Validación de la escala de resiliencia de 10 ítems en universitarios mexicanos / Validation of the 10-item resilience scale with Mexican college students
Palabras clave:
Resiliencia Psicológica, Estudiantes de Medicina, Salud Mental / Resilience, Psychological, Students, Medical, Mental HealthResumen
Resumen
Introducción: La resiliencia es la capacidad de salir fortalecido en un escenario adverso. Una población que sufre estrés constante es la de los médicos y los estudiantes de medicina, por lo que es necesario contar con instrumentos validados para evaluar la resiliencia.
Objetivo: Evaluar los parámetros de validez y confiabilidad de la escala de resiliencia de 10 ítems Connor-Davidson (CD-RISC-10) en una muestra universitaria mexicana.
Material y métodos: Se evaluó una muestra de 1333 estudiantes de primer año de Medicina. La selección fue por conveniencia, con una media de edad de 18 años (desviación estándar: 1.4 años; rango: 17-39 años). A la muestra se le aplicó la escala CD-RISC-10. En una submuestra se aplicó escala de resiliencia mexicana (RESI-M) para evaluar la validez convergente; para la validez divergente se utilizaron el Inventario de Ansiedad de Beck y el Inventario de Depresión de Beck.
Resultados: Se hizo un análisis factorial con un factor que explica el 96.245 de la varianza total. La consistencia interna de la escala presentó un alfa de Cronbach de 0.935. La prueba test-retest fue de r = 0.521 (p = 0.01) y la correlación con la RESI-M fue moderada, con r = 0.61 (p = 0.0001). La correlación con el Inventario de Ansiedad de Beck fue r = −0.214 (p < 0.05) y con el Inventario de Depresión de Beck fue r = −199 (p < 0.05).
Conclusión: La versión en español de la CD-RISC-10 presenta adecuadas propiedades psicométricas para estimar la resiliencia en estudiantes universitarios de medicina.
Abstract
Background: Resilience is the ability to emerge strengthened in an adverse scenario. One population that suffer constant stress are doctors and medical students, which is why it is necessary to have validated instruments to assess resilience.
Objective: To evaluate the validity and reliability parameters of the 10-item resilience scale, Connor-Davidson (CD-RISC-10), in a Mexican university sample.
Material and methods: A sample of 1333 first-year medical students who agreed to participate in the study was evaluated; sample selection was for convenience, with an average age of 18 years (standard deviation: 1.4 years; 17-39 years). CD-RISC-10 scale was applied to the sample. In a sub-sample, Mexican resilience scale (RESI-M) was applied to assess convergent validity; the Beck Anxiety Inventory and the Beck Depression Inventory were used to divergent validity.
Results: A factorial analysis was performed with a factor that explains 96.245 of the total variances. The internal consistency of the scale presented a Cronbach’s alpha of 0.935. The test-retest was r = 0.521, p = 0.01; the correlation with the RESI-M was moderate (r = 0.61, p = 0.0001). The correlation with the Beck Anxiety Inventory was r = −0.214 (p < 0.05) and with the Beck Depression Inventory, r = −199, p < 0.05).
Conclusions: The 10-item Spanish version of the Connor and Davidson CD-RISC had adequate psychometric properties to estimate resilience in medical university students.
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Referencias
Moir F, Yielder J, Sanson J, Chen Y. Depression in medical students:current insights. Adv Med Educ Pract. 2018;9:323-33.
Hamou-Jennings FA, Dong C. Resilience training for healthcare providers:an Asian perspective. Mhealth. 2016;2:25.
Block RW. All adults once were children. J Pediatr Surg. 2016;51(1):23-7.
McCann CM, Beddoe E, McCormick K, Huggard P, Kedge S, Adamson C, et al. Resilience in the health professions:a review of recent literature. Int J Wellbeing. 2013;3(1):60-81.
Avrech Bar M, Katz Leurer M, Warshawski S, Itzhaki M. The role of personal resilience and personality traits of healthcare students on their attitudes towards interprofessional collaboration. Nurse Educ Today. 2018;61:36-42.
Hornor G. Resilience. J Pediatr Health Care. 2017;31(3):384-90.
Grant L, Kinman G. Emotional resilience in the helping professions and how it can be enhanced. Health Soc Care Educ. 2014;3(1):23-34.
Connor KM, Davidson JRT. Development of a new resilience scale:the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18(2):76-82. DOI:10.1002/da.10113
Campbell-Stills L, Stein MB. Psychometric analysis and refinement of the Connor-Davidson Resilience Scale (CD-RISC):validation of a 10-item measure of resilience. J Trauma Stress. 2007;20(6):1019-28.
