Психометрические свойства русскоязычной версии шкалы психологического дистресса Р. Кесслера

Обоснование: эффективность системы первичного скрининга населения на наличие психических расстройств может быть увеличена при использовании коротких шкал, обладающих высокими психометрическими свойствами. Цель: оценить психометрические свойства русскоязычной версии шкалы психологического дистресса Р. Кесслера. Участники исследования и методы: использованы данные трех онлайн-опросов, проведенных в рамках исследования «Кризис, связанный с новым коронавирусом, и его влияние на здоровье населения». Первый из опросов был проведен в мае-июне 2020 г., второй — в январе-феврале 2021 г., третий — в ноябре-декабре 2021 г. Выборка составила 1667 человек. Результаты: как краткая, так и полная версии шкалы характеризуются высокой внутренней согласованностью. Конвергентная валидность шкал подтверждается корреляцией с близкими конструктами и известными факторами психологического дистресса. Заключение: практики и исследователи могут использовать этот инструмент для скрининга и оценки выраженности неспецифического психологического дистресса у русскоязычного населения.

1. Drapeau A, Marchand A, Beaulieu-Prévost D. Epide miology of psychological distress. In: Mental Ill nesses — Understanding, Prediction and Control. 2012;69(2):105–106. doi: 10.5772/30872

2. Phillips MR. Is distress a symptom of mental disor ders, a marker of impairment, both or neither? World Psychiatry. 2009;8(2):91–2. PMID: 19516930; PMCID: PMC2691169.

3. Watson D. Differentiating the mood and anxiety disorders: a quadripartite model. Annu Rev Clin Psy chol. 2009;5:221–247. doi: 10.1146/annurev.clinpsy.032408.153510

4. Lehmann J, Pilz MJ, Holzner B, Kemmler G, Giesing er JM. General population normative data from sev en European countries for the K10 and K6 scales for psychological distress. Sci Rep. 2023;13(1):18389. Published 2023 Oct 26. doi: 10.1038/s41598-02345124-0

5. Andrews G, Slade T. Interpreting scores on the Kessler Psychological Distress Scale (K10). Aust N Z J Public Health. 2001;25(6):494–497. doi: 10.1111/j.1467842x.2001.tb00310.x

6. Goldberg DP, Williams P. A User’s Guide to the General Health Questionnaire. Great Britain: NFER-NELSON Publishing Company; 1991.

7. Cuéllar-Flores I, Sánchez-López MP, Limiñana-Gras RM, Colodro-Conde L. The GHQ-12 for the assessment of psychological distress of family caregivers. Behav Med. 2014;40(2):65–70. doi: 10.1080/08964289.2013.847815

8. Tomás JM, Gutiérrez M, Sancho P. Factorial Validity of the General Health Questionnaire 12 in an Ango lan Sample. Eur J Psychol Assess. 2017;33(2):116–22. doi: 10.1027/1015-5759/a000278

9. Romppel M, Braehler E, Roth M, Glaesmer H. What is the General Health Questionnaire-12 assessing? Dimen sionality and psychometric properties of the General Health Questionnaire-12 in a large scale German pop ulation sample. Compr Psychiatry. 2013;54(4):406 413. doi: 10.1016/j.comppsych.2012.10.010

10. Salama-Younes M, Montazeri A, Ismaïl A, Roncin C. Factor structure and internal consistency of the 12 item General Health Questionnaire (GHQ-12) and the Subjective Vitality Scale (VS), and the relationship between them: a study from France. Health Qual Life Outcomes. 2009;7:22. doi: 10.1186/1477-7525-7-22

11. Suzuki H, Kaneita Y, Osaki Y, Minowa M, Kanda H, Suzu ki K, Wada K, Hayashi K, Tanihata T, Ohida T. Clarification of the factor structure of the 12-item General Health Questionnaire among Japanese adolescents and asso ciated sleep status. Psychiatry Res. 2011;188(1):138 146. doi: 10.1016/j.psychres.2010.10.025

12. Ye S. Factor structure of the General Health Ques tionnaire (GHQ-12): The role of wording effects. Pers Individ Dif. 2009;46(2):197–201. doi: 10.1016/j.paid.2008.09.027

13. Cleary PD, Bush BT, Kessler LG. Evaluating the use of mental health screening scales in primary care settings using receiver operating characteris tic curves. Med Care. 1987;25(12 Suppl):S90–S98. doi: 10.1097/00005650-198712001-00009

14. Furukawa TA, Kessler RC, Slade T, Andrews G. The performance of the K6 and K10 screening scales for psychological distress in the Australian Na tional Survey of Mental Health and Well-Being. Psychol Med. 2003;33(2):357–362. doi: 10.1017/s0033291702006700

15. Derogatis LR. Brief Symptom Inventory. Published online September 12, 2011. doi: 10.1037/t00789-000

16. Al-Krenawi A, Graham JR. Culturally sensitive so cial work practice with Arab clients in mental health settings. Health Soc Work. 2000;25(1):9–22. doi: 10.1093/hsw/25.1.9

