Development of a new resilience scale: The Connor-Davidson Resilience scale (CD-RISC)
Development of a new resilience scale: The Connor-Davidson Resilience scale (CD-RISC)
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DOI：
10.1002/da.10113
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发表时间：
2003-01-01
影响因子：
7.4
通讯作者：
Davidson, JRT
中科院分区：
文献类型：
--
作者：
Connor, KM;Davidson, JRT
复原力可以被视为压力应对能力的一种衡量标准，因此，它可能是治疗焦虑、抑郁和压力反应的一个重要目标。我们描述了一个新的评级尺度来评估弹性。Connor-Davidson复原力量表（CD-RISC）由25个项目组成，每个项目以5分制（0-4）评定，分数越高反映出更大的复原力。该量表适用于以下组的受试者：社区样本、初级保健门诊患者、普通精神科门诊患者、广泛性焦虑症临床试验和两项创伤后应激障碍临床试验。对量表的信度、效度和因素分析结构进行了评价，并计算了研究样本的参考分数。在PTSD临床试验的受试者中检查了对治疗效果的敏感性。量表表现出良好的心理测量学特性和因素分析产生了五个因素。重复测量ANOVA显示，CD-RISC评分的增加与治疗期间的更大改善相关。观察到CD-RISC评分的改善与总体临床总体改善成比例，在总体改善最高的受试者中观察到最大增幅，在总体改善最小或无改善的受试者中观察到CD-RISC评分恶化。CD-RISC具有良好的心理测量特性，并区分那些具有较大和较小弹性的人。该量表表明，复原力是可以改变的，可以随着治疗而改善，改善程度越大，全球改善程度越高。(C)2003 Wiley-Liss，Inc.
Resilience may be viewed as a measure of stress coping ability and, as such, could be an important target of treatment in anxiety, depression, and stress reactions. We describe a new rating scale to assess resilience. The Connor-Davidson Resilience scale (CD-RISC) comprises of 25 items, each rated on a 5-point scale (0-4), with higher scores reflecting greater resilience. The scale was administered to subjects in the following groups: community sample, primary care outpatients, general psychiatric outpatients, clinical trial of generalized anxiety disorder, and two clinical trials of PTSD. The reliability, validity, and factor analytic structure of the scale were evaluated, and reference scores for study samples were calculated. Sensitivity to treatment effects was examined in subjects from the PTSD clinical trials. The scale demonstrated good psychometric properties and factor analysis yielded five factors. A repeated measures ANOVA showed that an increase in CD-RISC score was associated with greater improvement during treatment. Improvement in CD-RISC score was noted in proportion to overall clinical global improvement, with greatest increase noted in subjects with the highest global improvement and deterioration in CD-RISC score in those with minimal or no global improvement. The CD-RISC has sound psychometric properties and distinguishes between those with greater and lesser resilience. The scale demonstrates that resilience is modifiable and can improve with treatment, with greater improvement corresponding to higher levels of global improvement. (C) 2003 Wiley-Liss, Inc.