Norm values and psychometric properties of the brief symptom inventory-18 regarding individuals between the ages of 60 and 95

Norm values and psychometric properties of the brief symptom inventory-18 regarding individuals between the ages of 60 and 95
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DOI:
10.1186/s12874-018-0631-6
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发表时间:
2018-12-05
影响因子:
4
通讯作者:
Braehler, Elmar
Braehler, Elmar
中科院分区:
医学3区
文献类型:
--
作者:
Petrowski, Katja;Schmalbach, Bjarne;Braehler, Elmar

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目的:SCL-90和SCL-90- r是诊断心理困扰最常用的量表。为了减少和防止个体的超载,在SCL-90的基础上开发了18项简短症状量表(BSI-18)。由于心理障碍更常发生在老年人,因此越来越需要有效的工具来测量老年人的痛苦。然而,BSI-18的心理测量特性、规范值和析因结构尚未在该年龄组中进行调查。方法:本研究的目的是评估老年人样本的BSI-18,并为这一特定人群建立规范值。随后收集884例样本的人口学信息和BSI-18结果,其中女性占55%,平均年龄70.75岁,SD = 7.08,年龄范围60-95岁。问卷包含躯体化(SOMA)、焦虑(ANX)和抑郁(DEPR)三个6项量表,构成一般症状指数(GSI)。结果:我们发现了一个可接受的良好的模型拟合的三因素模型与一般的GSI因素。BSI-18的心理测量性质令人满意。严格的测量不变性显示年龄和性别。此外,我们发现基于社会人口变量的心理困扰差异。结论:这些发现强调了老年人越来越需要预防机制,例如(重新)激活他们的社会网络和加强他们的身心健康。
Objective: The SCL-90 and the SCL-90-R are the most applied measures regarding psychological distress. To reduce and prevent an overload to of the individuals, the Brief Symptom Inventory with 18 items (BSI-18) was developed based on the SCL-90. Since psychological disorders more frequently occur at an older age, there is a growing need for efficient instruments to measure distress in the elderly. However, the BSI-18's psychometric properties, norm values, and factorial structure have not yet been investigated in this age group.Methods: The aim of this study was to evaluate the BSI-18 in a sample of elderly people and to establish norm values for this specific population. Subsequently, demographic information and BSI-18 results were collected from a sample totaling 884 (55% female, mean age of 70.75years, SD = 7.08, age range = 60-95years). The questionnaire contains three six-item scales: somatization (SOMA), anxiety (ANX), and depression (DEPR), which form a general symptom index (GSI).Results: We found an acceptable to good model fit for a three-factor-model with a general GSI factor. The BSI-18's psychometric properties were satisfactory. Strict measurement invariance was shown for age and gender. Additionally, we found differences in psychological distress based on sociodemographic variables.Conclusions: These findings underline the growing need for preventive mechanisms for elderly people such as, e.g., (re)activating their social networks and strengthening their physical and psychological well-being.