spiritual coping

精神应对
  • 文章类型: Journal Article
    严重的精神疾病扰乱了日常功能,家庭照顾者的负担,他们经常采取精神应对策略。具有全面的技能,心理健康护士可以促进幸福感和心理健康。目的是开发和测试在家庭居住的精神疾病患者的家庭护理人员中的护理干预“促进精神应对”。本研究分两个不同阶段进行。最初,干预措施是根据《制定和评估复杂干预措施框架》第一阶段制定的。其次,干预方案在一项混合方法试验研究中进行了测试.制定了干预方案,并对10名家庭护理人员进行了测试。干预包括三场会议,并进行了前后评估。在结果方面观察到了显著的改善,看护者表示,讨论灵性和宗教信仰使他们受益。这种干预措施优先考虑了护士和家庭护理人员的治疗关系。创建了“促进精神应对”干预措施,并将其评估为心理健康护士在心理治疗背景下与精神疾病患者的家庭护理人员一起使用的合适方法。
    Severe mental illness disrupts daily functioning, burdening family caregivers, who often adopt spiritual coping strategies. With comprehensive skills, mental health nurses can promote well-being and mental health. The aim is to develop and test the nursing intervention \"promoting spiritual coping\" in the family caregivers of home-dwelling people with mental illness. This study was conducted in two distinct stages. Initially, the intervention was developed according to the first phase of the Framework for Developing and Evaluating Complex Interventions. Secondly, the intervention protocol was tested in a mixed-method pilot study. An intervention protocol was developed and tested on ten family caregivers. The intervention comprised three sessions, and before-and-after assessments were conducted. Significant improvements were observed in the outcomes, with caregivers expressing that discussing spirituality and religiosity benefited them. This intervention prioritized the therapeutic relationship of the nurses and family caregivers. The intervention \"promoting spiritual coping\" was created and evaluated as a suitable approach for mental health nurses to use in a psychotherapeutic context with family caregivers of individuals with mental illness.
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  • 文章类型: Journal Article
    背景:在中低收入国家被诊断患有血液系统恶性肿瘤的患者会承受巨大的生理和心理压力。尽管如此,只有16%的病人在终末阶段得到适当的照顾。因此,了解这一群体的独特经历至关重要。
    目的:通过探索成人晚期血液系统恶性肿瘤患者的观点,更好地了解他们的需求和经历。
    方法:采用定性解释设计,使用现象学方法收集和分析数据。该研究涉及对10名年龄在49至65岁之间的参与者进行深入访谈,利用半结构化方法。
    结果:两个主要的主题从参与者的经历中出现:“疼痛,苦难,和痛苦“和”精神应对。“第一个主题包括身体和情感上的痛苦,痛苦,和痛苦,而第二个主题则集中在参与者的精神应对机制上。这些应对机制包括在宗教活动中寻求安慰,依靠家人和朋友的精神支持,并在他们的信仰和信仰中找到慰藉。
    结论:处于疾病终末期的血液系统恶性肿瘤患者会出现严重的疼痛,相当大的身体和心理痛苦,和精神上的痛苦。虽然他们需要支持来应对他们的日常斗争,他们的经历经常被忽视,导致失望和失去尊严。患者主要依靠他们的灵性来应付他们的情况。医疗保健提供者必须承认这些患者的需求,并提供更全面和有效的护理。
    BACKGROUND: Patients diagnosed with hematological malignancies residing in low-middle-income countries undergo significant physical and psychological stressors. Despite this, only 16% of them receive proper care during the terminal stages. It is therefore crucial to gain insight into the unique experiences of this population.
    OBJECTIVE: To have a better understanding of the needs and experiences of adult patients with advanced hematological malignancy by exploring their perspectives.
    METHODS: A qualitative interpretive design was employed to collect and analyze data using a phenomenological approach. The study involved in-depth interviews with ten participants aged between 49 and 65 years, utilizing a semi-structured approach.
    RESULTS: Two primary themes emerged from the participants\' experiences of reaching the terminal stage of illness: \"Pain, Suffering, and Distress\" and \"Spiritual Coping.\" The first theme encompassed physical and emotional pain, suffering, and distress, while the second theme was centered on the participants\' spiritual coping mechanisms. These coping mechanisms included seeking comfort in religious practices, relying on spiritual support from family and friends, and finding solace in their beliefs and faith.
