D型人格量表中文版的编制及其在社区人群中的应用
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摘要
目的:①D型人格量表中文版在社区人群中的信度和效度分析;②分析D型人格在社区人群中的分布情况;③筛选出高冠心病、高血脂的危险因素。
方法:D型人格量表中文版(type D personality scale,DS14)测量工具包括14个条目,分为负性情感(negative affectivity,NA)和社交抑制(social inhibition,SI)两个因子。研究样本取自湖南省长沙市的社区人群,有1635人参与研究,平均年龄48.6±15.4岁。其中男性有1025人,平均年龄为48.8±15.5岁;女性有610人,平均年龄为48.1±15.2岁。首先对所有参与者进行人格评估,完成问卷后,进行体格检查。根据体检诊断结果,将总样本分为健康人群、高血压冠心病人群以及高血脂人群三组。并有100名受试愿意接受两个星期后的重测。采用重测相关、分半相关和Cronbach's a系数检验量表的信度。效度检验主要包括结构效度和实证效度两个方面。采用Logistic回归模型分析心血管疾病的相关因素。
结果:(1)DS14中文版消极情感和社交压抑两个因子的Cronbach'sα系数为0.88和0.75,在不同分组间分别为0.87～0.88和0.72～0.76,总样本的分半信度NA为0.85,SI为0.68,三个分样本NA和SI分半信度分别为0.81～0.86和0.63～0.70。两周后NA和SI的重测信度为0.79和0.82。验证性因素分析结果显示三组的AGFI为0.87-0.90,TLI为0.88-0.90,CFI为0.90-0.93,RMSEA为0.07-0.08,均达到测量学可接受水平。(2)Logistic回归分析示,D型人格是高血压冠心病的独立危险因素OR=1.71,95%CI(1.01,2.90)。
结论:DS14中文版在社区人群中具有良好的信效度,可用于筛选D型高危人群。D型人格是高血压冠心病的一种危险因素。
Objective:This study was to examine the reliability and validity of Chinese version of type D personality scale(DS14)based on the 2-element personality model,which had been advanced by Denollet et al. To evaluate the DS14's application properties in the community-dwelling groups,and to explore risk factors of cardiovascular disease。
Methods:According to the two personality elements model theories, the Chinese version of type D personality comprises of 14 items split into two factors-negative affectivity(NA)and social inhibition(SI).1635 adults age range 16 to 88 years old were sampled from ChangSha YuHua District.The average age was 48.6±15.4 years,including 1025 males, whose average age was 48.8±15.5y,and 610 females with average age 48.1±15.2y.The Cronbach's alpha coefficients and Person's relationship coefficients were used to estimate internal consistency of DS14.The stability was assessed based on the test-retest data of 100 adults with an average interval of 2 weeks.The construct validity of the DS14 was also examined in this study.Try to analyze the risk factors of cardiovascular disease by logistic regression.
Results:(1)the test-retest reliability coefficients of NA and SI were 0.79 and 0.82;Cronbach's alpha coefficients for the three subtests ranged from 0.87 to 0.88(NA)and from 0.72 to 0.76(SI),respectively. The split-half coefficients ranged from 0.81 to 0.86 and from 0.63 to 0.70,respectively.Our results indicated that DS14 is internal consistent, and corresponds to theoretical frame of type D personality.The confirmatory factor analysis supports the two-dimension structure (AGFI 0.87-0.90,TLI 0.88-0.90,CFI 0.90-0.93,RMSEA 0.07-0.08).(2) multivariate unconditional Logistic regression were used deeply to find out whether type D personality,age,cholesterol,triglyceride,low density lipoprotein,have statistic link with cardiovascular disease,the odds(the ratio of probability of occurrence to non-occurrence of an events)are 1.71,1.13,1.77,8.72,3.10 respectively.
