Establishing the Content Validity of a Modified Bank of School Anxiety Inventory Items for Use Among Adolescents With Chronic Pain.
Establishing the Content Validity of a Modified Bank of School Anxiety Inventory Items for Use Among Adolescents With Chronic Pain.
复制标题
确定用于患有慢性疼痛的青少年的经修改的学校焦虑量表项目库的内容有效性。
DOI：
10.1093/jpepsy/jsac043
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发表时间：
2022
影响因子：
3.6
通讯作者：
JastrowskiMano,KristenE
中科院分区：
文献类型：
--
作者：
Gibler,RobertC;Abelson,Elana;Williams,SaraE;Lynch-Jordan,AnneM;Kashikar-Zuck,Susmita;JastrowskiMano,KristenE
学校焦虑是一种普遍存在的心理健康问题，它导致患有慢性疼痛的青少年出现与学校有关的残疾。学校焦虑的唯一可用的措施-学校焦虑量表，简短版本（SAI-SV）-缺乏内容特异性，用于测量儿童疼痛人群的学校焦虑。我们的目的是完善SAI-SV获得定性数据的独特学校的情况下，焦虑挑起青年疼痛和表征的性质，在这些situation.MethodsAdolescents慢性疼痛（n= 16）完成了半结构化的采访集中在学校相关的学术和社会背景下的焦虑的经验。我们采用主题分析，从疼痛患者的角度扩展对学校焦虑的实证理解，并产生新的项目内容。通过来自另一组患有慢性疼痛的青少年（n= 5）和一组疼痛心理学家专家团队（n= 3）的迭代反馈，对内容进行了改进。结果我们在数据中确定了六个主题，并生成了新的项目，旨在捕捉与教师和同龄人的负面互动相关的焦虑、功课落后以及注意力集中和疲劳的斗争。参与者和专家将新项目内容评为与疼痛青少年高度相关。更新后的项目库被命名为慢性疼痛学校焦虑量表。结论未来的研究需要完成项目库的心理测量评估，并最终确定可用于研究和临床环境的测量中包含的项目。还讨论了治疗与学校有关的焦虑与疼痛的青年。
ObjectiveSchool anxiety is a prevalent mental health concern that drives school-related disability among youth with chronic pain. The only available measure of school anxiety—the School Anxiety Inventory, Short Version (SAI-SV)—lacks content specificity for measuring school anxiety in pediatric pain populations. We aimed to refine the SAI-SV by obtaining qualitative data about unique school situations that are anxiety-provoking for youth with pain and characterizing the nature of symptoms experienced in these situations.MethodsAdolescents with chronic pain (n= 16) completed a semistructured interview focused on experiences with anxiety in school-related academic and social contexts. We employed thematic analysis to extend the empirical understanding of school anxiety from the perspective of patients suffering from pain and to generate new item content. The content was refined with iterative feedback from a separate group of adolescents with chronic pain (n= 5) and a team of expert pain psychologists (n= 3).ResultsWe identified six themes within the data and generated new items designed to capture anxiety related to negative interactions with teachers and peers, falling behind with schoolwork, and struggles with concentration and fatigue. Participants and experts rated new item content as highly relevant for use among youth with pain. The updated item bank was named the School Anxiety Inventory for Chronic Pain.ConclusionsFuture research is needed to complete the psychometric evaluation of the item bank and finalize items to be included in a measure that can be used in research and clinical settings. Implications for treating school-related anxiety among youth with pain are also discussed.
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