【摘要】 目的:编制脊髓损伤压力应对量表,并评估其心理学特性。方法:根据压力与应对交互理论,通过个别访谈和文献回顾,初步编制了脊髓损伤压力应对量表,对261例患者进行测试,并对量表进行因素分析。结果:经探索性因素分析,脊髓损伤压力应对量表由30条目构成,提取6个一阶因子,解释方差52.92%,分别命名为拒绝与否认、面对、幻想、依赖与妥协、寻求支持、合理化。从上述6个一阶因子进一步提取出2个二阶因子:问题指向的应对和情绪指向的应对。全量表内部一致性系数和折半系数分别为0.825和0.704。经方差分析,不同年龄的脊髓损伤患者在面对、依赖与妥协维度的得分差异有显著性意义(P<0.05),伤后时间不同的患者在幻想、依赖与妥协、寻求支持维度的得分差异有显著性意义(P<0.01),男性与女性脊髓损伤患者在寻求支持维度的得分差异有显著性意义(P<0.01)。结论:初步编制的脊髓损伤压力应对量表基本符合心理测评的要求。更多还原

【Abstract】 Objective: To develop a scale assessing coping style in people with spinal cord injuries, and to evaluate the psychometric properties. Method: Spinal cord injury coping scale was developed from the transactional theory of stress and coping, individual interviews and literature reviews. Two hundred and sixty one in-patients with spinal cord injury were assessed with the scale. Principal components factor analysis was performed. Result: The scale included 30 items, and exploratory components factor analysis revealed 6 first-order factors explaining 53% of the total variance, labeled refusal and denial, confrontment, fantasy, reliance and compromise, seeking support, rationalization. Two second-order factors (problem focused and emotion focused coping ) were derived from the 6 first-order factors. Internal consistency was shown with a Cronbach’s α coefficient of 0.825 overall, and split-half reliability coefficient was 0.704. There were significant differences in scores of confrontment and reliance and compromise among groups based on age (P<0.05), and significant differences in scores of fantasy, reliance and compromise, and seeking support among groups based on time post-injury (P<0.01), and a significant difference in scores of seeking support between groups based on gender (P<0.01). Conclusion: Reliability and validity of the spinal cord injury coping scale are both satisfactory enough to meet psychometric indexes.更多还原