    CONCLUSIONS: Patients with hematological malignancies in the terminal stages of their disease experience severe pain, considerable physical and psychosocial suffering, and spiritual distress. While they require support to cope with their daily struggles, their experiences often go unnoticed, leading to disappointment and loss of dignity. Patients mainly rely on their spirituality to cope with their situations. Healthcare providers must acknowledge these patients\' needs and provide more holistic and effective care.
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  • 文章类型: Journal Article
    \“父母倦怠\”是一种特殊的综合症,是由于持续暴露于慢性育儿压力与可用的保护资源之间的不平衡所致。有特殊需要的儿童的母亲由于处理长期育儿带来的各种困难而增加了父母倦怠的风险。
    要检查困难,应对策略,和PB(风险因素和保护资源),在极端正统和非正统的犹太母亲中,有特殊需要的儿童的父母倦怠程度高或低。
    定性研究。通过定量研究,对十二名有特殊需要的儿童的母亲进行了采访,这些母亲被确定为父母倦怠高或低。采用常数比较分析法对调查结果进行分析。
    出现了三个主题和十二个类别:1.从事母亲工作的困难有六类:(a)照顾者的负担,(b)任务过载,(c)身体和精神上的自我忽视,(d)环境,情侣罩,家庭和社会忽视,(e)认识到有特殊需要的儿童与其他同龄儿童之间的差距,(f)母亲对环境的相互矛盾的期望;2.应对策略有四个类别:(a)实用,(b)属灵的,(c)社交和(d)情感;以及3.父母倦怠,后果和应对两类:(a)个人和环境风险因素(例如,对未来的恐惧,难以信任他人照顾他们的孩子),和(b)个人和环境保护资源(例如,与其他母亲分享类似的情况,对上帝的信仰)。
    这些发现有助于理解独特的困难,特殊需求儿童的超正统和非正统犹太母亲父母倦怠的应对策略及危险因素和保护资源的差异。为了减轻母亲所经历的困难,从而减少父母职业倦怠的危险因素,并提供有效的保护资源,建议为决策者制定基于经验的专业指导,儿童发展专家,护士,物理治疗师,和非正式的照顾者。
    UNASSIGNED: \"Parental Burnout\" is a specific syndrome resulting from an imbalance between continuous exposure to chronic parenting stress and available protective resources. Mothers of children with special needs have an increased risk of Parental Burnout due to dealing with various difficulties from carrying out long-term childcare.
    UNASSIGNED: To examine difficulties, coping strategies, and PB (risk factors and protective resources), among ultra-Orthodox and non-Orthodox Jewish mothers of children with special needs with high or low levels of Parental Burnout.
    UNASSIGNED: A qualitative study. Twelve mothers of children with special needs identified with high or low Parental Burnout via a quantitative study were interviewed. The constant-comparative analysis method was used to analyze the findings.
    UNASSIGNED: Three themes and twelve categories emerged: 1. Difficulties involved in motherhood with six categories: (a) caregiver burden, (b) task overload, (c) physical and mental self-neglect, (d) environmental, couple-hood, family and social neglect, (e) recognizing the gap between their child with special needs and other children of the same age, (f) the environment\'s contradictory expectations from the mother; 2. Coping strategies with four categories: (a) practical, (b) spiritual, (c) social and (d) emotional; and 3. Parental Burnout, consequences and coping with two categories: (a) personal and environmental risk factors (e.g., fear of the future, difficulty in trusting others in taking care of their child), and (b) personal and environmental protective resources (e.g., sharing similar circumstances with other mothers, a belief in God).
    UNASSIGNED: The findings contribute to understanding the unique difficulties, coping strategies and differences in risk factors and protective resources of Parental Burnout among ultra-Orthodox and non-Orthodox Jewish mothers of children with special needs. In order to alleviate the difficulties experienced by mothers and thus also reduce Parental Burnout risk factors and provide effective protective resources, it is recommended to develop empirically based professional guidance for policymakers, child development specialists, nurses, physiotherapists, and informal caregivers.
