Альманах клинической медицины. 2021; 49: 113-124
Новая русскоязычная версия опросника DS14-RU: оценка надежности и валидности
https://doi.org/10.18786/2072-0505-2021-49-033Аннотация
Цель – отбор вопросов для создания новой русскоязычной версии шкалы DS14-RU, оценка надежности и валидности полученной русскоязычной версии опросника.
Материал и методы. В исследование было включено 929 участников, из них 496 (53,4%) пациентов с ишемической болезнью сердца, 195 (21,0%) с хронической сердечной недостаточностью, 84 (9,0%) с артериальной гипертензией и 154 (16,6%) условно здоровых добровольцев. Среди обследованных было 565 (60,8%) мужчин и 364 (39,2%) женщины. Возраст пациентов составил от 21 до 90 лет, средний возраст – 57,5±12,7 года. Респонденты заполнили расширенную и новую версию опросника DS, а также опросники HADS, MSPSS, RSI и STPI.
Результаты. Распространенность типа личности Д, определенного шкалой DS14-RU, среди пациентов с сердечно-сосудистыми заболеваниями составила 21,4%, среди условно здоровых участников – 20,0%. Новая версия опросника DS14-RU имела высокую внутреннюю согласованность, коэффициент альфа Кронбаха для субшкал negative affectivity (NA) и social inhibition (SI) составил 0,80. Двухфакторная структура шкалы DS14- RU была подтверждена при помощи эксплораторного и конфирматорного факторного анализа, при этом показатели χ2 /df, CFI, TLI, IFI и RMSEA для двухфакторного решения составили 4,7, 0,90, 0,88, 0,90 и 0,069 соответственно. Установлено, что шкала NA положительно коррелирует с тревогой по шкале HADS и тревожностью как свойством личности по опроснику STPI, с депрессией по шкале HADS и депрессивностью по шкале STPI, а также с психосоциальным стрессом по шкале RSI. Аналогичные, но менее выраженные связи были выявлены в отношении шкалы SI. В то же время между субшкалами опросника DS14 обнаружена отрицательная корреляция с любознательностью и положительная корреляция с агрессивностью как свойствами личности человека по шкале STPI.
Заключение. Новая русскоязычная версия опросника DS14-RU в целом соответствует англоязычной версии в отношении надежности и внутренней структуры шкалы, конструктная валидность опросника подтверждается результатами корреляционного анализа. Таким образом, методика может применяться для определения типа личности Д.
Список литературы
1. Grande G, Romppel M, Barth J. Association between type D personality and prognosis in patients with cardiovascular diseases: a systematic review and meta-analysis. Ann Behav Med. 2012;43(3):299–310. doi: 10.1007/s12160-011-9339-0.
2. Сумин АН. Поведенческий тип личности Д (дистрессорный) при сердечно-сосудистых заболеваниях. Кардиология. 2010;50(10): 66–73.
3. Pedersen SS, Denollet J. Is type D personality here to stay? Emerging evidence across cardiovascular disease patient groups. Current Cardiology Reviews. 2006;2(3):205–213. doi: 10.2174/157340306778019441.
4. Pedersen SS, Denollet J. Type D personality, cardiac events, and impaired quality of life: a review. Eur J Cardiovasc Prev Rehabil. 2003;10(4):241–248. doi: 10.1097/00149831-200308000-00005
5. Rozanski A, Blumenthal JA, Davidson KW, Saab PG, Kubzansky L. The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: the emerging field of behavioral cardiology. J Am Coll Cardiol. 2005;45(5):637–651. doi: 10.1016/j.jacc.2004.12.005.
6. Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med. 2005;67(1):89– 97. doi: 10.1097/01.psy.0000149256.81953.49.
7. Spindler H, Kruse C, Zwisler AD, Pedersen SS. Increased anxiety and depression in Danish cardiac patients with a type D personality: cross-validation of the Type D Scale (DS14). Int J Behav Med. 2009;16(2):98–107. doi: 10.1007/s12529-009-9037-5.
8. Christodoulou C, Douzenis A, Mommersteeg PM, Rallidis L, Poulios A, Efstathiou V, Bouras G, Varounis C, Korkoliakou P, Palios J, Kremastinos DT, Lykouras L. A case-control validation of Type D personality in Greek patients with stable coronary heart disease. Ann Gen Psychiatry. 2013;12(1):38. doi: 10.1186/1744-859X-12-38.