17. Desrosiers A, St Fleurose S. Treating Haitian pa tients: key cultural aspects. Am J Psychother. 2002;56(4):508–521. doi: 10.1176/appi.psychother apy.2002.56.4.508

18. Leung JP. Emotions and mental health in Chi nese people. J Child Fam Stud. 1998;7(2):115–128. doi: 10.1023/A:1022989730432

19. Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM. Short screen ing scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959–976. doi: 10.1017/s0033291702006074

20. Kessler RC, Green JG, Gruber MJ, Sampson NA, Brom et E, Cuitan M, Furukawa TA, Gureje O, Hinkov H, Hu CY, Lara C, Lee S, Mneimneh Z, Myer L, Oakley-Browne M, Posada-Villa J, Sagar R, Viana MC, Zaslavsky AM. Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initia tive. Int J Methods Psychiatr Res. 2010 Jun;19 Suppl 1(Suppl 1):4–22. doi: 10.1002/mpr.310 Erratum in: Int J Methods Psychiatr Res. 2011 Mar;20(1):62. PMID: 20527002; PMCID: PMC3659799.

21. Kawakami N, Thi Thu Tran T, Watanabe K, Imamura K, Thanh Nguyen H, Sasaki N, Kuribayashi K, Sakuraya A, Thuy Nguyen Q, Thi Nguyen N, Minh Bui T, Thi Huong Nguyen G, Minas H, Tsutsumi A. Internal consisten cy reliability, construct validity, and item response characteristics of the Kessler 6 scale among hospital nurses in Vietnam. PLoS One. 2020;15(5):e0233119. Published 2020 May 21. doi: 10.1371/journal. pone.0233119

22. Fassaert T, De Wit MA, Tuinebreijer WC, Wouters H, Verhoeff AP, Beekman AT, Dekker J. Psychometric properties of an interviewer-administered version of the Kessler Psychological Distress scale (K10) among Dutch, Moroccan and Turkish respondents. Int J Meth ods Psychiatr Res. 2009;18(3):159–168. doi: 10.1002/mpr.288

23. Easton SD, Safadi NS, Wang Y, Hasson RG 3rd. The Kessler psychological distress scale: translation and validation of an Arabic version. Health Qual Life Outcomes. 2017;15(1):215. Published 2017 Oct 27. doi: 10.1186/s12955-017-0783-9

24. Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, Howes MJ, Normand SL, Manderscheid RW, Walters EE, Zaslavsky AM. Screening for serious mental illness in the general population. Arch Gen Psychiatry 2003;60(2):184–189. doi: 10.1001/archpsyc.60.2.184

25. Brooks RT, Beard J, Steel Z. Factor structure and inter pretation of the K10. Psychol Assess. 2006;18(1):62 70. doi: 10.1037/1040-3590.18.1.62

26. Lee S, Tsang A, Ng KL, Ma YL, Guo W, Mak A, Kwok K. Performance of the 6-item Kessler scale for mea suring serious mental illness in Hong Kong. Com pr Psychiatry. 2012;53(5):584–592. doi: 10.1016/j.comppsych.2011.10.001

27. Sunderland M, Mahoney A, Andrews G. Investigating the Factor Structure of the Kessler Psychological Distress Scale in Community and Clinical Samples of the Australian Population. J Psychopathol Behav Assess. 2012;34(2):253–259. doi: 10.1007/s10862012-9276-7

28. Vissoci JRN, Vaca SD, El-Gabri D, de Oliveira LP, Mvun gi M, Mmbaga BT, Haglund M, Staton C. Cross-cultural adaptation and psychometric properties of the Kes sler Scale of Psychological Distress to a traumatic brain injury population in Swahili and the Tanzanian Setting. Health Qual Life Outcomes. 2018;16(1):147. Published 2018 Jul 27. doi: 10.1186/s12955-018 0973-0

29. Ахметов МД, Воронцов СВ, Петухов КГ, Петухова ЛА, Осипов АЮ, Кравчук АИ. Влияние ограничительных коронавирусных мер на физическое и психическое здоровье профессиональных спортсменов Ученые записки университета имени П.Ф. Лесгафта. 2021;10(200):23–28. doi: 10.34835/issn.2308 1961.2021.10.p23-28

30. Свиридкин ПА, Макеева АВ, Комиссарова ОВ. Патофизиология стресса. Оценка уровня учебного стресса и пути его коррекции. Eur J Nat Hist. 2024;1:13–18.

31. Фадеева ЕВ, Вышинский КВ, Лановая АМ, Асанкина АС, Долгушин МВ. Влияние пандемии COVID-19 и связанных с ней социальных ограничений, личных и социальных последствий на уровень психологического дистресса у беременных женщин. Психология. Психофизиология. 2022;15(3):43–55. doi: 10.14529/jpps220305

32. Harkness J, Pennell B, Villar A, Gebler N, Aguilar-Gax iola S, Bilgen I. Translation procedures and trans lation assessment in the World Mental Health Sur vey Initiative. In: Kessler RC, Üstün TB. WHO World Mental Health Surveys: Global Perspectives on the Epidemiology of Mental Disorders. Cambridge Univ Press. 2011.