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  • 文章类型: Journal Article
    照顾精神分裂症患者会产生后果,其中之一是护理期间的压力源。作为照顾者的家庭经常使用涉及与自我关系的应对策略,其他人,或超然/上帝或自然,也可能包括宗教/精神实践。
    本文献综述旨在确定家庭精神分裂症照顾者使用精神应对的益处。变量是精神应对。
    该文献综述方法使用PRISMA方法进行系统综述。搜索于2017年3月进行,于2022年8月进行更新,并于2023年4月提交用于发布过程。通过使用电子数据库限制为英语:Scopus,ScienceDirect,Sage,ProQuest,和PubMed。
    本综述包括15项研究。出现了两个综合发现:家庭护理人员使用的精神应对策略对家庭产生了积极影响。
    当在照顾精神分裂症患者时经历压力或危机阶段时,作为照顾者的家庭揭示了他们生活的意义,他们感到绝望和无助。为了克服家庭作为照顾者的负担,他们经常使用精神应对,这对增加护理人员的健康很重要。
    UNASSIGNED: Caring for people with schizophrenia has consequences, one of which is stressors during care. Families as caregivers often using coping strategies that involve relationships with self, others, or the transcendent/God or nature and also may include religious/spiritual practices.
    UNASSIGNED: This literature review aims to identify the benefit of using spiritual coping as used by a family schizophrenia caregiver. The variable is spiritual coping.
    UNASSIGNED: This literature review method used PRISMA methodology for systematic reviews. Search was conducted in March 2017, updated in August 2022 and submitted in April 2023 for the publication process, limited to English by using electronic databases: Scopus, ScienceDirect, Sage, ProQuest, and PubMed.
    UNASSIGNED: Fifteen studies were included in this review. Two synthesized findings emerged: spiritual coping strategies used by family caregivers give positive effects for family.
    UNASSIGNED: When the stress or crisis phase is experienced while caring for people with schizophrenia, the family who acts as a caregiver reveals the meaning of life they have and that they feel hopelessness and helplessness. In an effort to overcome the family\'s burden as caregivers, they often use spiritual coping, which is important to increase the caregiver\'s wellbeing.
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  • 文章类型: Review
    本研究提出了灾后精神应对量表的详细发展,旨在评估灾后精神应对过程。该研究开发量表的第一步是回顾有关灾难对个人生活的影响以及精神应对在此过程中的作用的文献。该研究还考虑了开发量表所需的步骤。数据最初是从经历过2月6日Kahramanmara地震的个人那里收集的,之后创建缩放项。根据专家的意见,在项目采用最终形式之前,已对量表进行了试点应用。在数据收集阶段,数据收集三次(N1=388,N2=194,N3=94).然后进行探索性因子分析(EFA),得出的结论是,该量表由一个维度和13个项目组成。之后,验证性因子分析(CFA)在13个项目的量表上进行,确认前面分析的结果。CFA结果还显示已获得可接受的拟合优度值(χ2/df=2.200;RMSEA=0.061;SRMR=0.024;CFI=0.933;GFI=0.908)。同时,量表中的每个项目都被认为具有足够的载荷值。通过对量表内部一致性的分析,Cronbach的阿尔法被发现是0.950。通过对开发的量表进行标准有效性分析,还获得了重要值。总之,灾后精神应对量表的最终版本已经制定和验证,量表的信度和效度系数足够。该量表可用作评估受灾难影响的个人的精神应对机制的有力工具。
    This research presents the detailed development of the post-disaster spiritual coping scale, which aims to evaluate post-disaster spiritual coping processes. The study\'s first step in developing the scale has been to review the literature on the effects disasters have on the lives of individuals alongside spiritual coping\'s role in this process. The study has also taken into account the steps required when developing a scale. Data were initially collected from individuals who\'d experienced the February 6 Kahramanmaraş earthquake, after which the scale items were created. In line with expert opinions, a pilot application of the scale was applied before the items took their final form. During the data collection phase, data were collected three times (N1 = 388, N2 = 194, N3 = 94). Exploratory factor analysis (EFA) was then performed, and the scale was concluded to consist of one dimension and 13 items. Afterward, confirmatory factor analysis (CFA) was performed over the 13-item scale, confirming the results from the previous analysis. The CFA results also showed acceptable goodness-of-fit values to have been obtained (χ2/df = 2.200; RMSEA = 0.061; SRMR = 0.024; CFI = 0.933; GFI = 0.908). At the same time, each item in the scale was concluded to have a sufficient loading value. As a result of the analysis of internal consistency for the scale, Cronbach\'s alpha was found to be 0.950. Significant values were also obtained as a result of the criterion validity analysis for the developed scale. In conclusion, the final version of the post-disaster spiritual coping scale has been developed and validated, with the reliability and validity coefficients of the scale being found sufficient. This scale can be used as a powerful tool for evaluating the spiritual coping mechanisms of individuals who are being affected by disaster.
