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Rasch Analysis of the Brief Symptom Inventory-18 with African Americans

机译:非洲裔美国人简短症状清单18的Rasch分析

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Although the United States offers some of the most advanced psychological services in the world, not everyone in U.S. shares equally in these services, and health disparities persist when assessments do not appropriately measure different populations' mental health problems. To address this assessment issue, we conducted factor and Rasch analyses to assess the psychometric characteristics of the Brief Symptom Inventory-18 (BSI-18) to evaluate whether the BSI is culturally appropriate for assessing African Americans' psychological distress. The dimensional structure of the BSI was first identified and held up under cross-validation with a second subsample. The measure was unidimensional among African Americans. Our results also suggested minimal person separation, stability across subsamples, and little differential item functioning. Most African Americans identified themselves on the low end of the categories in a 0-4 rating scale, indicating their low endorsement of the items on the BSI. Rasch analyses were completed with the original scale but also collapsing the scale to three points, with some increase in separation and reliability for the collapsed scale. Differences in mean person position were found for mental health-related variables, consistent with hypotheses. Implications for theory and research on multicultural health scales are discussed as are effects of severe item skewness on analyses.
机译:尽管美国提供了世界上一些最先进的心理服务,但并不是每个美国人都能平等地享受这些服务,并且当评估不能适当地衡量不同人群的心理健康问题时,健康差距仍然存在。为了解决此评估问题,我们进行了因素和Rasch分析,以评估《简短症状清单18》(BSI-18)的心理测量特征,以评估BSI在文化上是否适合评估非洲裔美国人的心理困扰。首先确定BSI的尺寸结构,并与另一个子样本进行交叉验证。该措施在非裔美国人中是一维的。我们的结果还表明,人员隔离最小,子样本之间的稳定性好,差异项功能很少。大多数非裔美国人以0-4的评分量表将自己列为低端类别,表明他们对BSI上的商品的认可度较低。 Rasch分析使用原始秤完成,但也将秤缩小到三个点,并且折叠后的秤的分离度和可靠性有所提高。发现与心理健康相关的变量在平均人员位置上的差异与假设相符。讨论了对多元文化健康量表的理论和研究的影响,以及严重偏斜度对分析的影响。

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