Military cross-cutting symptom scale and its reliability and validity
10.16781/j.CN31-2187/R.20230675
- VernacularTitle:军人跨界症状量表的编制和信效度检验
- Author:
Xiaoliang WEI
1
;
Tao ZHANG
;
Kaitian SHI
;
Yi ZHANG
;
Yonghai BAI
;
Taosheng LIU
Author Information
1. 海军军医大学(第二军医大学)心理系,上海 200433
- Keywords:
military cross-cutting symptom scale;
reliability;
validity;
mental health;
screening
- From:
Academic Journal of Naval Medical University
2025;46(6):817-823
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a military cross-cultural symptom scale(MCCSS)and evaluate its reliability and validity.Methods The dimensions and items of the scale were determined through literature analysis,questionnaire surveys,group discussions,expert consultations,and pre-experiments.Cluster sampling was employed to collect data from the participants to examine the psychometric properties of the scale.Results The MCCSS comprised 38 items across 9 factors:depression,anxiety,somatic symptoms,misanthropic tendency,sleep problems,compulsions,psychotic symptoms,stress trauma,and defensiveness.Item analysis revealed that the 37 items(except 1 forced-choice item)exhibited correlations from 0.538 to 0.875 with the total scale score(all P<0.01),with critical ratios ranging from 5.190 to 28.149,indicating good discriminative power.The Cronbach's α coefficients for the total scale and subscales ranged from 0.825 to 0.972,and the Spearman-Brown split-half reliability coefficients ranged from 0.747 to 0.955.The results of confirmatory factor analysis showed that x2/df=3.419,standardized root mean square residual=0.033,root mean square error of approximation=0.073,normed fit index=0.868,incremental fit index=0.903,Tucker-Lewis index=0.887,comparative fit index=0.902,and the scale's first-order 9-factor model fit well.The loads of each item on the factor to which it belonged ranged from 0.597 to 0.954(all P<0.01).The correlation coefficients between the scale and the scale for criterion-related validity ranged from 0.392 to 0.773(all P<0.01),and the correlation coefficients between the scale and the scale for convergent validity ranged from 0.257 to 0.519(all P<0.01).Conclusion The MCCSS in this study has good reliability and validity and can be used as a mental health testing and screening tool for military personnel.