Development and validation of the Soweto Coping Scale: A mixed-methods, population-based study of adults living in Soweto, South Africa.

Development and validation of the Soweto Coping Scale: A mixed-methods, population-based study of adults living in Soweto, South Africa.
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DOI:
10.1016/j.jad.2022.02.035
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发表时间:
2022-04-15
影响因子:
6.6
通讯作者:
Mendenhall, Emily
Mendenhall, Emily
中科院分区:
医学2区
文献类型:
--
作者:
Mpondo, Feziwe;Kim, Andrew Wooyoung;Tsai, Alexander C.;Mendenhall, Emily

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心理健康障碍是造成疾病负担的主要因素之一,需要在政策制定和方案实施中予以优先考虑。在缺乏心理健康的情况下,人们往往会利用自己的社会支持,激活个人应对机制来维持他们的情绪健康。很少有南非的研究概念化和评估人们用来管理非临床样本中的不良情况的策略。我们在索韦托(n= 107)进行了两项相关的民族志研究的压力和应对。然后,我们利用这些研究开发了一种新的量表来衡量当地的应对方式,并评估了其在流行病学监测研究(n=933)中的使用。在分裂样本分析中,我们首先进行探索性因素分析,然后进行比较拟合指数评估。在探索性因素分析中,我们得到了一个双因素的解决方案:以问题为中心/情绪应对和宗教应对。在验证性因素分析中,这两个领域在保守的≥ 0.95截止值以上具有良好的模型拟合,并且这两个因素具有足够的内部一致性(宗教应对= 0.72;问题/情绪集中应对= 0.69)。关注问题/情绪和宗教应对分量表与生活质量呈正相关,但宗教应对分量表与社会关系无关。总的不良童年经历与以问题为中心/情绪应对分量表,但不与宗教应对分量表。我们的结论是,索韦托应对量表提供了一个新的理解当地形式的应对,并可以使用的精神卫生保健研究人员和供应商谁寻求开发干预措施,促进心理健康和社会福祉。
Mental health disorders are among the leading contributors to the burden of disease and need to be prioritised in policy making and program implementation. In the absence of mental healthcare, people often navigate their own social support and activate individual coping mechanisms to sustain their emotional well-being. Few South African studies conceptualise and evaluate the strategies people use to manage adverse situations in non-clinical samples. We conducted two related ethnographic studies of stress and coping in Soweto (n= 107). We then used the studies to develop a novel scale to measure local forms of coping and evaluated its use in an epidemiological surveillance study (n=933). In a split sample analysis, we first conducted exploratory factor analyses and then a comparative fit index assessment. In the exploratory factor analysis, we obtained a two-factor solution: problem-focused/emotional coping and religious coping. In the confirmatory factor analysis, both domains had good model fit above the conservative ≥ 0.95 cut-off, and both factors had adequate internal consistency (religious coping = 0.72; problem/emotion focused coping = 0.69). Both the problem-focused/emotional and the religious coping subscales were positively correlated with quality of life, except that the religious coping subscale was not correlated with social relationships. Total adverse childhood experiences were correlated with the problem-focused/emotional coping subscale but not with the religious coping subscale. We conclude that the Soweto Coping Scale provides a novel understanding of local forms of coping and can be used by mental healthcare researchers and providers who seek to develop interventions for promoting mental health and social well-being.
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