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山东大学学报 (医学版) ›› 2023, Vol. 61 ›› Issue (6): 87-91.doi: 10.6040/j.issn.1671-7554.0.2022.1194

• 医学心理学 • 上一篇    

14条目和6条目弗莱堡正念调查量表在胃肠癌患者中的心理测量学评价

赵迪1,吕高荣1,李国鹏1,张云雪1,王伟民2,董晓玲3,厉萍1   

  1. 1.山东大学齐鲁医学院护理与康复学院, 山东 济南 250012;2.山东省肿瘤防治研究院(山东省肿瘤医院) 山东第一医科大学(山东省医学科学院)日间诊疗中心, 山东 济南 250117;3.山东省肿瘤防治研究院(山东省肿瘤医院) 山东第一医科大学(山东省医学科学院)结直肠外科, 山东 济南 250117
  • 发布日期:2023-06-06
  • 通讯作者: 厉萍. E-mail:pingli12@sdu.edu.cn
  • 基金资助:
    国家自然科学基金(82272923)

Psychometric evaluation of 14-item and 6-item Freiburg Mindfulness Inventory among patients with gastrointestinal cancer

ZHAO Di1, LYU Gaorong1, LI Guopeng1, ZHANG Yunxue1, WANG Weimin2, DONG Xiaoling3, LI Ping1   

  1. 1. School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Ambulatory Care Center, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, Shandong, China;
    3. Department of Colorectal Surgery, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, Shandong, China
  • Published:2023-06-06

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摘要： 目的 开发适用于临床患者的简版弗莱堡正念调查量表。 方法 对山东省肿瘤医院411例胃肠癌患者进行施测,基于项目分析和探索性因子分析对14条目弗莱堡正念调查量表(FMI-14)进行简化。选用心理弹性、疾病感知和感知压力作为效标关联指标。采用SPSS 22.0和Mplus 7.4进行数据的描述和分析。 结果 根据项目分析和探索性因子分析结果,FMI-14共删除8个条目,最终保留3个觉知条目和3个接纳条目。6条目弗莱堡正念调查量表(FMI-6)的Cronbach’s α系数为0.831,Guttman折半信度系数为0.848。验证性因子模型拟合良好,指标为卡方自由度比值(χ2/df)=1.892,比较适配指数(CFI)=0.991,非规准适配指数(TLI)=0.982,标准化残差均方根(SRMR)=0.029,渐进残差均方和平方根(RMSEA)=0.064。正念与心理弹性、疾病感知和感知压力呈显著相关(r=0.679,r=-0.522,r=-0.571,均P<0.001)。 结论 FMI-6具有良好的心理测量学特性,且基本准确涵盖了FMI-14的内容,可以有效提高施测效率,有利于在临床患者中使用和推广。

关键词: 胃肠癌患者, 正念, 信度, 效度, 心理测量

Abstract: Objective To test the applicability of the simplified Freiburg Mindfulness Inventory(FMI)in patients with gastrointestinal cancer. Methods Totally 411 patients with gastrointestinal cancer were recruited from Shandong Cancer Hospital, and the 14-item FMI(FMI-14)was simplified based on item analysis and exploratory factor analysis. Mplus 7.4 and SPSS 22.0 were used for data description and analysis. Results A total of 8 items were deleted, and 3 presence items and 3 acceptance items were retained. The Cronbachs α coefficient of the 6-item FMI(FMI-6)was 0.831, and the Guttmans split-half reliability was 0.848. The confirmatory factor model fitted well(χ2/df=1.892, CFI=0.991, TLI=0.982, SRMR=0.029, RMSEA=0.064). The total score of FMI-6 was significantly associated with resilience, illness perception, and perceived stress(r=0.679, r=-0.522, r=-0.571, all P<0.001). Conclusion The 6-item FMI has good psychometric properties, and can be used to evaluate mindfulness level of patients in clinic.

Key words: Patients with gastrointestinal cancer, Mindfulness, Reliability, Validity, Psychometry

中图分类号: 