33. Kislitsyn D, King EJ, Schapov D, Aleksandrova E. Fac tors associated with psychological distress during the COVID-19 pandemic: Data from two early waves in Russia. Glob Public Health. 2023;18(1):2270691. doi: 10.1080/17441692.2023.2270691

34. Khabibullina A, Aleksandrova E, Gerry CJ, Vlassov V. First population norms for the EQ-5D-3L in the Rus sian Federation. PLoS One. 2022;17(3):e0263816. Published 2022 Mar 29. doi: 10.1371/journal.pone.0263816

35. Александрова ЕА, Герри ДК, Кайнд П, Хабибуллина АР. Популяционные показатели качества жизни, связанного со здоровьем по опроснику EQ-5D. Здравоохранение Российской Федерации. 2018;62(6):295–303. doi: 10.18821/0044-197X2018-62-6-295-303

36. Omelyanovskiy V, Musina N, Ratushnyak S, Bezdene zhnykh T, Fediaeva V, Roudijk B, Purba FD. Val uation of the EQ-5D-3L in Russia. Qual Life Res. 2021;30(7):1997–2007. doi: 10.1007/s11136-021 02804-6

37. O’Connor DW, Parslow RA. Mental health scales and psychiatric diagnoses: responses to GHQ-12, K-10 and CIDI across the lifespan. J Affect Disord. 2010;121(3):263–267. doi: 10.1016/j.jad.2009.06.038

38. Hu Litze, Bentler PM. Fit indices in covariance structure modeling: Sensitivity to underparame terized model misspecification. Psychol Methods. 1998;3(4):424–453. doi: 10.1037/1082-989X.3.4.424

39. Browne MW, Cudeck R. Alternative Ways of Assessing Model Fit. Sociol Methods Res. 1992;21(2):230–258. doi: 10.1177/0049124192021002005

40. Mewton L, Kessler RC, Slade T, Hobbs MJ, Brownhill L, Birrell L, Tonks Z, Teesson M, Newton N, Chapman C, Allsop S, Hides L, McBride N, Andrews G. The psy chometric properties of the Kessler Psychological Distress Scale (K6) in a general population sample of adolescents. Psychol Assess. 2016;28(10):1232–1242. doi: 10.1037/pas0000239

41. Cairney J, Krause N. The social distribution of psychological distress and depression in old er adults. J Aging Health. 2005;17(6):807–835. doi: 10.1177/0898264305280985

42. Caron J, Liu A. Factors associated with psychological distress in the Canadian population: a comparison of low-income and non low-income sub-groups. Commu nity Ment Health J. 2011;47(3):318–330. doi: 10.1007/s10597-010-9306-4

43. Jorm AF. Does old age reduce the risk of anxi ety and depression? A review of epidemiological studies across the adult life span. Psychol Med. 2000;30(1):11–22. doi: 10.1017/s0033291799001452

44. Kessler RC, Price RH, Wortman CB. Social factors in psychopathology: stress, social support, and cop ing processes. Annu Rev Psychol. 1985;36:531–572. doi: 10.1146/annurev.ps.36.020185.002531

45. Myer L, Stein DJ, Grimsrud A, Seedat S, Williams DR. Social determinants of psychological distress in a nationally-representative sample of South Afri can adults. Soc Sci Med. 2008;66(8):1828–1840. doi: 10.1016/j.socscimed.2008.01.025

46. Paul C, Ayis S, Ebrahim S. Psychological dis tress, loneliness and disability in old age. Psychol Health Med. 2006;11(2):221–232. doi: 10.1080/13548500500262945

47. Phongsavan P, Chey T, Bauman A, Brooks R, Silove D. Social capital, socio-economic status and psy chological distress among Australian adults. Soc Sci Med. 2006;63(10):2546–2561. doi: 10.1016/j.socscimed.2006.06.021

48. Préville M, Hébert R, Bravo G, Boyer R. Predis posing and facilitating factors of severe psy chological distress among frail elderly adults. Can J Aging. 2002;21(2):195–204. doi: 10.1017/S071498080000146X

49. Steele NM, Benassi HP, Chesney CJ, Nicholson C, Fog arty GJ; Australian Army Psychology Corps. Evalu ating the merits of using brief measures of PTSD or general mental health measures in two-stage PTSD screening. Mil Med. 2014 Dec;179(12):1497–502. doi: 10.7205/MILMED-D-14-00183 PMID: 25469974.

50. Searle AK, Van Hooff M, McFarlane AC, Davies CE, Tran T, Hodson SE, Benassi HP, Steele NM. Screening for De pression and Psychological Distress in a Currently Serving Military Population: The Diagnostic Accuracy of the K10 and the PHQ9. Assessment. 2019;26(8):1411 1426. doi: 10.1177/1073191117745124