机构地区:[1]重庆大学公共管理学院,重庆 [2]陆军军医大学(第三军医大学)医学心理系心理训练中心,重庆
出 处:《陆军军医大学学报》2025年第8期885-892,F0003,共9页Journal of Army Medical University
基 金:重庆市自然科学基金重点项目(CSTC2020JCYJ-ZDXMX0009)。
摘 要:目的 修订亲子疏离问卷(Inventory of Alienation toward Parents,IAP),检验其在军人中的信效度并初步构建常模,为评估军人亲子疏离水平与等级提供科学工具。方法 通过分层整群随机抽样,从8个陆军单位抽取8 641名军人,采用18题青少年IAP、贝克抑郁量表第2版(Beck Depression Inventory-Ⅱ,BDI-Ⅱ)及广泛性焦虑量表(Generalized Anxiety Disorder-7,GAD-7)进行调查。利用SPSS27.0和AMOS 26.0软件对数据进行项目分析、探索性因子分析和验证性因子分析并检验信度。用修订后的16题IAP构建均数、百分位、划界和分类常模。结果 (1)项目分析删除条目3和12。(2)探索性因子分析提取原沟通和情感距离两因子;验证性因子分析模型拟合良好,母子疏离问卷:χ^(2)/df=4.248,比较拟合指数(comparative fit index,CFI)=0.962,塔克-刘易斯指数(Tucker-Lewis Index,TLI)=0.929,近似误差均方根(root mean square error of approximation,RMSEA)=0.028,标准化残差均方根(standardized root mean squared residual,SRMR)=0.023;父子疏离问卷:χ^(2)/df=5.41,CFI=0.939,TLI=0.901,RMSEA=0.032,SRMR=0.044。(3)量表内部一致性信度良好(0.744~0.888)。(4)IAP总分及母子、父子疏离得分和抑郁、焦虑显著正相关(r=0.395~0.493,P<0.01)。(5)军人IAP总分为(17.27±4.21)分,母子疏离(8.64±2.26)分、父子疏离(8.62±2.43)分。以P_(75)、P_(90)为划界点,IAP总分划分为正常(16分)、中度(17~19分)和严重(≥20分)3个等级,并根据不同特征建立分类常模。结论 修订形成的16题军人亲子疏离问卷信效度良好,并初步构建了具有代表性的常模,可用于评估军人亲子疏离水平和等级。Objective To revise the Inventory of Alienation Toward Parents(IAP)and test its reliability and validity in a military population in order to provide a scientific tool for assessing the level and grade of parent-child alienation among military personnel.Methods Whole-cluster stratified random sampling was used to subject 8641 service members from 8 Army units.Then all participants were surveyed with 18-item adolescent IAP,Beck Depression Inventory-Ⅱ,and Generalized Anxiety Disorder-7.SPSS 27.0 and AMOS 26.0 were used to perform item analysis,exploratory factor analysis(EFA),and confirmatory factor analysis(CFA)to assess reliability and validity.Subsequently,our revised 16-item version of IAP was employed to develop means,percentiles,cut-off scores,and category norms.Results①Items 3 and 12 were deleted in item analysis.②EFA extracted the original communication and emotional distance factors;CFA indicated that the two-factor model had good fitness,with the mother-child alienation scale:χ^(2)/df=4.248,comparative fit index(CFI)=0.962,Tucker-Lewis index(TLI)=0.929,root mean square error of approximation(RMSEA)=0.028,standardized root mean squared residual(SRMR)=0.023;while the father-child alienation scale:χ^(2)/df=5.41,CFI=0.939,TLI=0.901,RMSEA=0.032,SRMR=0.044.③The internal consistency reliability of the total IAP was good(0.744~0.888).④The total IAP score and scores of the mother-child and father-child subscales were positively correlated with depression and anxiety(r=0.395~0.493,P<0.01).⑤The average total IAP score for military personnel was 17.27±4.21,and the scores of mother-child alienation and father-child alienation were 8.64±2.26 and 8.62±2.43,respectively.With percentiles of P75 and P90 as the cut-off points,the total IAP score can be stratified into 3 levels,that is,normal(≤16),moderate(17~19),and severe(≥20).Then,additional category norms were developed based on demographic characteristics.Conclusion Our revised 16-item military version of IAP shows good reliability and validity.A pr
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