  • R181
[1] Zinn JK. Mindfulness-based interventions in context: past, present, and future [J]. Clin Psychol Sci Pract, 2010, 10(2): 144-156.
[2] Tomlinson ER, Yousaf O, Vitterso AD, et al. Dispositional mindfulness and psychological health: a systematic review [J]. Mindfulness, 2018, 9(1): 23-43.
[3] Schumer MC, Lindsay, EK, Creswell JD. Brief mindfulness training for negative affectivity: a systematic review and meta-analysis [J]. J Consult Clin Psychol, 2018, 86(7): 569-583.
[4] Cillessen L, Johannsen M, Speckens AEM, et al. Mindfulness-based interventions for psychological and physical health outcomes in cancer patients and survivors: a systematic review and meta-analysis of randomized controlled trials [J]. Psychooncol, 2019, 28(12): 2257-2269.
[5] Lin LY, Lin H, Tzeng GL, et al. Effects of mindfulness-based therapy for cancer patients: a systematic review and meta-analysis [J]. J Clin Psychol Med Settings, 2022, 29(2): 432-445.
[6] 沈傲梅, 强万敏, 王盈, 等. 青年乳腺癌过渡期患者正念癌症康复干预研究[J]. 护理学杂志, 2020, 35(19): 95-98. SHEN Aomei, QIANG Wanmin, WANG Ying, et al. Mindfulness-based cancer recovery intervention for young breast cancer survivors during the transitional period [J]. Journal of Nursing Science, 2020, 35(19): 95-98.
[7] Walach H, Buchheld N, Buttenmuller V, et al. Measuring mindfulness-the Freiburg mindfulness inventory(FMI)[J]. Pers Individ Differ, 2006, 40(8): 1543-1555.
[8] 陈语. 弗莱堡正念调查量表(FMI)在中国大学生中的修订和信效度检验[D]. 北京:北京师范大学, 2011.
[9] 崔天娇, 屈清荣, 高娅鑫,等. 肠造口患者重返工作适应性现状及其影响因素分析[J]. 解放军护理杂志, 2022, 39(3): 5-8. CUI Tianjiao, QU Qingrong, GAO Yaxin, et al. Status quo of adaptability of returning to work among patients with intestinal stoma and its influencing factors [J]. Military Nursing, 2022, 39(3): 5-8.
[10] 董建, 陈颖,田向阳. 中国门诊患者健康素养具备情况及其影响因素分析[J]. 中国公共卫生, 2022, 38(2): 213-217. DONG Jian, CHEN Ying, TIAN Xiangyang. Health literacy and its influencing factors among outpatients in China: a cross-sectional survey [J]. Chinese Journal of Public Health, 2022, 38(2): 213-217.
[11] Buchheld N, Grossman P, Walach H. Measuring mindfulness in insight meditation(vipassana)and meditation-based psychotherapy: the development of the Freiburg mindfulness inventory(FMI)[J]. J Medit Medit Res, 2001, 1(1): 11-34.
[12] Sauer S, Ziegler M, Danay E, et al. Specific objectivity of mindfulness-a rasch analysis of the Freiburg mindfulness inventory [J]. Mindfulness, 2013, 4(1): 45-54.
[13] Kohls N, Sauer S, Walach H. Facets of mindfulness-results of an online study investigating the Freiburg mindfulness inventory [J]. Pers Individ Differ, 2009, 46(2): 224-230.
[14] Connor KM, Davidson J. Development of a new resilience scale: the Connor-Davidson resilience scale(CD-RISC)[J]. Depress Anxiety, 2003, 18(2): 76-82.
[15] Broadbent E, Petrie KJ, Main J, et al. The brief illness perception questionnaire [J]. J Psychosomat Res, 2006, 60(6): 631-637.
[16] Leung DYP, Lam TH, Chan SSC. Three versions of perceived stress scale: validation in a sample of Chinese cardiac patients who smoke [J]. BMC Public Health, 2010, 10(1): 513.
[17] 柴辉. 调查问卷设计中信度及效度检验方法研究[J]. 世界科技研究与发展, 2010, 32(4): 548-550. CHAI Hui. Researches on reliability and validity of inspection procedure in questionnaire design [J]. World Sci-Tech R & D, 2010, 32(4): 548-550.
[18] 温忠麟, 侯杰泰,马什赫伯特. 结构方程模型检验:拟合指数与卡方准则[J]. 心理学报, 2004(2): 186-194. WEN Zhonglin, HAU Kittai, Herbert WM. Structural equation model testing: cutoff criteria for goodness of fit indices and chi-square test [J]. Acta Psychologica Sinica, 2004(2): 186-194.
[19] 王艳荣, 林萍珍,曹枫林. 中文儿童期不良经历问卷修订版的效度与信度[J]. 中国心理卫生杂志, 2018, 32(9): 760-764. WANG Yanrong, LIN Pingzhen, CAO Fenglin. Validity and reliability of the Chinese version of the revised adverse childhood experience questionnaire [J]. Chinese Mental Health Journal, 2018, 32(9): 760-764.
[20] Mitchell A. Resilience and mindfulness in nurse training on an undergraduate curriculum[J]. Perspect Psychiatr Care, 2021, 57(3): 1474-1481.
[21] Sulosaari V, Unal E, Cinar FI. The effectiveness of mindfulness-based interventions on the psychological well-being of nurses: a systematic review [J]. Appl Nurs Res, 2022, 64: 151565. doi: 10.1016/j.apnr.2022.151565.
[22] 曾静, 罗锐, 刘聪, 等. 艾滋病抗病毒治疗者疾病感知对抑郁、焦虑影响的前瞻性队列研究[J]. 现代预防医学, 2023, 50(1): 15-20. ZENG Jing, LUO Rui, LIU Cong, et al. A prospective cohort study on impact of illness perception on depression and anxiety in patients under HIV antiretroviral therapy [J]. Modern Preventive Medicine, 2023, 50(1): 15-20.
[23] Dalili Z, Bayazi MH. The effectiveness of mindfulness-based cognitive therapy on the illness perception and psychological symptoms in patients with rheumatoid arthritis [J]. Complement Ther Clin Pract, 2019, 34: 139-144. doi: 10.1016/j.ctcp.2018.11.012.
[24] Tian X, Tang L, Yi LJ, et al. Mindfulness affects the level of psychological distress in patients with lung cancer via illness perception and perceived stress: a cross-sectional survey study [J]. Front Psychol, 2022, 13: 857659. doi: 10.3389/fpsyg.2022.857659.
[25] Zhong MY, Zhang Q, Bao JY, et al. Relationships between meaning in life, dispositional mindfulness, perceived stress, and psychological symptoms among Chinese patients with gastrointestinal cancer [J]. J Nerv Ment Dis, 2019, 207(1): 34-37.
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