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  • 文章类型: Journal Article
    背景:家庭护理人员在为晚期癌症患者提供护理时面临重大挑战。精神应对策略可以支持护理人员应对这些挑战。
    目的:我们评估了中国晚期癌症患者家庭照顾者的精神应对水平,并探讨了相关因素。
    方法:这项横断面研究招募了358名晚期癌症患者的家庭照顾者。精神应对量表用于评估精神应对水平,虽然各种尺度,包括照顾者反应评估量表,一般自我效能感量表-Schwarzer,和感知社会支持量表,用于识别影响因素。T检验和方差分析用于组比较。采用Pearson相关和多元线性回归分析相关因素。
    结果:中国晚期癌症患者的家庭照顾者具有中等的精神应对水平。在性别中观察到精神应对水平的差异,宗教,以及是否存在焦虑和抑郁(p<0.05)。被认定为宗教的妇女和护理人员的水平更高,而焦虑或抑郁患者的水平较低。精神应对与自我效能感和精神健康呈正相关(p<0.01)。多元线性回归分析显示,宗教,焦虑,抑郁症,自我效能感,和精神健康是精神应对得分的统计学显著相关因素,解释了43.3%的分数差异(F=53.769,p<0.001)。
    结论:医疗保健提供者应考虑中国家庭照顾者的精神应对,他们应该专注于缓解焦虑和抑郁,同时提高自我效能和精神健康,尤其是在非宗教照顾者中。
    BACKGROUND: Family caregivers face significant challenges when providing care to individuals with advanced cancer. Spiritual coping strategies may support caregivers in addressing these challenges.
    OBJECTIVE: We evaluated spiritual coping levels among Chinese family caregivers of patients with advanced cancer and explored associated factors.
    METHODS: This cross-sectional study recruited 358 family caregivers of patients with advanced cancer. The Spiritual Coping Scale was used to evaluate spiritual coping levels, while various scales, including the Caregiver Reaction Assessment Scale, General Self-Efficacy Scale-Schwarzer, and Perceived Social Support Scale, were used to identify influencing factors. T-tests and analysis of variance were used for group comparisons. Pearson\'s correlation and multivariate linear regression were used to analyze the associated factors.
    RESULTS: Chinese family caregivers of patients with advanced cancer had moderate spiritual coping levels. Differences in spiritual coping levels were observed in sex, religion, and the presence or absence of anxiety and depression (p < 0.05). Women and caregivers who identified as religious had higher levels, while those with anxiety or depression had lower levels. Spiritual coping was positively correlated with self-efficacy and spiritual health (p < 0.01). Multiple linear regression analysis revealed that religion, anxiety, depression, self-efficacy, and spiritual health were statistically significant associated factors for spiritual coping scores, explaining 43.3% of the variance in scores (F = 53.769, p < 0.001).
    CONCLUSIONS: The spiritual coping of Chinese family caregivers should be considered by health care providers, who should focus on alleviating their anxiety and depression while improving self-efficacy and spiritual health, especially among nonreligious caregivers.
