中文版哥本哈根多中心不孕症—生育问题心理压力简式量表(COMPI-FPSS)在不孕人群中的信效度研究

Reliability and validity of the Chinese Version of the Copenhagen Multi-Centre Psychosocial Infertility research program Fertility Problem Stress Scalesamong infertile population

目的探究中文版哥本哈根多中心不孕症-生育问题心理压力简式量表(Copenhagen Multi‐Centre Psychosocial Infertility research program Fertility Problem Stress Scales,COMPI-FPSS)在不孕人群中的信度和效度。方法遵循Brislin翻译原则对COMPI-FPSS原量表进行汉化,采用便利抽样法抽取2023年3月至2023年9月期间于北京大学第三医院生殖医学中心初次就诊的不孕症女性进行调查,应用SPSS26.0、AMOS26.0软件对中文版COMPI-FPSS进行探索性因子分析及结构模型构建行验证性因子分析,研究该量表的信效度。结果本研究共回收有效问卷967份,COMPI-FPSS总体Cronbach’sα系数为0.896,各维度组合信度均>0.7,量表信度好。探索性因子分析中,共提取3个公因子,累积贡献率为74.05%(KMO=0.855);验证性因子分析中,通过结构方程模型构建:χ^(2)=104.54,χ^(2)/df=4.36,近似误差均方根=0.06,比较拟合指数=0.99,拟合优度指数=0.98,规范拟合指数=0.98,增值拟合指数=0.99,模型拟合良好;各条目在相应维度上的因子负荷值为0.631~0.914,量表结构效度好。结论中文版COMPI-FPSS在不孕人群中有良好的信度和效度,可作为可靠测量工具评估不孕症女性社会心理健康及生育压力水平。

ObjectiveTo investigate the reliability and validity of the Chinese Copenhagen Multi-Centre Psychosocial Infertility research program Fertility Problem Stress Scales(COMPI-FPPS)among infertile population.MethodsThe COMPI-FPSS was translated into Chinese followed the principles outlined by Brislin,and later the reliability and validity of the scale were tested for use in a Chinese-speaking context.Infertile female patients seeking fertility treatment in the Reproductive Medical Center of Peking University Third Hospital for the first time form March 2023 to September 2023 were surveyed.The reliability and validity of the Chinese COMPI-FPSS were analyzed by internal consistency testing,exploratory factor analysis and structural equation modeling confirmatory factor analysis using SPSS26.0 and AMOS26.0 software.ResultsA total of 967 questionnaires form eligible participants were concluded in the final study.The overall Cronbach'sαof the Chinese COMPI-FPSS was 0.896,and the composite reliability of each domain was>0.7,suggesting a good scale reliability.In factor analysis,three main factors were extracted with a cumulative variance rate of 74.05%(KMO=0.855).In confirmatory factor analysis,the results showed that χ^(2)=104.54,χ^(2)/df=4.36,root mean-square error of approximation=0.06,comparative fit index=0.99,goodness fit index=0.98,normed fit index=0.98,incremental fit index=0.99,suggesting a good fit of the model;the factor loading on the corresponding dimension was 0.631-0.914,the structural validity was good.ConclusionThe Chinese version of the COMPI-FPSS is a validated and reliable instrument which can be used to assess the psychosocial health and fertility stress level among infertile women.