Identifying vulnerability in grief: psychometric properties of the Adult Attitude to Grief Scale

Identifying vulnerability in grief: psychometric properties of the Adult Attitude to Grief Scale
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识别悲伤中的脆弱性:成人悲伤态度量表的心理测量特性

DOI:
10.1007/s11136-013-0551-1
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发表时间:
2014
影响因子:
3.5
通讯作者:
B. Bartlam
B. Bartlam
中科院分区:
医学2区
文献类型:
--
作者:
J. Sim;Linda Machin;B. Bartlam

文献摘要

被引文献

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摘要:有目的的悲伤是对重大损失的反应,它会深刻影响生活的各个方面和正常运作的能力。后果可能多种多样,从严重的心理困扰到身体障碍和严重的社会问题。本研究以 168 名在丧亲之痛中寻求帮助的人为样本,通过检查成人悲伤态度 (AAG) 量表的心理测量特性,试图确定悲伤中脆弱性的衡量标准。 方法对量表的因子结构、内部一致性、结构效度和最佳分类界值进行检验。 结果 验证性因素分析广泛支持 AAG 的因素结构,但确定了一项可以有利地重新措辞的项目。三个分量表的内部一致性是可以接受的。与相关结构(抑郁和焦虑)的相关性以及患有长期悲伤障碍的客户和没有长期悲伤障碍的客户的分数之间的显着差异支持了结构效度和区分效度。与咨询师自己的脆弱性临床评级的相关性证明了 AAG 与标准相关的有效性。使用接收者操作特征方法,确定了量表上的最佳截止分数,以对不同级别的脆弱性进行分类。 结论 AAG 被发现是一种在心理测量学上很有前景的工具,可用于识别悲伤中的脆弱性。
AbstractPurpose Grief is a reaction to a significant loss that can profoundly affect all aspects of life and capacity to function well. The consequences can vary from severe psychological distress through to physical disturbances and significant social problems. This study sought to identify a measure of vulnerability in grief, by examining the psychometric properties of the Adult Attitude to Grief (AAG) scale in a sample of 168 people seeking help in their bereavement. Methods The factor structure of the scale, its internal consistency, its construct validity and optimum classification cutoffs were tested. Results Confirmatory factor analysis broadly supported the factor structure of the AAG, but identified one item that could profitably be reworded. Internal consistency of the three subscales was acceptable. Construct validity and discriminative validity were supported by correlations with allied constructs (depression and anxiety) and a significant difference between scores for clients with Prolonged Grief Disorder and those without. A correlation with counsellors’ own clinical ratings of vulnerability demonstrated criterion-related validity of the AAG. Using receiver operating characteristic methods, optimum cutoff scores on the scale were identified for the classification of different levels of vulnerability. Conclusion The AAG was found to be a psychometrically promising tool for identifying vulnerability in grief.