Zusammenfassung. Der Stressverarbeitungsfragebogen für Kinder und Jugendliche (SVF-KJ) erhebt die soziale und schulische Stressverarbeitung über 9 Subtests und 36 Items. Der Gültigkeitsbereich wurde in der aktuellen Version von 2016 auf die Altersspanne von 8 bis 16 Jahre erweitert. Ferner wurden 4 Items geringfügig angepasst und aktuelle Normen wurden erhoben. Die Normwerte und psychometrischen Gütekriterien wurden bei N = 1 087 Kindern und Jugendlichen ermittelt. Befunde von konfirmatorischen Faktorenanalysen bestätigten die Zuordnung der Items zu den Subtests, die sich in früheren exploratorischen Faktorenanalysen ergeben hatten. Korrelationsanalysen sprechen für eine hinreichend divergente Validität gegenüber dem Konstrukt „Emotionsregulation“. Schließlich wurde an einer Teilstichprobe von N = 374 deutschen Kindern und Jugendlichen die interne Konstruktvalidität bekräftigt, indem erwartungskonforme Geschlechts- und Altersunterschiede nachgewiesen wurden. Insgesamt unterstützen die weiteren Analysen, dass der SVF-KJ die Stressverarbeitungsdispositionen im Kindes- und Jugendalter valide erfasst.
Factor analysis shows a three factor solution with ten items. The discriminatory power was good. High reliability was found for two factors and lower reliability for one factor. The patient-questionnaire for stance toward psychosomatic rehabilitation contains three scales: "knowledge", "confidence", and "motivation", and can be characterized as a reliable and economic instrument. After pre-treatment a general improvement was observed regarding patients' stance toward psychosomatic rehabilitation. The analyses result in significantly higher mean for patients with pre-treatment. Patients without previous information showed less "confidence" and "motivation". Pre-treatment can have a positive impact on the stance toward psychosomatic rehabilitation.
The findings show that pre-treatment facilitates the patients' approach to psychosomatic rehabilitation. Apart from receiving information patients should be motivated more strongly and their confidence in psychosomatic rehabilitation strengthened.
This questionnaire can be used as an instrument for self-management strategies in chronically ill adolescents. The responsiveness (change score) and validity have to be further investigated.
Comparison of the groups shows significantly lower means for the fibromyalgia patients with depressive symptoms concerning "perceived self-competence", "cognitive restructuring", and "countertraded activity". The same results can be observed for "self-efficacy". Analysis of the motivation for therapy in the "carefreeness" scale shows significantly higher means in the fibromyalgia patients with depressive symptoms. In the "maintenance" scale, however, lower means are observed in this patient group. As fibromyalgia patients with depressive symptoms show greater strain on account of their psychosomatic symptoms, depressive symptoms should be dealt with during treatment.
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