Background:Recovery from trauma can be naturally occurring or facilitated through psychotherapy. Few brief measures exist to provide clinicians with dispositional, empirical assessments of patient’s sentiments during psychotherapy.Aims:This manuscript presents the Dispositional Recovery and Dysfunction Inventory (DRDI), a measure created to assist clinicians in evaluating patient’s treatment progress during psychotherapy, as well as evaluate its factor structure, reliability estimates, measurement invariance, and correlates.Method:The DRDI was created based on feedback from experts with experience treating posttraumatic stress disorder (PTSD) and was structurally validated in two distinct populations. Exploratory factor analysis was conducted in sample 1 consisting of (n=401) university students. Confirmatory factor analysis, measure validity and structure validation were then conducted in sample 2 (n=249) composed of 49% individuals with clinically significant PTSD symptoms.Results:Exploratory and confirmatory factor analysis revealed that the DRDI was best represented by a two-factor correlated traits model representing sentiments related to dispositional recovery and dysfunctional cognitions. The recovery subscale exhibited relationships with convergent measures including authenticity and psychological hardiness (r values of .30 to .60). The dysfunctional beliefs subscale exhibited relationships with convergent measures: PTSD, depression, suicidality and stress (r values of .55 to 80). Measurement invariance across gender and PTSD status was observed.Conclusion:Initial findings indicate that the DRDI has the potential to be a useful tool to assess individuals’ beliefs about their propensity to recover from and thrive through adversity.

中文翻译：

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性格恢复和功能障碍量表的开发和心理测量验证：一种评估创伤暴露后积极和消极认知的工具

背景：从创伤中恢复可以自然发生或通过心理治疗促进。很少有简短的措施可以为临床医生提供心理治疗期间患者情绪的倾向性、经验性评估。目的：本手稿介绍了倾向性恢复和功能障碍量表（DRDI），这是一项旨在帮助临床医生评估患者在心理治疗期间的治疗进展的措施，以及评估其因子结构、可靠性估计、测量不变性和相关性。方法：DRDI 是根据具有治疗创伤后应激障碍 (PTSD) 经验的专家的反馈创建的，并在两个不同的人群中进行了结构验证。在样本 1 中进行探索性因素分析，包括 (n=401) 大学生。然后在样本 2 中进行验证性因子分析、测量效度和结构验证（n= 249) 由 49% 的具有临床显着 PTSD 症状的个体组成。结果：探索性和验证性因素分析表明，DRDI 最好由代表与性格恢复和功能障碍认知相关的情绪的双因素相关特征模型来表示。恢复分量表与包括真实性和心理耐受性在内的收敛性测量值相关（r0.30 至 0.60 的值）。功能失调的信念分量表表现出与收敛性测量的关系：创伤后应激障碍、抑郁、自杀和压力（r0.55 到 80 的值）。观察到跨性别和 PTSD 状态的测量不变性。结论：初步研究结果表明，DRDI 有可能成为评估个人对其从逆境中恢复和在逆境中茁壮成长的倾向的有用工具。