An examination of resilience cross-culturally in child and adolescent survivors of the 2008 China earthquake using the Connor-Davidson Resilience Scale (CD-RISC)

An examination of resilience cross-culturally in child and adolescent survivors of the 2008 China earthquake using the Connor-Davidson Resilience Scale (CD-RISC)
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DOI:
10.1016/j.jad.2013.10.041
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发表时间:
2014-02-01
影响因子:
6.6
通讯作者:
Underwood, Carol
Underwood, Carol
中科院分区:
医学2区
文献类型:
--
作者:
Fu, Christine;Leoutsakos, Jeannie-Marie;Underwood, Carol

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背景:2008 年中国四川地震摧毁了城镇和村庄,导致超过一百万人流离失所,并造成数千人死亡。有必要了解儿童和青少年如何在这一令人痛苦的事件后恢复过来。本研究对康纳-戴维森复原力量表 (CD-RISC) 及其在儿童和青少年幸存者中的有效性进行了心理测量评估,以确定与这种社会文化背景下的复原力相关的因素。方法:使用 CD-RISC 的翻译和文化验证版本、加州大学洛杉矶分校 PTSD 指数和伯勒森抑郁自评量表收集了 1 年后位于灾后地区的 2132 名儿童和青少年的数据。结果:通过探索性因素分析,建立了一个二因素模型,并被中国学者定义为理性思维和自我意识。总 CD-RISC 的内部一致性为 0.86,理性思维为 0.91,自我意识为 0.74。项目之间的收敛效度范围为总分 0.17-0.69 和 0.12-0.20。与创伤后应激障碍相关的项目与 CD-RISC 项目分开加载,证明了区分有效性。结论:我们的研究结果表明,在不同的社会文化环境中,复原力的理解和表现可能有所不同。这项研究证实了CD-RISC量表对中国儿童和青少年地震幸存者的适用性,并增加了跨文化复原力研究的丰富性。 (C) 2013 Elsevier B.V. 保留所有权利。
Background: The 2008 Sichuan earthquake in China destroyed towns and village, displaced over a million people and caused thousands of deaths. There is a need to understand how children and adolescents are able to bounce back after this distressing event. This study conducts a psychometric assessment of the Connor-Davidson Resilience Scale (CD-RISC) and the measure's validity among children and adolescent survivors in order to identify the factors associated with resilience in this socio-cultural setting.Methods: Translated and culturally verified versions of the CD-RISC, UCLA-PTSD Index and Birleson Self-rating Depression Scale were used to collect data from 2132 children and adolescents located in post-disaster areas 1 year after the event.Results: Through exploratory factor analysis, a 2-factor model was found and defined by Chinese scholars as Rational Thinking and Self-Awareness. Internal consistency of total CD-RISC was 0.86, 0.91 for Rational Thinking and 0.74 for Self-Awareness. Convergent validity between items ranged from 0.17-0.69 and 0.12-0.20 to the total score. Items related to post-traumatic stress disorder loaded separately than CD-RISC items, demonstrating discriminant validity.Conclusions: Our findings demonstrate that resilience may be understood and manifested dissimilarly in different socio-cultural settings. This study confirms the applicability of the CD-RISC scale to Chinese children and adolescent earthquake survivors, and adds to the richness of resilience research cross-culturally. (C) 2013 Elsevier B.V. All rights reserved.