9. Svansdottir E, Karlsson HD, Gudnason T, Olason DT, Thorgilsson H, Sigtryggsdottir U, Sijbrands EJ, Pedersen SS, Denollet J. Validity of Type D personality in Iceland: association with disease severity and risk markers in cardiac patients. J Behav Med. 2012;35(2):155–166. doi: 10.1007/s10865-011-9337-5.
10. Ogińska-Bulik N, Juczyński Z. Type D personality in Poland: Validity and application of the Polish DS14. Polish Psychological Bulletin. 2009;40(3):130–136. doi: 10.2478/s10059-009-0029-8.
11. Weng CY, Denollet J, Lin CL, Lin TK, Wang WC, Lin JJ, Wong SS, Mols F. The validity of the Type D construct and its assessment in Taiwan. BMC Psychiatry. 2013;13:46. doi: 10.1186/1471-244X-13-46.
12. Lim HE, Lee MS, Ko YH, Park YM, Joe SH, Kim YK, Han C, Lee HY, Pedersen SS, Denollet J. Assessment of the type D personality construct in the Korean population: a validation study of the Korean DS14. J Korean Med Sci. 2011;26(1): 116–123. doi: 10.3346/jkms.2011.26.1.116.
13. Bai J-Y, Zhao X-R, Xu X-F. Reliability and validity of the Type D personality scale in Chinese. Chin Ment Health J. 2007;21(5):329–332.
14. Пушкарев ГС, Кузнецов ВА, Ярославская ЕИ, Бессонов ИС. Надежность и валидность русскоязычной версии шкалы DS14 у больных ишемической болезнью сердца. Российский кардиологический журнал. 2016;(6):50–54. doi: 10.15829/1560-4071-2016-6-50-54.
15. Pedersen SS, Yagensky A, Smith OR, Yagenska O, Shpak V, Denollet J. Preliminary evidence for the cross-cultural utility of the type D personality construct in the Ukraine. Int J Behav Med. 2009;16(2):108–115. doi: 10.1007/s12529-008-9022-4.
16. Camm AJ, Luscher TF, Serruys PW. Тhе ESC textbook of cardiovascular medicine. 2nd ed. Oxford: Oxford University Press, 2009.
17. Denollet J. Type D personality. A potential risk factor refined. J Psychosom Res. 2000;49(4): 255–266. doi: 10.1016/s0022-3999(00)00177-x.
18. Кузнецов ВА, Пушкарев ГС, Ярославская ЕИ. Надежность и валидность русскоязычной версии многомерной шкалы восприятия социальной поддержки (MSPSS). Психологические исследования. 2015;8(41):10–22.
19. Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res. 2002;52(2):69–77. doi: 10.1016/s0022-3999(01)00296-3.
20. Macleod J, Smith GD, Heslop P, Metcalfe C, Carroll D, Hart C. Are the effects of psychosocial exposures attributable to confounding? Evidence from a prospective observational study on psychological stress and mortality. J Epidemiol Community Health. 2001;55(12):878–884. doi: 10.1136/jech.55.12.878.
21. Радюк ОМ. Восьмифакторный личностный опросник Спилбергера – Радюка: учебное пособие. Минск: Издательство Белорусского государственного университета; 2009. 76 с.
22. Clark LA, Watson D. Constructing validity: Basic issues in objective scale development. Psychological Assessment. 1995;7(3):309–319. doi: 10.1037/1040-3590.7.3.309.
23. Gliem JA, Gliem RR. Calculating, interpreting, and reporting Cronbach’s alpha reliability coefficient for Likert-type scales. In: Midwest Research to Practice Conference. Bloomington: Indiana University; 2003. pp. 82–88.
24. Ruscio J, Roche B. Determining the number of factors to retain in an exploratory factor analysis using comparison data of known factorial structure. Psychol Assess. 2012;24(2):282–292. doi: 10.1037/a0025697.
25. Schumacker RE, Lomax RG. A beginner's guide to structural equation modeling. 3rd ed. New York; London: Routledge Taylor & Francis Group; 2010. 510 p.
26. Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling. 1999;6(1):1–55. doi: 10.1080/10705519909540118.
