Abstract:Título: Instrumentos de evaluación de los eventos vitales estresantes en población española adulta: Una revisión sistemática. Resumen: Objetivo: Este estudio pretende identificar y analizar los instrumentos de evaluación de los eventos vitales estresantes creados/adaptados para su uso con población española adulta, publicados en la literatura nacional e internacional, con especial atención en sus propiedades psicométri-cas y en su asociación con medidas de problemas de salud. Métodos: Se llevó a cabo una revis… Show more
“…Among these measurements, we can cite combat exposure measurement among war veterans by means of 5 and 13 items (Cronbach's α = 0.79 and 0.87 respectively [50]; also, the Combat Exposure Scale (CES) among war veterans with 7 items reported a Cronbach of 0.85 [27]. Other scales in Spanish about stressful life events also showed internal consistency values between 0.50 and 0.83 [37]. On the other hand, the internal consistency coefficient must be interpreted with care.…”
Section: Discussionmentioning
confidence: 99%
“…The construct of "Extreme Experience", is in development, was initially proposed for several extreme events (for example, natural disasters, accidents, conflict), this investigation proposed this construct for its exclusive use in the field of conflict armed. Although the theory behind this construct is recent, it allows us to overcome the constant obstacles that arise in the study of armed conflict that have presented a great variety of concepts of experience, exposure or event of armed conflict [36,37], a situation that hinders the possibility of compare the studies in this field.…”
Section: Limitationsmentioning
confidence: 99%
“…When evaluating exposure to armed conflict, literature has offered a number of different approaches [10,13,36,67,69]. However, there are few instruments validated in Spanish that are used for this purpose [37]. Some studies have shown that the lack of valid instruments is a failure of the study of armed conflict, particularly in analyzing its actors' mental health [52,[56][57][58].…”
Psychological approaches to the study of armed conflict have focused on analyzing post-traumatic stress outcomes, and on evaluating the intensity of exposure to violent confrontation. Nevertheless, psychometrically valid tools required for measuring these traumatic experiences are scarce To validate the Extreme Experiences scale (EX 2 ) for armed conflict contexts for its use in Colombia, and to provide a framework for validation in conflict contexts around the world This Cross-sectional aims to validate the scale with 187 participants, study of validate with 187 participants, comprising population with high exposure to conflict (former combatants and a set of armed conflict victims) and low conflict-exposed individuals (control group). Structures of two domains and 18 items were confirmed: Direct Extreme Experiences (dEX 2 ) and Indirect Extreme Experiences (iEX 2 ); these dimensions were also validated by expert judgment, producing 14-item version. Good levels of internal consistency were found, with a KR-20 of 0.80 for the 18-item version, and 0.77 for the 14-item. The scale differentiates between population with 'high exposure to conflict' from population with 'low exposure' (d np > 0.5 and area under the ROC >0.90). The scale scores have significant correlation with some mental health constructs. The EX 2 scale has good internal consistency, as well as structural validity with regard to exposed groups. This scale can be potentially validated for its use in countries with armed confrontation history. In future versions, the scale may include additional items in order to improve content validity.
“…Among these measurements, we can cite combat exposure measurement among war veterans by means of 5 and 13 items (Cronbach's α = 0.79 and 0.87 respectively [50]; also, the Combat Exposure Scale (CES) among war veterans with 7 items reported a Cronbach of 0.85 [27]. Other scales in Spanish about stressful life events also showed internal consistency values between 0.50 and 0.83 [37]. On the other hand, the internal consistency coefficient must be interpreted with care.…”
Section: Discussionmentioning
confidence: 99%
“…The construct of "Extreme Experience", is in development, was initially proposed for several extreme events (for example, natural disasters, accidents, conflict), this investigation proposed this construct for its exclusive use in the field of conflict armed. Although the theory behind this construct is recent, it allows us to overcome the constant obstacles that arise in the study of armed conflict that have presented a great variety of concepts of experience, exposure or event of armed conflict [36,37], a situation that hinders the possibility of compare the studies in this field.…”
Section: Limitationsmentioning
confidence: 99%
“…When evaluating exposure to armed conflict, literature has offered a number of different approaches [10,13,36,67,69]. However, there are few instruments validated in Spanish that are used for this purpose [37]. Some studies have shown that the lack of valid instruments is a failure of the study of armed conflict, particularly in analyzing its actors' mental health [52,[56][57][58].…”
Psychological approaches to the study of armed conflict have focused on analyzing post-traumatic stress outcomes, and on evaluating the intensity of exposure to violent confrontation. Nevertheless, psychometrically valid tools required for measuring these traumatic experiences are scarce To validate the Extreme Experiences scale (EX 2 ) for armed conflict contexts for its use in Colombia, and to provide a framework for validation in conflict contexts around the world This Cross-sectional aims to validate the scale with 187 participants, study of validate with 187 participants, comprising population with high exposure to conflict (former combatants and a set of armed conflict victims) and low conflict-exposed individuals (control group). Structures of two domains and 18 items were confirmed: Direct Extreme Experiences (dEX 2 ) and Indirect Extreme Experiences (iEX 2 ); these dimensions were also validated by expert judgment, producing 14-item version. Good levels of internal consistency were found, with a KR-20 of 0.80 for the 18-item version, and 0.77 for the 14-item. The scale differentiates between population with 'high exposure to conflict' from population with 'low exposure' (d np > 0.5 and area under the ROC >0.90). The scale scores have significant correlation with some mental health constructs. The EX 2 scale has good internal consistency, as well as structural validity with regard to exposed groups. This scale can be potentially validated for its use in countries with armed confrontation history. In future versions, the scale may include additional items in order to improve content validity.
