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青少年内化性问题及外化性问题危险因素的追踪研究

发布时间:2019-05-28 01:32
【摘要】: 目的:(1)建立症状筛查量表——长处和困难量表自评问卷的中文版,并分析其信效度;(2)研究非自主反应、冗思、自我批评和依赖、自我知觉以及社会支持等危险因素与应激协同作用对等内化性及外化性问题的影响。 方法:(1)中文版长处和困难量表自评问卷的信效度研究由湖南省长沙市某五所学校共1,135名青少年参与完成。8周后,157名高二学生参加了重测。信度检验采用Cronbach'sα系数、条目与分量表分相关和重测信度。效度检验包括结构效度(验证性因素分析及分量表分相关)和内容效度(聚合效度及区分效度)。(2)对湖南省长沙城乡两所学校高一共618名青少年进行了4次共一年的追踪研究。第一次采样过程中,所有参与者均完成了应激反应方式问卷、反应方式问卷、青少年抑郁体验问卷、自我知觉问卷、青少年社会支持问卷、青少年生活事件问卷和长处和困难量表。随后每三个月追踪测量一次所有参与者的内、外化性问题及生活事件发生情况。危险因素分析采用了多层线性模型的统计方法。 结果:(1)SDQ自评问卷的困难总量表Cronbach'sα系数为0.81;各因子α系数在0.52~0.87之间;重测信度为0.71;条目与相应的因子作相关系数在0.47到0.75之间。验证性因子分析的指标均达到测量学要求。区分效度和聚合效度满意。(2)采用多层线性模型,分析结果表明:可预测追踪过程中情绪症状变化趋势的有:总体自我知觉和社会支持分别与应激的交互作用、非自主应对反应、非自主逃避反应、对抑郁症状的冗思、冥思、对应激事件的冗思、自我批评和依赖,以及外貌、行为以及社会交往自我知觉;可预测品追踪过程中行问题变化趋势的有:社会支持与应激的交互作用、非自主应对反应、非自主逃避反应、对应激事件的冗思和自我批评,以及行为、社会交往和总体自我知觉;可预测追踪过程中多动/注意障碍相关症状变化趋势的有:非自主应对反应、非自主逃避反应及社会支持分别与应激的交互作用、对应激事件的冗思、自我批评,以及学习能力、行为和总体自我知觉。 结论:(1)中文版长处和困难量表自评问卷有良好的信效度,在中国有广泛的应用前景。(2)非自主反应、对应激事件的冗思、自我批评、行为和总体自我知觉以及社会支持是内化性问题和外化性问题共同的危险因素;社会交往自我知觉是情绪问题和品行问题共同的危险因素;而冥思、依赖和外表自我知觉仅是情绪问题的危险因素;学习自我知觉仅为多动/注意障碍相关症状的危险因素。
[Abstract]:Objective: (1) to establish a Chinese version of the symptom screening scale, the strengths and difficulties scale, and to analyze its reliability and validity. (2) to study the effects of risk factors, such as non-autonomous response, redundancy, self-criticism and dependence, self-perception and social support, on the equivalence, internalization and externalization of stress synergy. Methods: (1) the reliability and validity of the Chinese version of strengths and difficulties scale self-rating questionnaire were completed by 1135 adolescents from five schools in Changsha, Hunan Province. eight weeks later, 157 sophomores took part in the re-test. Cronbach's 伪 coefficient, item and subscale score correlation and retest reliability were used in reliability test. Validity test included structural validity (confirmatory factor analysis and subscale score correlation) and content validity (aggregate validity and differential validity). (2). A total of 618 adolescents from two urban and rural schools in Changsha, Hunan Province were studied. A follow-up study for a total of one year. During the first sampling, all the participants completed the stress response style questionnaire, the adolescent depression experience questionnaire, the self-perception questionnaire, the adolescent social support questionnaire. Adolescent life events questionnaire and strengths and difficulties scale. All participants were followed up every three months to measure internal and external problems and life events. The statistical method of multi-layer linear model is used in the analysis of risk factors. Results: (1) the Cronbach's 伪 coefficient of the SDQ self-assessment questionnaire was 0.81, the 伪 coefficient of each factor was 0.52 鈮,

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