Development and Initial Validation of the Response to Stressful Experiences Scale

被引:108
|
作者
Johnson, Douglas C. [1 ,2 ]
Polusny, Melissa A. [3 ,4 ,5 ]
Erbes, Christopher R. [5 ]
King, Daniel [6 ,7 ]
King, Lynda [7 ,8 ]
Litz, Brett T. [6 ,7 ]
Schnurr, Paula P. [9 ,10 ]
Friedman, Matthew [9 ,10 ,11 ]
Pietrzak, Robert H. [12 ,13 ]
Southwick, Steven M. [12 ,13 ]
机构
[1] USN, Hlth Res Ctr, San Diego, CA 92106 USA
[2] Univ Calif San Diego, Sch Med, Dept Psychiat, La Jolla, CA 92037 USA
[3] Minneapolis VA Med Ctr, Posttraumat Stress Recovery Program, Minneapolis, MN 55417 USA
[4] Minneapolis VA Med Ctr, Ctr Chron Dis Outcome Res, Minneapolis, MN 55417 USA
[5] Univ Minnesota, Sch Med, Dept Psychiat, Minneapolis, MN 55454 USA
[6] VA Boston Healthcare Syst 116B2, Natl Ctr Posttraumat Stress Disorder, Behav Sci Div, Boston, MA 02130 USA
[7] Boston Univ, Sch Med, Dept Psychiat, Boston, MA 02118 USA
[8] VA Boston Healthcare Syst 116B3, Natl Ctr Posttraumat Stress Disorder, Womens Hlth Sci Div, Boston, MA 02130 USA
[9] VA Med Ctr, Natl Ctr Posttraumat Stress Disorder, Execut Div, White River Jct, VT 05009 USA
[10] Dartmouth Med Sch, Dept Psychiat, Hanover, NH 03755 USA
[11] Dartmouth Med Sch, Dept Pharmacol, Hanover, NH 03755 USA
[12] Vet Adm Med Ctr, Natl Ctr Posttratimat Stress Disorder, Clin Neurosci Div, West Haven, CT 06516 USA
[13] Yale Univ, Sch Med, Dept Psychiat, New Haven, CT 06511 USA
关键词
PSYCHOLOGICAL RESILIENCE; SOCIAL SUPPORT; HARDINESS; PREDICTORS; SYMPTOMS; DISORDER;
D O I
10.7205/MILMED-D-10-00258
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This report describes the development and initial validation of the Response to Stressful Experiences Scale (RSES), a measure of individual differences in cognitive, emotional, and behavioral responses to stressful life events. We validated this instrument with active-duty and reserve components of military and veterans samples (N = 1,014). The resulting 22-item scale demonstrated sound internal consistency (alpha = 0.91-0.93) and good test-retest reliability (r = 0.87). Factor analysis suggested 5 protective factors: (a) meaning-making and restoration, (b) active coping, (c) cognitive flexibility, (d) spirituality, and (e) self-efficacy. Associations with other measures supported convergent, discriminant, and concurrent validity. In separate military samples, the RSES accounted for unique variance in posttraumatic stress disorder symptoms above and beyond existing scales measuring resilience-related constructs, thereby demonstrating incremental validity. The RSES provides a brief, reliable, and valid measure of individual differences in cognitive, emotional, and behavioral responses to life's most stressful events.
引用
收藏
页码:161 / 169
页数:9
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