中文版童年不良经历问卷在学龄前儿童父母中应用的信效度评价

doi:10.19723/j.issn.1671-167X.2023.03.004

摘要/Abstract

摘要：

目的: 在学龄前儿童父母群体中检验中文版童年不良经历(adverse childhood experiences international questionnaire, ACE-IQ)问卷的信度和效度。方法: 通过分层随机整群抽样，使用经跨文化调试得到的中文版ACE-IQ在北京市通州区6所幼儿园的学龄前儿童父母中开展调查，将调查数据随机分为两部分：一部分数据(n=602)用于探索性因子分析，进行条目筛选和结构效度评价，形成最终的中文版ACE-IQ；另一部分数据(n=700)用来对最终形成的中文版ACE-IQ进行验证性因子分析、效标效度分析以及信度分析。同时，采用专家咨询法，对最终的中文版ACE-IQ进行内容效度评价。结果: 在删除集体暴力的4个条目后，25个条目的中文版ACE-IQ呈现七因子结构，即情感忽视、身体忽视、家庭功能不全、家庭暴力、身心虐待、性虐待和家庭外暴力。中文版ACE-IQ二元评分法总分与儿童期创伤问卷精简版(childhood trauma questionaire-28 item short form, CTQ-SF，r=0.354，P < 0.001)和流调中心抑郁量表(the center for epidemiological studies depression scale, CES-D，r=0.313，P < 0.001)的总分均成正相关。中文版ACE-IQ内容效度指数均为0.80~1.00，量表平均内容效度为0.984，中文版ACE-IQ具有良好的结构效度、效标效度和内容效度。总量表的内部一致性Cronbach’s α系数为0.818，分半信度Spearman-Brown系数为0.621，具有良好的信度。结论: 形成了25个条目、7个维度的中文版ACE-IQ，在中国学龄前儿童父母中具有良好的信度和效度，可用于中国文化背景下学龄前儿童父母群体中童年不良经历的最低阈值评价。

关键词: 童年不良经历, 学龄前儿童父母, 信度, 效度

Abstract:

Objective: To test the reliability and validity of the Chinese version of adverse childhood experiences international questionnaire (ACE-IQ) in Chinese parents of preschool children. Methods: The parents of preschool children in 6 kindergartens in Tongzhou District of Beijing were selected by stratified random cluster sampling, and the Chinese version of ACE-IQ after translation and adaptation was used for survey online. The collected data were randomly divided into two parts. One part of the data (n=602) was used for exploratory factor analysis (EFA), to screen items and evaluate structural validity, and then form the final Chinese version of ACE-IQ. The other part of the data (n=700) was used for confirmatory factor analysis (CFA), criterion validity analysis and reliability analysis. At the same time, experts investigation method was used to evaluate the content validity of the final Chinese version of ACE-IQ. Results: After deleting four items of collective violence, the Chinese version of ACE-IQ with twenty-five items indicated good structural, criterion and content validity. Analysis results showed that the Chinese version of ACE-IQ presented a seven-factor model dimension, namely emotional neglect, physical neglect, family dysfunction, family violence, emotional and physical abuse, sexual abuse and violence outside the home, and the total score of the binary version of ACE-IQ Chinese version was positively correlated with the total score of childhood trauma questionaire-28 item short form (CTQ-SF, r=0.354, P < 0.001) and the center for epidemiological studies depression scale (CES-D, r=0.313, P < 0.001) respectively. Results from five experts showed that the item-level content validity index (I-CVI) of 25 items was between 0.80 and 1.00, and the average of all I-CVIs on the scale (S-CVI/Ave) of the scale was 0.984. At the same time, the internal consistency (Cronbach's α coefficient) of the whole scale was 0.818, and the split-half reliability (Spearman-Brown coefficient) was 0.621, which demonstrated good reliability. Conclusion: This study has formed a Chinese version of ACE-IQ with 25 items and 7 dimensions, which has good reliability and validity among the parents of preschool children in China. It can be used as an evaluation instrument for measuring the minimum threshold of the adverse childhood experiences in the parents of preschool children in the cultural background of China.