Conclusions:1.These empirical analyses and results support the construct validity of DS14- Chinese version.And the reliability was acceptable,and met psychometric properties.2.Type D personality was a risk factor of cardiovascular disease
方法:D型人格量表中文版(type D personality scale,DS14)测量工具包括14个条目,分为负性情感(negative affectivity,NA)和社交抑制(social inhibition,SI)两个因子。研究样本取自湖南省长沙市的社区人群,有1635人参与研究,平均年龄48.6±15.4岁。其中男性有1025人,平均年龄为48.8±15.5岁;女性有610人,平均年龄为48.1±15.2岁。首先对所有参与者进行人格评估,完成问卷后,进行体格检查。根据体检诊断结果,将总样本分为健康人群、高血压冠心病人群以及高血脂人群三组。并有100名受试愿意接受两个星期后的重测。采用重测相关、分半相关和Cronbach's a系数检验量表的信度。效度检验主要包括结构效度和实证效度两个方面。采用Logistic回归模型分析心血管疾病的相关因素。
结果:(1)DS14中文版消极情感和社交压抑两个因子的Cronbach'sα系数为0.88和0.75,在不同分组间分别为0.87～0.88和0.72～0.76,总样本的分半信度NA为0.85,SI为0.68,三个分样本NA和SI分半信度分别为0.81～0.86和0.63～0.70。两周后NA和SI的重测信度为0.79和0.82。验证性因素分析结果显示三组的AGFI为0.87-0.90,TLI为0.88-0.90,CFI为0.90-0.93,RMSEA为0.07-0.08,均达到测量学可接受水平。(2)Logistic回归分析示,D型人格是高血压冠心病的独立危险因素OR=1.71,95%CI(1.01,2.90)。
结论:DS14中文版在社区人群中具有良好的信效度,可用于筛选D型高危人群。D型人格是高血压冠心病的一种危险因素。
Objective:This study was to examine the reliability and validity of Chinese version of type D personality scale(DS14)based on the 2-element personality model,which had been advanced by Denollet et al. To evaluate the DS14's application properties in the community-dwelling groups,and to explore risk factors of cardiovascular disease。
Methods:According to the two personality elements model theories, the Chinese version of type D personality comprises of 14 items split into two factors-negative affectivity(NA)and social inhibition(SI).1635 adults age range 16 to 88 years old were sampled from ChangSha YuHua District.The average age was 48.6±15.4 years,including 1025 males, whose average age was 48.8±15.5y,and 610 females with average age 48.1±15.2y.The Cronbach's alpha coefficients and Person's relationship coefficients were used to estimate internal consistency of DS14.The stability was assessed based on the test-retest data of 100 adults with an average interval of 2 weeks.The construct validity of the DS14 was also examined in this study.Try to analyze the risk factors of cardiovascular disease by logistic regression.
Results:(1)the test-retest reliability coefficients of NA and SI were 0.79 and 0.82;Cronbach's alpha coefficients for the three subtests ranged from 0.87 to 0.88(NA)and from 0.72 to 0.76(SI),respectively. The split-half coefficients ranged from 0.81 to 0.86 and from 0.63 to 0.70,respectively.Our results indicated that DS14 is internal consistent, and corresponds to theoretical frame of type D personality.The confirmatory factor analysis supports the two-dimension structure (AGFI 0.87-0.90,TLI 0.88-0.90,CFI 0.90-0.93,RMSEA 0.07-0.08).(2) multivariate unconditional Logistic regression were used deeply to find out whether type D personality,age,cholesterol,triglyceride,low density lipoprotein,have statistic link with cardiovascular disease,the odds(the ratio of probability of occurrence to non-occurrence of an events)are 1.71,1.13,1.77,8.72,3.10 respectively.
Conclusions:1.These empirical analyses and results support the construct validity of DS14- Chinese version.And the reliability was acceptable,and met psychometric properties.2.Type D personality was a risk factor of cardiovascular disease
引文
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[2]叶任高,陆再英.内科学.2004.6:155-160.
[3]Day D.Population-based screening with the coronary heart disease risk factor calculator.Advances in Therapy,2001.18:21-32.
[4]Denollet J.DS14:standard assessment of Negative affectivity,social inhibition,and type D personality,psychosmatic medicine,2005.67:89-97.
[5]Rosenman RH,Friedman M,and Straus R.A predictive study of coronary heart disease:the Western Collaboratie Group Study.JAMA,1964.189:15-22.
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[7]Barefoot JC,Schroll M,Symptoms of depression,acute myocardial infarction,and total mortality in a community sample.Circulation,1996.93:.1976-80.
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[13]Carney RM.Depression and coronary heart disease:a review for cardiologists.Clin Cardiol 1997.20:196-200.
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