Body awareness: construct and self-report measures.
Body awareness: construct and self-report measures.
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DOI：
10.1371/journal.pone.0005614
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发表时间：
2009
期刊：
影响因子：
3.7
通讯作者：
Stewart A
中科院分区：
文献类型：
--
作者：
Mehling WE;Gopisetty V;Daubenmier J;Price CJ;Hecht FM;Stewart A
增强的身体意识可能是适应性的，也可能是适应不良的。提高身体意识被认为是治疗患有慢性疼痛、肥胖和创伤后应激障碍等疾病的患者的一种方法。我们评估了选定的自我报告测量的心理测量质量，并检查了其项目的基本定义。 PubMed、PsychINFO、HaPI、Embase、数字论文数据库。筛选摘要；获得并系统审查了可能相关的文书。如果仪器专门测量焦虑、涵盖情绪而没有相关的身体感觉、仅使用观察者评级或无法获得，则被排除在外。我们的研究仅限于身体意识的本体感受和内感受渠道。根据麦克道尔的方法，使用结构化评估对每个量表的心理测量特性进行评级。根据多维构造的工作定义，跨学科团队系统地检查了现有身体意识工具的项目，确定了查询的维度，并使用迭代定性过程来完善构造的维度。从 1,825 份摘要中筛选出 39 种仪器。 12 人被纳入心理测量评估。只有两项在可靠性方面被评为高标准，四项在有效性方面被评为高标准。身体意识的四个领域和 11 个子领域出现了。单一文书或多个文书的汇编都无法涵盖所有维度。审查的文书中缺少可能区分身体意识适应性和适应不良方面的关键领域。现有的自我报告工具没有涉及身体意识构建的重要领域，无法辨别身体意识的适应性和适应不良方面，或表现出其他心理测量的局限性。将结构限制在其本体和内感受通道上，我们探讨了当前对多维结构的理解，并提出了进一步研究的后续步骤。
Heightened body awareness can be adaptive and maladaptive. Improving body awareness has been suggested as an approach for treating patients with conditions such as chronic pain, obesity and post-traumatic stress disorder. We assessed the psychometric quality of selected self-report measures and examined their items for underlying definitions of the construct. PubMed, PsychINFO, HaPI, Embase, Digital Dissertations Database. Abstracts were screened; potentially relevant instruments were obtained and systematically reviewed. Instruments were excluded if they exclusively measured anxiety, covered emotions without related physical sensations, used observer ratings only, or were unobtainable. We restricted our study to the proprioceptive and interoceptive channels of body awareness. The psychometric properties of each scale were rated using a structured evaluation according to the method of McDowell. Following a working definition of the multi-dimensional construct, an inter-disciplinary team systematically examined the items of existing body awareness instruments, identified the dimensions queried and used an iterative qualitative process to refine the dimensions of the construct. From 1,825 abstracts, 39 instruments were screened. 12 were included for psychometric evaluation. Only two were rated as high standard for reliability, four for validity. Four domains of body awareness with 11 sub-domains emerged. Neither a single nor a compilation of several instruments covered all dimensions. Key domains that might potentially differentiate adaptive and maladaptive aspects of body awareness were missing in the reviewed instruments. Existing self-report instruments do not address important domains of the construct of body awareness, are unable to discern between adaptive and maladaptive aspects of body awareness, or exhibit other psychometric limitations. Restricting the construct to its proprio- and interoceptive channels, we explore the current understanding of the multi-dimensional construct and suggest next steps for further research.
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