心理痛苦耐受性量表的汉化及在青年HIV感染者/AIDS患者中的信效度检验

Sinicization of the Tolerance for Mental Pain Scale and its reliability and validity in young adults living with HIV/AIDS

目的对心理痛苦耐受性量表(Tolerance of Mental Pain Scale,TMPS-10)进行汉化和文化调适,并在青年HIV感染者/AIDS患者中检验其信效度。方法基于FACIT翻译模型(the Functional Assessment of Chronic Illness Therapy translation methodology),通过正译、回译、文化调试和预调查对TMPS-10进行汉化和文化调适。通过专家函询进行内容效度评价。2022年5月—8月,采取便利抽样法选取长沙市AIDS定点治疗医院HIV门诊就诊的334例青年HIV感染者/AIDS患者进行调查,评价量表的信效度。结果中文版TMPS-10包括2个维度、10个条目。量表水平的内容效度指数为0.975,条目水平的内容效度指数为0.875~1.000。探索性因子分析提取2个公因子,累计方差贡献率为65.719%;验证性因子分析结果显示,2个因子的量表模型拟合良好。量表总的Cronbach’s α系数为0.832,管理痛苦维度的Cronbach’s α系数为0.894,忍受痛苦维度的Cronbach’s α系数为0.856。结论中文版TMPS-10具有良好的信效度,适合作为中国文化背景下青年HIV感染者/AIDS患者心理痛苦耐受性的评估工具。

Objective To translate and cross-culturally adapt the English Tolerance for Mental Pain Scale(TMPS-10)into Chinese and test its reliability and validity in young HIV/AIDS patients.Methods We sinicized the TMPS-10 following the forward translation,back translation,cultural adaptation,and pre-survey according to the Functional Assessment of Chronic Illness Therapy translation methodology(FACIT).Evaluation of content effective-ness was conducted through 2 rounds of expert consultations.From May to August 2022,334 young HIV/AIDS patients who were admitted to an HIV specialty clinic of a tertiary A hospital in Changsha were selected to test the reliability and validity of the scale.Results The Chinese version of TMPS-10 includes 2 dimensions with a total of 10 items.The content validity index of the total scale is 0.975,and the content validity index of each item is between 0.875-1.000.Exploratory factor analysis resulted in a 2-factor structure,explaining 65.719% of the total variance.Confirmatory factor analysis showed a good model fit.The Cronbach’s α for the total TMPS-10 score was 0.832,and 0.894 for the managing the pain dimension,and 0.856 for the enduring the pain dimension.Conclusion The Chinese version of TMPS-10 has good reliability and validity,which can be used to evaluate the tolerance for mental pain of young HIV/AIDS patients in China.