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  • 文章类型: Journal Article
    目标:在美国城市黑人中,枪支伤害的高发率可以导致很长的身体和心理恢复时间,由于获得精神卫生服务的机会有限而恶化。灵性可以推动积极的思想,行动,关于自我和他人的看法和行为,但在从枪支伤害中恢复的黑人中如何使用它还没有得到充分的探索。这项研究研究了灵性在枪支伤害的黑人男性幸存者康复中的作用。
    方法:使用描述性现象学采访了费城的10名受伤的城市黑人。参加了“城市黑人的情绪反应和受伤恢复”研究的一部分参与者,他们同意重新联系以进行未来的研究。获得知情同意,半结构化访谈是通过电话进行的,并进行了录音,转录,和去识别。主题内容分析用于理解对灵性的看法并识别精神应对行为主题。
    结果:研究结果表明,受伤的城市黑人从事有神论和非有神论的精神活动,导致积极的性格发展,降低了再次受伤的风险,希望,改善心理健康和社会纽带。
    结论:灵性可以通过促进受伤的城市黑人的期望行为和心理健康,作为防止枪支再伤害或报复的保护因素。将文化敏感的精神资源和心理治疗相结合,可能会导致有效的基于创伤的护理,以解决受伤的城市黑人的精神和生存挑战,他们可能会发现灵性很重要。
    High rates of firearm injury among urban Black men in the US can lead to long physical and psychological recovery times, worsened by limited access to mental health services. Spirituality can propel positive thoughts, actions, perceptions and behaviors about self and others yet how it is used among Black men recovering from firearm injury is underexplored. This study examined the role of spirituality in the recovery of Black male survivors of firearm injury.
    Ten injured urban Black men in Philadelphia were interviewed using descriptive phenomenology. A subset of participants from the Emotional Responses and Recovery from Injury in Urban Black Men study who agreed to be recontacted for future studies were enrolled. Informed consent was obtained, semi-structured interviews were conducted via phone and were audiotaped, transcribed, and de-identified. Thematic content analysis was used to understand perceptions of spirituality and to identify spiritual coping behavior themes.
    Findings suggest that injured urban Black men engaged in theistic and non-theistic spiritual activities that resulted in positive character development, reduced risk of re-injury, hope, improved mental health and social bonds.
    Spirituality may serve as a protective factor against firearm re-injury or retaliation by promoting desired behaviors and mental health among injured urban Black men. Combining culturally sensitive spiritual resources and psychotherapy may lead to effective trauma-informed care in addressing spiritual and existential challenges of injured urban Black men who may find spirituality important.
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  • 文章类型: Journal Article
    这项研究是为了确定接受化疗的癌症患者的精神护理需求。使用横断面描述性设计对土耳其一所大学医院的104名患者进行了分析。数据是使用精神护理需求量表收集的。参与研究的患者的平均年龄为61.0(10.2)。确定31.7%的患者表示灵性和精神护理的概念与宗教和崇拜有关。因此,结果发现接受化疗的患者有很高的精神护理需求。患者的精神需求非常高的维度是信仰和精神实践,和平与安全,他们的亲戚的爱和支持,并被告知健康。患者的精神护理需求得分随着婚姻状况的增加而显著增加(p=0.001),有孩子(p=0.002),患有慢性疾病(p=0.04)和具有本科/研究生水平的教育(p=0.01)。护士应该意识到病人的精神需求,计划针对患者的精神护理实践,对精神护理对患者和家庭的影响进行更多研究,并为在土耳其接受化疗的患者的精神护理实践制定指南。
    This study was conducted to determine the spiritual care needs of cancer patients receiving chemotherapy. A cross-sectional descriptive design was used to analyze a total of 104 patients at a university hospital in Turkey. The data were collected using the Spiritual Care Needs Scale. The mean age of the patients participating in the study was 61.0 (10.2). It was determined that 31.7% of the patients stated that the concepts of spirituality and spiritual care are related to religion and worship. As a result, it was found that the patients receiving chemotherapy had high-spiritual care needs. The dimensions in which the spiritual needs of the patients were remarkably high were belief and spiritual practices, being in peace and security, the love and support of their relatives and being informed about health. The spiritual care need score of the patients increased significantly with marital status (p = 0.001), having children (p = 0.002), having a chronic disease (p = 0.04) and having an undergraduate/graduate level education (p = 0.01). Nurses should be aware of patient\'s spiritual needs, plan patient-specific spiritual care practices, conduct more studies on the effects of spiritual care on the patient and family and create guidelines for spiritual care practices in patients receiving chemotherapy in Turkey.
