摘要
目的将《青少年亚健康多维评定问卷》心理领域39个条目简化为《青少年心理健康评定简明问卷》(Brief Instrument on Psychological Health of Youths,BIOPHY),并进行预测效度评价,为青少年心理健康评定体系提供证据支持。方法于2012年,采取多阶段分层整群随机抽样的方法对沈阳、新乡、广州、重庆14 221名中学生进行调查,结合项目分析、探索性因子分析、信度评价等方法对问卷进行筛选;同时利用2017年深圳、南昌、郑州和贵阳4地青少年健康监测数据库14 500名中学生的资料对BIOPHY的划界值进行界定,评价其预测效度。结果通过项目分析,最终确定BIOPHY由15个项目组成,方差累积贡献率为57.39%。总问卷的Cronbachα系数为0.928,分半系数为0.909。采用P90作为青少年心理健康的划界标准。多因素Logistic回归分析结果显示,有心理健康问题的中学生抑郁症状(OR=10.53,95%CI=9.28~11.94)、自杀意念(OR=5.77,95%CI=5.15~6.46)、自杀计划(OR=6.09,95%CI=5.39~6.89)和自杀未遂(OR=4.80,95%CI=4.04~5.69)的发生风险均高于正常学生(P值均<0.01)。结论《青少年心理健康评定简明问卷》符合心理学评定标准,预测效度较好,未来可在青少年心理健康研究中推广使用。
Objective To simplify the psychological domain of Multidimensional Sub-health Questionnaire of Adolescents( MSQA),which includes 39 items and develop the Brief Instrument On Psychological Health of Youths( BIOPHY),as well as to evaluate the predictive validity of the BIOPHY.Methods A total of 14 221 students were recruited from Shenyang,Xinxiang,Guangzhou,and Chongqing by using multistage stratified cluster random sampling to participate in the study.A combination of item analysis,factor analysis and reliability evaluation were used to screen items and evaluate the questionnaire.Meantime,data from 14 500 adolescents from Shenzhen,Nanchang,Zhengzhou and Guiyang in 2017 were used to develop a cut-off point and to evaluate its predictive validity.Results On the basis of item analysis,BIOPHY consisted of 15 items.Variance cumulative contribution rate was57.39%;internal consistency test showed that the total questionnaire Cronbach α coefficient was 0.928.The split-half coefficient of the total questionnaire was 0.909.The 90 th percentile of total scores was used as the cutoff point of BIOPHY.The results of multivariate logistic regression analysis showed that students with psychological health symptoms were at significantly higher risk of depressive symptoms( OR = 10.53,95%CI = 9.28-11.94),suicide ideations( OR = 5.77,95%CI = 5.15-6.46),suicide plans( OR = 6.09,95%CI = 5.39-6.89) and suicide attempts( OR = 4.80,95%CI = 4.04-5.69) than normal counterparts.Conclusion The BIOPHY is consistent with the evaluation standard of psychometrics.The predictive validity of BIOPHY is good and could be used in the future researches focusing on adolescent mental health.
作者
陶舒曼
万宇辉
伍晓艳
孙莹
许韶君
张诗晨
郝加虎
陶芳标
TAO Shuman;WAN Yuhui;WU Xiaoyan;SUN Ying;XU Shaojun;ZHANG Shichen;HAO Jiahu;TAO Fangbiao(MOE Key Laboratory of Population Health Across Life Cycle,NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract,Anhui Medical University,Hefei 230032,China;不详)
出处
《中国学校卫生》
CAS
北大核心
2020年第9期1331-1334,1338,共5页
Chinese Journal of School Health
基金
国家高技术研究发展计划(863计划)项目(2006AA02Z427)。
关键词
精神卫生
问卷调查
回归分析
抑郁
自杀未遂
青少年
Mental health
Questionnaires
Regression analysis
Depression
Suicide
attempted
Adolescent
