Adapting and validating a measure of diabetes-specific self-compassion
Adapting and validating a measure of diabetes-specific self-compassion
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DOI：
10.1016/j.jdiacomp.2017.10.009
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发表时间：
2018-02-01
影响因子：
3
通讯作者：
Hood, K. K.
中科院分区：
文献类型：
--
作者：
Tanenbaum, M. L.;Adams, R. N.;Hood, K. K.
目的：自我同情 (SC)，即在应对个人挑战时善待自己，尚未在 T1D 患者中得到严格检验。 SC 已被证明可以缓冲负面情绪并与改善健康结果相关，但糖尿病特异性 SC 尚未得到研究。本研究旨在调整自我慈悲量表并针对特定糖尿病人群对其进行验证。 方法：我们在 1 型糖尿病成人样本中开发并验证了糖尿病特定版本的自我慈悲量表（Neff，2003）（N = 542；65% 女性；97% 非西班牙裔白人；M 年龄 41，SD = 15.7；M Alc = 73，SD = 1；M 年龄 41，SD = 15.7）。 72% 胰岛素泵用户；50% 连续血糖监测 [CCM] 用户）。进行了验证性因素分析（CFA）以及可靠性和结构效度分析。有效性测量包括糖尿病困扰、糖尿病赋权、糖尿病计算能力和 Al c。 结果：双因素双因素结构表现出最佳拟合，为使用适应量表 (SCS-D) 作为单一结构提供支持。19 项一维 SCS-D 表现出出色的内部一致性（a = 0.94；项目总相关性范围：0.52-0.71）和结构效度。正如假设的那样，较高的 SCS-D 与较少的痛苦、较大的赋权和较低的 Aic 相关，并且与计算能力无关。结论：SCS-D 是衡量成人 T1D 糖尿病特异性自我慈悲的可靠且有效的指标。 (C) 2017 Elsevier Inc. 保留所有权利。
Aims: Self-compassion (SC), or treating oneself with kindness when dealing with personal challenges, has not been rigorously examined in people with T1D. SC has been shown to buffer against negative emotions and to be linked to improved health outcomes, but diabetes-specific SC has not been studied. This study aimed to adapt the Self-Compassion Scale and validate it for a diabetes-specific population.Methods: We developed and validated a diabetes-specific version of the Self-Compassion Scale (Neff, 2003) in a sample of adults with T1D (N = 542; 65% female; 97% non-Hispanic White; M age 41, SD = 15.7; M Alc = 73, SD = 1; 72% insulin pump users; 50% continuous glucose monitoring [CCM] users). Confirmatory factor analyses (CFA), and reliability and construct validity analyses were conducted. Validity measures included diabetes distress, diabetes empowerment, diabetes numeracy, and Al c.Results: A two-factor bi-factor structure showed best fit, providing support for use of the adapted scale (SCS-D) as a unitary construct The 19-item unidimensional SCS-D demonstrated excellent internal consistency (a = 0.94; range of item-total correlations: 0.52-0.71) and construct validity. As hypothesized, higher SCS-D was associated with less distress, greater empowerment, and lower Aic, and was not associated with numeracy.Conclusions: The SCS-D is a reliable and valid measure of diabetes-specific self-compassion in adults with T1D. (C) 2017 Elsevier Inc. All rights reserved.