Ye ZJ, Qiu HZ, Li PF, Chen P, Liang MZ, Liu ML, et al. Validation and application of the Chinese version of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10) among parents of children with cancer diagnosis. Eur J Oncol Nurs. 2017;27:36-44. DOI:10.1016/j.ejon.2017.01.004
Guihard G, Deumier L, Alliot-Licht B, Bouton-Kelly L, Michaut C, Quilliot F. Psychometric validation of the French version of the Connor-Davidson Resilience Scale. Encéphale. 2018;44(1):40-5.
Baek HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the Korean version of the Connor-Davidson resilience scale. Psychiatry Investig. 2010;7(2):109-15.
Duong C, Hurst CP. Reliability and validity of the Khmer version of the 10-item Connor-Davidson Resilience Scale (Kh-CD-RISC10) in Cambodian adolescents. BMC Res Notes. 2016;9:297.
Lauridsen LS, Willert MV, Eskildsen A, Christiansen DH. Cross-cultural adaptation and validation of the Danish 10-item Connor-Davidson Resilience Scale among hospital staff. Scand J Public Health. 2017;45(6):654-7.
Wang L, Shi Z, Zhang Y, Zhang Z. Psychometric properties of the 10-item Connor-Davidson Resilience Scale in Chinese earthquake victims. Psychiatry Clin Neurosci. 2010;64(5):499-504.
Blanco V, Guisande MA, Sánchez MT, Otero P, Vázquez FL. Spanish validation of the 10-item Connor-Davidson Resilience Scale (CD-RISC 10) with non-professional caregivers. Aging Ment Health. 2019;23(2):183-8.
Notario-Pacheco B, Solera-Martínez M, Serrano-Parra MD, Bartolomé-Gutierrez R, García-Campayo J, Martínez-Vizcaíno V. Reliability and validity of the Spanish version of the 10-item Connor-Davidson Resilience Scale (10-item CD-RISC) in young adults. Health Qual Life Outcomes. 2011;9(1):63.
Palomar J, Gómez N. Desarrollo de una escala de medición de la resiliencia con mexicanos (RESI-M). Revista Interdisciplinaria. 2010;27(1):7-22.
Friborg O, Hjemdal O, Rosevigne JH, Martinussen M. A new rating scale for adult resilience:what are the central protective resources behind healthy adjustment. Int J Methods Psychiatr Res. 2003;12(2):65-76.
McCann CM, Beddoe E, McCormick L, Huggard P, Kedge S, Adamson C. Resilience in the health professions:a review of recent literature. Int J Wellbeing. 2013;3(1):60-81.
Beck AT, Steer RA. Beck Depression Inventory Manual. San Antonio, TX:The Psychological Corporation;1993.
Jurado S, Villegas ME, Méndez L, Rodríguez F, Loperana V, Varela R. La estandarización del Inventario de Depresión de Beck para los residentes de la ciudad de México. Salud Mental. 1998;21(3):26-32.
Beck AT, Brown G, Epstein N, Steer RA. An inventory for measuring clinical anxiety:psychometrical properties. J Consult Clin Psychol. 1988;56:893-7.
Robles R, Varela R, Jurado S, Páez F. Versión mexicana del Inventario de Ansiedad de Beck:propiedades psicométricas. Revista Mexicana de Psicología. 2001;18(2):211-8.
Solano J, Bracher E, Faisal-Cury A, Ashmawi H, Carmona M, Lotufo-Neto F, et al. Factor structure and psychometric properties of the Connor-Davidson resilience scale among Brazilian adult patients. Sao Paulo Medical Journal. 2016;134(5):400-6.
Shin GS, Choi KS, Jeong KS, Min YS, Ahn YS, Kim MG. Psychometric properties of the 10-item Conner-Davidson resilience scale on toxic chemical-exposed workers in South Korea. Ann Occup Environ Med.2018;30:52. https://doi.org/10.1186/s40557-018-0265-5
Sharma S, Pathak A, Abbott JH, Jensen MP. Measurement properties of the Nepali version of the Connor Davidson resilience scales in individuals with chronic pain. Health Qual Life Outcomes. 2018;16(1):56. https://doi.org/10.1186/s12955-018-0884-0
Moir F, Yielder J, Sanson J, Chen Y. Depression in medical students:current insights. Adv Med Educ Pract. 2018;9:323-33. https://doi.org/10.2147/AMEP.S137384
Arrogante O, Aparicio-Zaldivar E. Burnout and health among critical care professionals:the mediational role of resilience. Intensive Crit Care Nurs. 2017;42:110-5. https://doi.org/10.1016/j.iccn.2017.04.010
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