12项一般健康问卷在社区老年人群中的适用性  

Applicability of 12-Item General Health Questionnaire in Chinese Community-Dwelling Elderly

作　　者：宋倩 丁紫夏 邹涛 刘朝霞 蚁金瑶[1,2,4] SONG Qian;DING Zi-xia;ZOU Tao;LIU Zhao-xia;YI Jin-yao(Medical Psychological Center,Second Xiangya Hospital,Central South University,Changsha 410011,China;Medical Psychological Institute,Central South University,Changsha 410011,China;Department of Psychiatry,The Affiliated Hospital of Guizhou Medical University,Guiyang 550004,China;National Clinical Research Center for Mental Disorders,Changsha 410011,China)

机构地区：[1]中南大学湘雅二医院医学心理中心,长沙410011 [2]中南大学医学心理研究所,长沙410011 [3]贵州医科大学附属医院精神科,贵阳550004 [4]国家精神心理疾病临床医学研究中心,长沙410011

出　　处：《中国临床心理学杂志》2021年第6期1182-1187,1197,共7页Chinese Journal of Clinical Psychology

基　　金：国家自然科学基金(81871074);湖南省自然科学基金(2019JJ40443)。

摘　　要：目的:检验12项一般健康问卷(12-Item General Health Questionnaire,GHQ-12)在社区老年人群中的心理测量学特征,并考察其在社区老年人群中的适用性。方法:采用简易精神状态检查排除痴呆可能后纳入377名被试。采用验证性因子分析比较GHQ-12三种因子结构模型的数据拟合情况。基于最佳拟合模型,检验GHQ-12及各因子的内部一致性信度,计算GHQ-12与抑郁、焦虑、心理弹性水平的相关系数。以认知情绪调节问卷九因子得分为自变量,GHQ-12总分为因变量进行线性回归分析。结果:GHQ-12三因子模型的数据拟合程度最优(CFI=0.949,TFI=0.933,SRMR=0.047,RMSEA=0.052)。GHQ-12及各因子的Cronbach’sα为0.65~0.77,MIC为0.22~0.48。GHQ-12与抑郁、焦虑、心理弹性水平相关均显著(|r|=0.57~0.71,P<0.001)。灾难化(β=0.41)、积极重新评价(β=-0.24)和接受(β=-0.15)三种调节策略对GHQ-12总分预测作用显著。结论:GHQ-12在社区老年人群中信效度良好,适用于该群体的心理健康评估。Objective:To examine the psychometric properties of the 12-Item General Health Questionnaire(GHQ-12) and its applicability in Chinese community-dwelling elderly.Methods:The Mini-Mental State Examination(MMSE)was used to exclude the possibility of dementia,and consequently a total of 377 participants entered into this study.The Confirmatory Factor Analysis was conducted to evaluate the goodness of fit of three models of GHQ-12.Then based on the bestfitted model,the internal consistency of GHQ-12 and its factors were evaluated,and the Pearson correlation coefficients between the scores of GHQ-12 and Geriatric Depression Scale(GDS),State-Trait Anxiety Inventory(STAI),Connor-Davidson Resilience Scale(CD-RISC)were calculated.Scores on nine subscales of Cognitive Emotion Regulation Questionnaire and GHQ-12 respectively being independent and dependent variable,the linear regression analysis was conducted.Results:The three-factor model had the best fit among all models(CFI=0.949,TFI=0.933,SRMR=0.047,RMSEA=0.052).Cronbach’sαof GHQ-12 and its three factors ranged from 0.65 to 0.77,meanwhile,MICranged from 0.22 to 0.48.Significant correlations were observed between GHQ-12 and GDS/STAI/CD-RISC(|r|=0.57~0.71,P<0.001).There were significant predictive effects of three cognitive emotion regulation strategies on scores of GHQ-12,namely catastrophizing(β=0.41),positive reappraisal(β=-0.24),and acceptance(β=-0.15).Conclusion:With good reliability and validity,the GHQ-12 has good applicability in assessing the mental health status in Chinese community-dwelling elderly.

关 键 词：一般健康 老年人 信度 效度 

分 类 号：R395.1[哲学宗教—心理学]