27. Шойхет ЯН, Мамаев АН. Проверка гипотез методами математической статистики (количественные данные). Проблемы клинической медицины. 2013;2(31):94–100.
28. Сумин АН, Райх ОИ, Сумина ЛЮ, Барбараш НА. Тип личности Д при сердечно-сосудистых заболеваниях: клиническое значение, методика выявления. Кемерово: ФГБУ «НИИ КПССЗ»; 2012. 51 c.
29. Сумин АН, Райх ОИ, Карпович АВ, Корок ЕВ, Безденежных АВ, Бохан ЯЕ, Барбараш ОЛ. Тип личности у больных атеросклерозом разной локализации: распространенность и клинические особенности. Клиническая медицина. 2012;90(4):43–49.
30. Pedersen SS, Denollet J. Validity of the Type D personality construct in Danish post-MI patients and healthy controls. J Psychosom Res. 2004;57(3):265–272. doi: 10.1016/S0022-3999(03)00614-7.
31. Yu XN, Zhang J, Liu X. Application of the Type D Scale (DS14) in Chinese coronary heart disease patients and healthy controls. J Psychosom Res. 2008;65(6):595–601. doi: 10.1016/j.jpsychores.2008.06.009.
32. Grande G, Jordan J, Kümmel M, Struwe C, Schubmann R, Schulze F, Unterberg C, von Känel R, Kudielka BM, Fischer J, Herrmann-Lingen C. Evaluation der deutschen Typ-D-Skala (DS14) und Prävalenz der Typ-D-Persönlichkeit bei kardiologischen und psychosomatischen Patienten sowie Gesunden [Evaluation of the German Type D Scale (DS14) and prevalence of the Type D personality pattern in cardiological and psychosomatic patients and healthy subjects]. Psychother Psychosom Med Psychol. 2004;54(11):413–422. German. doi: 10.1055/s2004-828376.
33. Pedersen SS, Spinder H, Erdman RA, Denollet J. Poor perceived social support in implantable cardioverter defibrillator (ICD) patients and their partners: cross-validation of the multidimensional scale of perceived social support. Psychosomatics. 2009;50(5):461–467. doi: 10.1176/appi.psy.50.5.461.
Almanac of Clinical Medicine. 2021; 49: 113-124
The new Russian language version of the DS14-RU questionnaire: reliability and validity assessment
https://doi.org/10.18786/2072-0505-2021-49-033Abstract
Aim: To select new items for a new Russian language version of the DS14-RU scale and to assess the reliability and validity of the new Russian-language version of the questionnaire.
Materials and methods: A total of 929 subjects were recruited into the study, including 496 (53.4%) patients with coronary heart disease, 195 (21.0%) patients with chronic heart failure, 84 (9.0%) patients with arterial hypertension, and 154 (16.6%) healthy volunteers. 565 (60.8%) of the participants were men and 364 (39.2%) women. Their age ranged from 21 to 90 years (mean±SD 57.5±12.7 years). The respondents completed the extended and the new DS version, as well as the HADS, MSPSS, RSI, and STPI questionnaires.
Results: The prevalence of type D personality by the DS14-RU scale among the patients with cardiovascular diseases was 21.4% and among healthy participants 20.0%. The new DS14-RU version had high internal consistency, with the Cronbach's alpha for the negative affectivity (NA) and social inhibition (SI) subscales of 0.80. The twofactor structure of the DS14-RU was confirmed by and exploratory and confirmatory factor analysis, with χ2 /df, CFI, TLI, IFI, and RMSEA indices for the two-factor solution being 4.7, 0.90, 0.88, 0.90 and 0.069, respectively. It was found that the NA scale was positively correlated with HADS anxiety score, STPI trait anxiety score, HADS depression and STPI depression scores, as well as with RSI psychosocial stress score. Similar but less strong correlations were found for the SI scale. There was also a negative correlation with curiosity and a positive correlation with aggressiveness, as personality traits assessed by STPI.
Conclusion: The new Russian-language version of the DS14-RU questionnaire generally corresponds to the English-language version in terms of the reliability and internal structure of the scale. The construct validity of the questionnaire has been confirmed by the results of correlation analysis. Thus, the technique can be used to identify the type D personality.
