: Autistic adults are more likely to engage in suicidal thoughts and behaviors, but there is little research to explore the underlying reasons. It is unclear whether self-report suicide scales that have been designed for non-autistic people accurately measure suicide risk constructs in autistic people. Therefore, this study explored, for the first time, whether the measurement properties of the self-report scales of the Interpersonal Theory of Suicide are equivalent in autistic and non-autistic adults. Methods: In this study, responses from 342 autistic and 353 non-autistic people on the Interpersonal Needs Questionnaire-10 (INQ-10) and Acquired Capability for Suicide Scale–Fearlessness about Death (ACSS–FAD) were compared by using measurement invariance analysis. Data were gathered through an online cross-sectional survey of the self-report measures. Results: Results suggest that measurement properties of the INQ-10 were different in autistic people. Autistic characteristics, such as different theory of mind and preference for concrete language, may have led the scale items to load differently on the factors in the autistic group than in the non-autistic group. The measurement properties of the ACSS–FAD were invariant between autistic and non-autistic people. Conclusions: Scores on the INQ-10 cannot be meaningfully compared between autistic and non-autistic people due to different measurement properties. Future research could explore how autistic people experience the concepts of burdensomeness and belonging, to consider how measures could accurately capture this. This would allow researchers to explore the role of these constructs in the development of suicidal thoughts and behaviors in autistic people. Clinicians should be aware that suicide risk factors may present differently in autistic people. Scores on the ACSS-FAD can be meaningfully compared, but the negatively worded scale items may pose similar response difficulties to autistic and non-autistic people.
影响因子：
5.4
作者：
Van Orden, Kimberly A.;Witte, Tracy K.;Cukrowicz, Kelly C.;Braithwaite, Scott R.;Selby, Edward A.;Joiner, Thomas E., Jr.
通讯作者：
Joiner, Thomas E., Jr.