Factor structure of the Brief Symptom Inventory-18 in adult survivors of childhood cancer: Results from the childhood cancer survivor study

被引：177

作者：

Recklitis, CJ

Parsons, SK

Shih, MC

Mertens, A

Robison, LL

Zeltzer, L

机构：

[1] Dana Farber Canc Inst, Perini Family Survivors Ctr, Dept Pediat Oncol, Boston, MA 02115 USA

[2] Harvard Univ, Sch Med, Dept Psychiat, Cambridge, MA 02138 USA

[3] Dana Farber Canc Inst, Dept Pediat Oncol, Boston, MA USA

[4] Harvard Univ, Sch Med, Dept Pediat, Cambridge, MA 02138 USA

[5] Tufts Univ, New England Med Ctr, Inst Clin Res & Hlth Policy Studies, Medford, MA 02155 USA

[6] Tufts Univ, Sch Med, Dept Pediat, Medford, MA 02155 USA

[7] Childrens Hosp, Clin Res Program, Boston, MA 02115 USA

[8] Harvard Univ, Sch Publ Hlth, Dept Biostat, Cambridge, MA 02138 USA

[9] Univ Minnesota, Dept Pediat, Minneapolis, MN 55455 USA

[10] Univ Calif Los Angeles, Patients & Survivors Program, Los Angeles, CA USA

[11] Univ Calif Los Angeles, David Geffen Sch Med, Dept Pediat, Los Angeles, CA USA

[12] Univ Calif Los Angeles, David Geffen Sch Med, Dept Anesthesiol, Los Angeles, CA USA

[13] Univ Calif Los Angeles, David Geffen Sch Med, Dept Psychiat, Los Angeles, CA USA

[14] Univ Calif Los Angeles, David Geffen Sch Med, Dept Biobehav Sci, Los Angeles, CA USA

来源：

PSYCHOLOGICAL ASSESSMENT | 2006年 / 18卷 / 01期

关键词：

cancer survivors; pediatric oncology; psychological distress; factor analysis; BSI-18;

D O I：

10.1037/1040-3590.18.1.22

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

The factor structure of the Brief Symptom Inventory-18 (BSI-18; L. R. Derogatis, 2000) was investigated in a sample of adult survivors of childhood cancer enrolled in the Childhood Cancer Survivor Study (CCSS; N = 8,945). An exploratory factor analysis with a randomly chosen subsample supported a 3-factor structure closely corresponding to the 3 BSI-18 subscales: Depression, Anxiety, and Somatization. Confirmatory factor analysis with structural equation modeling validated this 3-dimensional structure in a separate subsample, though an alternative 4-factor model also fit the data. Analysis of the 3-factor model showed consistent,fit in male and female participants. Compared with available community-based norms, survivors reported fewer symptoms of psychological distress. Together, results support the hypothesized 3-dimensional structure of the BSI-18 and indicate the measure may be useful in assessing psychological distress in this growing population of cancer survivors.

引用

页码：22 / 32

页数：11

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