References
1. Grande G, Romppel M, Barth J. Association between type D personality and prognosis in patients with cardiovascular diseases: a systematic review and meta-analysis. Ann Behav Med. 2012;43(3):299–310. doi: 10.1007/s12160-011-9339-0.
2. Sumin AN. Povedencheskii tip lichnosti D (distressornyi) pri serdechno-sosudistykh zabolevaniyakh. Kardiologiya. 2010;50(10): 66–73.
3. Pedersen SS, Denollet J. Is type D personality here to stay? Emerging evidence across cardiovascular disease patient groups. Current Cardiology Reviews. 2006;2(3):205–213. doi: 10.2174/157340306778019441.
4. Pedersen SS, Denollet J. Type D personality, cardiac events, and impaired quality of life: a review. Eur J Cardiovasc Prev Rehabil. 2003;10(4):241–248. doi: 10.1097/00149831-200308000-00005
5. Rozanski A, Blumenthal JA, Davidson KW, Saab PG, Kubzansky L. The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: the emerging field of behavioral cardiology. J Am Coll Cardiol. 2005;45(5):637–651. doi: 10.1016/j.jacc.2004.12.005.
6. Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med. 2005;67(1):89– 97. doi: 10.1097/01.psy.0000149256.81953.49.
7. Spindler H, Kruse C, Zwisler AD, Pedersen SS. Increased anxiety and depression in Danish cardiac patients with a type D personality: cross-validation of the Type D Scale (DS14). Int J Behav Med. 2009;16(2):98–107. doi: 10.1007/s12529-009-9037-5.
8. Christodoulou C, Douzenis A, Mommersteeg PM, Rallidis L, Poulios A, Efstathiou V, Bouras G, Varounis C, Korkoliakou P, Palios J, Kremastinos DT, Lykouras L. A case-control validation of Type D personality in Greek patients with stable coronary heart disease. Ann Gen Psychiatry. 2013;12(1):38. doi: 10.1186/1744-859X-12-38.
9. Svansdottir E, Karlsson HD, Gudnason T, Olason DT, Thorgilsson H, Sigtryggsdottir U, Sijbrands EJ, Pedersen SS, Denollet J. Validity of Type D personality in Iceland: association with disease severity and risk markers in cardiac patients. J Behav Med. 2012;35(2):155–166. doi: 10.1007/s10865-011-9337-5.
10. Ogińska-Bulik N, Juczyński Z. Type D personality in Poland: Validity and application of the Polish DS14. Polish Psychological Bulletin. 2009;40(3):130–136. doi: 10.2478/s10059-009-0029-8.
11. Weng CY, Denollet J, Lin CL, Lin TK, Wang WC, Lin JJ, Wong SS, Mols F. The validity of the Type D construct and its assessment in Taiwan. BMC Psychiatry. 2013;13:46. doi: 10.1186/1471-244X-13-46.
12. Lim HE, Lee MS, Ko YH, Park YM, Joe SH, Kim YK, Han C, Lee HY, Pedersen SS, Denollet J. Assessment of the type D personality construct in the Korean population: a validation study of the Korean DS14. J Korean Med Sci. 2011;26(1): 116–123. doi: 10.3346/jkms.2011.26.1.116.
13. Bai J-Y, Zhao X-R, Xu X-F. Reliability and validity of the Type D personality scale in Chinese. Chin Ment Health J. 2007;21(5):329–332.
14. Pushkarev GS, Kuznetsov VA, Yaroslavskaya EI, Bessonov IS. Nadezhnost' i validnost' russkoyazychnoi versii shkaly DS14 u bol'nykh ishemicheskoi bolezn'yu serdtsa. Rossiiskii kardiologicheskii zhurnal. 2016;(6):50–54. doi: 10.15829/1560-4071-2016-6-50-54.
15. Pedersen SS, Yagensky A, Smith OR, Yagenska O, Shpak V, Denollet J. Preliminary evidence for the cross-cultural utility of the type D personality construct in the Ukraine. Int J Behav Med. 2009;16(2):108–115. doi: 10.1007/s12529-008-9022-4.
16. Camm AJ, Luscher TF, Serruys PW. The ESC textbook of cardiovascular medicine. 2nd ed. Oxford: Oxford University Press, 2009.
17. Denollet J. Type D personality. A potential risk factor refined. J Psychosom Res. 2000;49(4): 255–266. doi: 10.1016/s0022-3999(00)00177-x.