Key words: Adverse childhood experiences, Parents of preschool children, Reliability, Validity

中图分类号:

R179

弭小艺,侯杉杉,付子苑,周末,李昕璇,孟召学,蒋华芳,周虹. 中文版童年不良经历问卷在学龄前儿童父母中应用的信效度评价[J]. 北京大学学报（医学版）, 2023, 55(3): 408-414.

Xiao-yi MI,Shan-shan HOU,Zi-yuan FU,Mo ZHOU,Xin-xuan LI,Zhao-xue MENG,Hua-fang JIANG,Hong Zhou. Reliability and validity of the Chinese version of adverse childhood experiences international questionnaire in parents of preschool children[J]. Journal of Peking University (Health Sciences), 2023, 55(3): 408-414.

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参考文献 30

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Items	Factor loading
Items	Emotional neglect	Physical neglect	Family dysfunction	Family violence	Emotional and physical abuse	Sexual abuse	Violence outside the home
ACE01	0.878	0.043	0.010	0.076	－0.013	0.031	0.018
ACE02	0.872	0.049	－0.014	－0.036	0.049	0.047	－0.095
ACE03	0.039	0.703	－0.002	0.086	－0.056	0.043	－0.028
ACE04	－0.075	0.649	0.035	0.178	0.116	－0.089	0.006
ACE05	0.134	0.775	－0.038	－0.115	0.123	0.126	0.053
ACE06	－0.037	0.001	0.873	0.054	－0.107	－0.003	0.048
ACE07	－0.038	－0.035	0.909	0.009	－0.035	0.001	0.034
ACE08	0.007	－0.067	0.919	－0.021	0.005	0.005	－0.012
ACE09	0.154	0.022	0.735	－0.003	0.182	－0.046	－0.013
ACE10	－0.059	0.046	0.572	0.009	0.071	0.020	－0.057
ACE11	0.017	0.156	0.020	0.569	0.380	0.062	0.232
ACE12	0.040	0.095	－0.016	0.824	0.148	0.015	0.123
ACE13	－0.005	0.001	0.037	0.768	0.031	0.134	0.014
ACE14	0.100	0.078	0.038	0.210	0.709	0.054	0.180
ACE15	－0.045	0.126	0.034	－0.009	0.610	0.105	0.130
ACE16	0.084	－0.018	0.021	0.162	0.732	0.054	0.173
ACE17	－0.055	－0.026	0.020	0.025	0.618	0.153	－0.088
ACE18	0.090	0.081	0.049	0.153	0.211	0.607	0.096
ACE19	0.042	－0.043	－0.030	－0.015	0.110	0.818	0.069
ACE20	－0.025	－0.012	－0.023	0.065	0.028	0.849	0.024
ACE21	－0.005	0.072	－0.013	0.025	0.078	0.840	－0.003
ACE22	－0.054	0.084	0.092	0.128	0.212	0.186	0.403
ACE23	－0.057	－0.008	－0.021	0.168	0.255	0.050	0.608
ACE24	0.016	－0.013	－0.018	0.048	－0.065	－0.016	0.824
ACE25	－0.008	－0.016	－0.053	－0.016	0.090	0.024	0.793
Eigenvalue	1.627	1.608	3.326	1.803	2.230	2.597	2.031
Variance contribution/%	6.510	6.431	13.302	7.210	8.921	10.390	8.124

Items	CTQ-SF		CES-D
Items	r	P	r	P
ACE-IQ total score	0.354	< 0.001	0.313	< 0.001
Emotional neglect	0.246	< 0.001	0.131	0.001
Physical neglect	0.227	< 0.001	0.173	< 0.001
Family dysfunction	0.139	< 0.001	0.108	0.004
Family violence	0.249	< 0.001	0.193	< 0.001
Emotional and physical abuse	0.286	< 0.001	0.221	< 0.001
Sexual abuse	0.132	< 0.001	0.115	0.002
Bullying and community violence	0.111	< 0.001	0.244	< 0.001

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