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目的考察关系评定问卷(RSQ)中文版应用于具有一定代表性的艾滋病病毒(HIV)感染者群体的信效度,以期找出适合评定HIV感染者成人依恋类型的测评工具。方法用方便抽样的方法抽取HIV感染者有效样本213例,设立正常对照组27例,接受RSQ中文版、亲密关系体验问卷修订版(ECR-R)测评。采用SPSS 13.0对数据资料进行录入、整理、编码,并使用AMOS 5.0进行验证性因素分析,采用Pearson相关分析、克伦巴赫(Cronbach’s)α系数、组内相关(ICC)、卡方检验、t检验、方差分析等方法进行数据处理。结果 RSQ中文版量表整体的Cronbach’sα为0.8157;4个分量表的Crombach’a系数:安全型0.5574,恐惧型0.7274,拒绝型0.6757,关注型0.5925。重测信度ICC为0.7269;分半信度为0.7786;条目分与分量表分的相关系数为0.303~0.720;均达到统计学显著差异水平。探索性因素分析表明,在此研究的HIV感染者样本中,成人依恋类型可以区分为四个类型:安全型、恐惧型、关注型、拒绝型。验证性因素分析表明,原作者的四因素理论结构对于所研究的样本拟合较为良好,其中三项拟合优度指数RMSEA 0.062、GFI 0.952、AGFI 0.920,达到理想值。结论 RSQ中文版是测量HIV感染者成人依恋类型的较为理想的工具,四分类成人依恋模型适合于HIV感染者群体。
Objective To investigate the reliability and validity of the Chinese version of RSQ applied to a representative group of HIV-infected patients with a view to finding a suitable assessment tool for assessing the type of adult attachment to HIV-infected persons. Methods A total of 213 valid samples of HIV-infected persons were collected by means of a convenient sampling method. 27 normal control subjects were enrolled in the study. RSQ Chinese version and Intimacy Relationship Questionnaire (ECR-R) were used for evaluation. The SPSS 13.0 was used to input, sort and encode the data, and the confirmatory factor analysis was performed using AMOS 5.0. Pearson correlation analysis, Cronbach’s alpha coefficient, ICC, chi-square test and t-test , Analysis of variance and other methods of data processing. Results The overall Cronbach’s α of RSQ Chinese version was 0.8157. The Crombach’a coefficients of 4 subscales were 0.5574 for safety, 0.7274 for fear, 0.6757 for rejection and 0.5925 for attention. The test-retest reliability ICC was 0.7269; the half-reliability was 0.7786; the correlation coefficient between item scores and subscales was 0.303 ~ 0.720; all reached statistically significant differences. Exploratory factor analysis showed that among the HIV-infected patients studied in this study, adult attachment types can be divided into four types: safety, fear, attention and rejection. Confirmatory factor analysis showed that the four-factor theoretical structure of the original author fitted the samples well. The three goodness-of-fit indices RMSEA 0.062, GFI 0.952 and AGFI 0.920 reached the ideal value. Conclusion The Chinese version of RSQ is an ideal tool to measure the type of adult attachment of HIV-infected persons. The four-class adult attachment model is suitable for HIV-infected population.