18. Kuznetsov VA, Pushkarev GS, Yaroslavskaya EI. Nadezhnost' i validnost' russkoyazychnoi versii mnogomernoi shkaly vospriyatiya sotsial'noi podderzhki (MSPSS). Psikhologicheskie issledovaniya. 2015;8(41):10–22.
19. Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res. 2002;52(2):69–77. doi: 10.1016/s0022-3999(01)00296-3.
20. Macleod J, Smith GD, Heslop P, Metcalfe C, Carroll D, Hart C. Are the effects of psychosocial exposures attributable to confounding? Evidence from a prospective observational study on psychological stress and mortality. J Epidemiol Community Health. 2001;55(12):878–884. doi: 10.1136/jech.55.12.878.
21. Radyuk OM. Vos'mifaktornyi lichnostnyi oprosnik Spilbergera – Radyuka: uchebnoe posobie. Minsk: Izdatel'stvo Belorusskogo gosudarstvennogo universiteta; 2009. 76 s.
22. Clark LA, Watson D. Constructing validity: Basic issues in objective scale development. Psychological Assessment. 1995;7(3):309–319. doi: 10.1037/1040-3590.7.3.309.
23. Gliem JA, Gliem RR. Calculating, interpreting, and reporting Cronbach’s alpha reliability coefficient for Likert-type scales. In: Midwest Research to Practice Conference. Bloomington: Indiana University; 2003. pp. 82–88.
24. Ruscio J, Roche B. Determining the number of factors to retain in an exploratory factor analysis using comparison data of known factorial structure. Psychol Assess. 2012;24(2):282–292. doi: 10.1037/a0025697.
25. Schumacker RE, Lomax RG. A beginner's guide to structural equation modeling. 3rd ed. New York; London: Routledge Taylor & Francis Group; 2010. 510 p.
26. Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling. 1999;6(1):1–55. doi: 10.1080/10705519909540118.
27. Shoikhet YaN, Mamaev AN. Proverka gipotez metodami matematicheskoi statistiki (kolichestvennye dannye). Problemy klinicheskoi meditsiny. 2013;2(31):94–100.
28. Sumin AN, Raikh OI, Sumina LYu, Barbarash NA. Tip lichnosti D pri serdechno-sosudistykh zabolevaniyakh: klinicheskoe znachenie, metodika vyyavleniya. Kemerovo: FGBU «NII KPSSZ»; 2012. 51 c.
29. Sumin AN, Raikh OI, Karpovich AV, Korok EV, Bezdenezhnykh AV, Bokhan YaE, Barbarash OL. Tip lichnosti u bol'nykh aterosklerozom raznoi lokalizatsii: rasprostranennost' i klinicheskie osobennosti. Klinicheskaya meditsina. 2012;90(4):43–49.
30. Pedersen SS, Denollet J. Validity of the Type D personality construct in Danish post-MI patients and healthy controls. J Psychosom Res. 2004;57(3):265–272. doi: 10.1016/S0022-3999(03)00614-7.
31. Yu XN, Zhang J, Liu X. Application of the Type D Scale (DS14) in Chinese coronary heart disease patients and healthy controls. J Psychosom Res. 2008;65(6):595–601. doi: 10.1016/j.jpsychores.2008.06.009.
32. Grande G, Jordan J, Kümmel M, Struwe C, Schubmann R, Schulze F, Unterberg C, von Känel R, Kudielka BM, Fischer J, Herrmann-Lingen C. Evaluation der deutschen Typ-D-Skala (DS14) und Prävalenz der Typ-D-Persönlichkeit bei kardiologischen und psychosomatischen Patienten sowie Gesunden [Evaluation of the German Type D Scale (DS14) and prevalence of the Type D personality pattern in cardiological and psychosomatic patients and healthy subjects]. Psychother Psychosom Med Psychol. 2004;54(11):413–422. German. doi: 10.1055/s2004-828376.
33. Pedersen SS, Spinder H, Erdman RA, Denollet J. Poor perceived social support in implantable cardioverter defibrillator (ICD) patients and their partners: cross-validation of the multidimensional scale of perceived social support. Psychosomatics. 2009;50(5):461–467. doi: 10.1176/appi.psy.50.5.461.
