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Psychometric properties of the Chinese version of State Self-Esteem Scale: an analysis of data from a cross-sectional survey of patients in the first four months after stroke.
J Clin Nurs. 2012 Nov; 21(21-22):3268-75.JC

Abstract

AIM

To establish the psychometric properties of the Chinese version of the State Self-Esteem Scale in stroke patients.

BACKGROUND

Self-esteem is seen to enhance peoples' ability to cope with disease: low self-esteem may inhibit participation in rehabilitation and thus result in poor health and social outcomes. Although the Chinese version of the State Self-Esteem Scale has been used as an outcome measure for stroke rehabilitation, no study has examined its factor structure in this patient group.

DESIGN

A cross-sectional design.

METHODS

A convenience sample of 265 Chinese stroke patients (mean age 71·4, SD 10·3 years), with a minimum score of 18 out of a possible 30 for the Mini Mental State Exam recruited from two regional rehabilitation hospitals in Hong Kong. An exploratory factor analysis and an internal consistency analysis of the State Self-Esteem Scale were conducted. Pearson's correlation coefficients were calculated between the State Self-Esteem Scale and the Geriatric Depression Scale to determine convergent validity.

RESULTS

The final factor solution comprised a three-factor model with correlated constructs and accounted for 49·5% of the total variance. Significant negative correlations were found between the Geriatric Depression Scale and the State Self-Esteem Scale subscale scores (r-0·31 to -0·55, p < 0·01), indicating that the State Self-Esteem Scale had acceptable convergent validity. The new three-factor structure had higher Cronbach's alphas when compared with the original three-factor structure.

RELEVANCE TO CLINICAL PRACTICE

The State Self-Esteem Scale appears to be a useful measure for assessing state self-esteem in stroke patients. To establish the concurrent, discriminative and construct validities, the factor structure of the SSES could be further developed and tested.

Authors+Show Affiliations

Nethersole School of Nursing, Chinese University of Hong Kong, Shatin, Hong Kong. janitachau@cuhk.edu.hkNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Validation Study

Language

eng

PubMed ID

21651632

Citation

Chau, Janita P C., et al. "Psychometric Properties of the Chinese Version of State Self-Esteem Scale: an Analysis of Data From a Cross-sectional Survey of Patients in the First Four Months After Stroke." Journal of Clinical Nursing, vol. 21, no. 21-22, 2012, pp. 3268-75.
Chau JP, Thompson DR, Chang AM, et al. Psychometric properties of the Chinese version of State Self-Esteem Scale: an analysis of data from a cross-sectional survey of patients in the first four months after stroke. J Clin Nurs. 2012;21(21-22):3268-75.
Chau, J. P., Thompson, D. R., Chang, A. M., & Woo, J. (2012). Psychometric properties of the Chinese version of State Self-Esteem Scale: an analysis of data from a cross-sectional survey of patients in the first four months after stroke. Journal of Clinical Nursing, 21(21-22), 3268-75. https://doi.org/10.1111/j.1365-2702.2011.03724.x
Chau JP, et al. Psychometric Properties of the Chinese Version of State Self-Esteem Scale: an Analysis of Data From a Cross-sectional Survey of Patients in the First Four Months After Stroke. J Clin Nurs. 2012;21(21-22):3268-75. PubMed PMID: 21651632.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychometric properties of the Chinese version of State Self-Esteem Scale: an analysis of data from a cross-sectional survey of patients in the first four months after stroke. AU - Chau,Janita P C, AU - Thompson,David R, AU - Chang,Anne M, AU - Woo,Jean, Y1 - 2011/06/08/ PY - 2011/6/10/entrez PY - 2011/6/10/pubmed PY - 2013/3/26/medline SP - 3268 EP - 75 JF - Journal of clinical nursing JO - J Clin Nurs VL - 21 IS - 21-22 N2 - AIM: To establish the psychometric properties of the Chinese version of the State Self-Esteem Scale in stroke patients. BACKGROUND: Self-esteem is seen to enhance peoples' ability to cope with disease: low self-esteem may inhibit participation in rehabilitation and thus result in poor health and social outcomes. Although the Chinese version of the State Self-Esteem Scale has been used as an outcome measure for stroke rehabilitation, no study has examined its factor structure in this patient group. DESIGN: A cross-sectional design. METHODS: A convenience sample of 265 Chinese stroke patients (mean age 71·4, SD 10·3 years), with a minimum score of 18 out of a possible 30 for the Mini Mental State Exam recruited from two regional rehabilitation hospitals in Hong Kong. An exploratory factor analysis and an internal consistency analysis of the State Self-Esteem Scale were conducted. Pearson's correlation coefficients were calculated between the State Self-Esteem Scale and the Geriatric Depression Scale to determine convergent validity. RESULTS: The final factor solution comprised a three-factor model with correlated constructs and accounted for 49·5% of the total variance. Significant negative correlations were found between the Geriatric Depression Scale and the State Self-Esteem Scale subscale scores (r-0·31 to -0·55, p < 0·01), indicating that the State Self-Esteem Scale had acceptable convergent validity. The new three-factor structure had higher Cronbach's alphas when compared with the original three-factor structure. RELEVANCE TO CLINICAL PRACTICE: The State Self-Esteem Scale appears to be a useful measure for assessing state self-esteem in stroke patients. To establish the concurrent, discriminative and construct validities, the factor structure of the SSES could be further developed and tested. SN - 1365-2702 UR - https://www.unboundmedicine.com/medline/citation/21651632/Psychometric_properties_of_the_Chinese_version_of_State_Self_Esteem_Scale:_an_analysis_of_data_from_a_cross_sectional_survey_of_patients_in_the_first_four_months_after_stroke_ L2 - https://doi.org/10.1111/j.1365-2702.2011.03724.x DB - PRIME DP - Unbound Medicine ER -