脊髓损伤心理压力应对量表的编制  

Development of spinal cord injury coping scale

作　　者：孙知寒[1] 邱卓英[2] 朱平[1] 杨平梅[1] 王莲屏[1] 郭微[1] 

机构地区：[1]中国康复研究中心北京博爱医院社会职业康复科,北京100068 [2]中国康复研究中心信息研究所

出　　处：《中国康复医学杂志》2011年第6期518-522,542,共6页Chinese Journal of Rehabilitation Medicine

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。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 （P0.05）, and significant differences in scores of fantasy, reliance and compromise, and seeking support among groups based on time post-injury （P0.01）, and a significant difference in scores of seeking support between groups based on gender （P0.01）. Conclusion： Reliability and validity of the spinal cord injury coping scale are both satisfactory enough to meet psychometric indexes.

关 键 词：脊髓损伤 应对 量表 心理测评 

分 类 号：R651.2[医药卫生—外科学] R395[医药卫生—临床医学]