Psychometric Evaluation of the Saving Inventory-Revised in Older Adults.
Psychometric Evaluation of the Saving Inventory-Revised in Older Adults.
复制标题
老年人储蓄库存的心理测量评估-修订。
DOI：
10.1080/07317115.2016.1267056
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发表时间：
2017
影响因子：
2.8
通讯作者：
Mayes,TinaL
中科院分区：
文献类型：
--
作者：
Ayers,CatherineR;Dozier,MaryE;Mayes,TinaL
目标：囤积症（HD）是一种慢性疾病，其特征是老年人的健康和功能严重受损。研究人员和临床医生通常使用修订版储蓄清单 (SI-R)（一种经过验证可用于评估 HD 的自我报告指标）来确定症状严重程度。这项研究首次对患有 HD 的老年人样本中的 SI-R 心理测量特性进行了评估。方法：参与者包括 156 名患有 HD 的老年人和 23 名没有精神病诊断的老年人。对两个样本之间的人口统计学和 HD 症状严重程度进行了比较。在 HD 样本中检查了收敛效度和判别效度。使用验证性因素分析来测试在原始样本中观察到的三因素结构的可复制性。结果：HD 样本中的参与者在 SI-R 上的得分显着高于非精神病样本。 SI-R 与杂乱程度以及焦虑和抑郁症状显着相关。三因素模型在 HD 样本中的拟合度较差。结论：SI-R 可用于有效评估老年人群囤积的严重程度。临床意义：治疗老年患者的临床医生应考虑避免使用 SI-R 分量表，因为理论上它们在老年人中可能不太明显。
Objectives: Hoarding disorder (HD) is a chronic condition characterized by severe impairment in health and functioning for older adults. Researchers and clinicians commonly use the Saving Inventory-Revised (SI-R), a self-report measure validated for the assessment of HD, to establish symptom severity. This study represents the first evaluation of the psychometric properties of the SI-R in a sample of older adults with HD.Methods: Participants were 156 older adults with HD and 23 older adults with no psychiatric diagnoses. Demographic and HD symptom severity measures were compared between the two samples. Convergent and discriminant validity was examined in the HD sample. A confirmatory factor analysis was used to test the replicability of the three-factor structure observed in the original sample.Results: Participants in the HD sample scored significantly higher on the SI-R than did the non-psychiatric sample. The SI-R was significantly correlated with clutter level and symptoms of anxiety and depression. A three-factor model demonstrated poor fit in the HD sample.Conclusions: The SI-R can be used to validly assess hoarding severity in geriatric populations.Clinical Implications: Clinicians working with geriatric patients should consider refraining from use of the SI-R subscales as they may be less theoretically distinct in older adults.