“…Additionally, information on threatening experiences will also be collected through a structured interview using the List of Threatening Experiences scale (LTE) [ 35 ]. This scale measures exposure to stressful events over a specified period.…”
Background: Caregivers for children with complex chronic illnesses may experience emotional and physical strain, especially as concerns attention overload and the perceptions of their own psychosocial situation. These concerns, together with the additional financial cost and the socioeconomic inequalities that arise from caregiving responsibilities, create major challenges to the health status of this population group. Methods: A prospective analytical longitudinal study will be conducted, based on an exposed cohort of adult caregivers (parents or guardians) for children with complex chronic processes, to evaluate the impact of caregiving responsibilities on the health status of this population group. Conclusions and implications: The practical implications of this study are of great significance for clinical practice. The results of this study have the potential to inform the decision-making process in the healthcare sector and guide future research initiatives. The findings of this study will provide crucial insights into the health-related quality of life of caregivers of children with complex chronic illnesses, which will be valuable in addressing the challenges faced by this population group. This information can be used to improve the availability and accessibility of appropriate health services and to facilitate the development of more equitable health outcomes for caregivers of children with complex chronic illnesses. By highlighting the extent to which this population is affected both physically and mentally, the study can contribute to the development of clinical practices that prioritize the health and well-being of caregivers in the care of children with complex chronic illnesses.
“…Parents indicated whether they had experienced these stressful events (1 = yes) or not (0 = no). Similar measures have been shown to have acceptable psychometric properties in Spanish-speaking populations (Motrico et al, 2017). Scores were summed and reflected the total number of immigrationrelated stressors reported by the parent (α = .62).…”
Objectives: This study examined the indirect relationship between immigration-related stressors and depressive symptoms via family conflict and whether familism values moderated this relationship in a sample of U.S. Latine youth. We also explored nativity and gender differences in the predictive model. Method: Participants were 306 Midwestern Latine youth (M age = 15.50, 46.2% girls, 79.9% Mexican origin) and their primary caregivers who completed measures of study constructs. A series of path models examined the potential mediating role of family conflict and the moderating effects of familism values, gender, and nativity. Results: For the overall sample, parental exposure to immigration-related stressors was related to higher youth depressive symptoms through higher levels of family conflict. However, multigroup models revealed significant differences by nativity and gender. The indirect effect through family conflict was only significant for non-U.S.-born youth with low to average levels of familismsupport and average to high levels of familism-obligation; it was not significant for U.S.-born youth. Furthermore, the indirect association was only significant for boys with average to high levels of familismobligation; no significant indirect effects were found for girls. Conclusions: The results indicate that the indirect pathway linking immigration-related stressors to depressive symptoms via family conflict depends on youth familism values, nativity status, and gender. Findings highlight the distinct effects of familismsupport and obligation and the need to consider sociodemographic diversity within Latine communities.
Public Significance StatementStressors related to immigration policies can affect Latine family dynamics and youth well-being. This study shows that for non-U.S.-born Latine youth and Latine boys, immigration-related stressors were related to increased family conflict, which in turn led to increased depressive symptoms. Expectations of family support appeared to lessen the harmful effect of family conflict for some Latine youth, while a strong sense of obligation to the family worsened it, suggesting that interventions for these youth could target those cultural values.
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