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  • 文章类型: Journal Article
    灵性被认为是对抗慢性病的重要来源,可以促进自尊,精神安慰,希望在病人身上。关于其重要性,本研究旨在探讨精神应对策略及其与身体,焦虑,以及被转诊到肿瘤病房的癌症患者的抑郁症状。
    这是一项描述性相关研究,159名癌症患者参与了这项研究。使用包括社会人口统计学特征在内的四部分问卷收集信息,精神应对策略量表,身体症状以及焦虑和抑郁症状。数据使用Mann-WhitneyU检验进行分析,Kruskal-Wallis,和Spearman相关系数。
    研究结果表明,应用精神应对策略的方法的平均值(±SD)为35.69±10.92,对于其子量表,应用的平均值(±SD)宗教应对和非宗教应对策略分别为16.92±5.6和18.77±6.24。此外,患者感觉到的身体症状是疲倦,困倦,缺乏食欲。身体之间没有显著的相关性,焦虑,抑郁症状和精神应对策略(r=-0.12,P=0.12;r=0.07,P=0.41;r=-0.05,P=0.5)。
    关于物理,本研究中的焦虑和抑郁症状和精神(宗教和非宗教)应对策略,对癌症和患者文化方面的信念可能对他们的健康感更重要,并帮助他们应对疾病或治疗的负面影响。因此,在这方面需要做更多的研究。
    UNASSIGNED: Spirituality is considered an important source against chronic diseases and can promote self-esteem, mental comfort, and hope in patients. Concerning its importance, the present study aims to investigate spiritual coping strategies and its relationship with physical, anxiety, and depression symptoms of patients with cancer who are referred to the oncologic ward.
    UNASSIGNED: This was a descriptive-correlative study that 159 patients with cancer participated in the study. Information was collected using a four-part questionnaire including sociodemographic characteristics, Spiritual Coping Strategies Scale, physical symptoms as well as anxiety and depression symptoms. Data were analyzed using the Mann-Whitney U test, Kruskal-Wallis, and Spearman correlation coefficient.
    UNASSIGNED: Results of the study showed that the mean (±SD) of the application of methods of spiritual coping strategies was 35.69 ± 10.92 and for its subscales the mean (±SD) of the application of religious coping and nonreligious coping strategies were 16.92 ± 5.6 and 18.77 ± 6.24, respectively. Furthermore, physical symptoms perceived by patients were tiredness, drowsiness, and lack of appetite. There was no significant correlation between physical, anxiety, and depression symptoms and spiritual coping strategies (r = -0.12, P = 0.12; r = 0.07, P = 0.41; and r = -0.05, P = 0.5 respectively).
    UNASSIGNED: Regarding no significant relationship between physical, anxiety and depression symptoms and spiritual (religious and nonreligious) coping strategies in this study, belief towards cancer and cultural aspects of patients may be more essential to their sense of wellness and help them to cope with negative aspects of illness or treatment. Therefore, more study needs to be done in this area.
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  • 文章类型: Journal Article
    这项研究检查了台湾成年人的精神应对策略量表中文版(SCSS-C)的心理测量特性。台湾232名参与者的便利样本完成了一项在线调查,232名参与者中有45人在2周内再次完成了SCSS-C。SCSS-C的内容效度指数为0.97。平行分析和探索性因素分析结果揭示了两个因素(宗教应对和非宗教应对)。SCSS-C的内部一致性令人满意(α=0.88至0.92)。重测可靠性令人满意(r=0.68至0.89)。发现SCSS-C的心理测量特性可用于台湾成年人。
    This study examined the psychometric properties of the Spiritual Coping Strategies Scale-Chinese version (SCSS-C) in Taiwanese adults. A convenience sample of 232 participants in Taiwan completed an online survey, and 45 of the 232 participants completed the SCSS-C again over a 2 week interval. The content validity index of the SCSS-C was 0.97. Parallel analysis and exploratory factor analysis results revealed two factors (religious coping and non-religious coping). The internal consistency of the SCSS-C was satisfactory (α = 0.88 to 0.92). Test-retest reliability was satisfactory (r = 0.68 to 0.89). The psychometric properties of the SCSS-C were found to be acceptable for use in Taiwanese adults.
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