Abstracts
Résumé
La résilience correspond à la manifestation de signes psychophysiologiques positifs chez un individu évoluant dans un environnement stressant. L’échelle abrégée de Connor et Davidson (CD-RISC 10) en permet une estimation fiable et rapide. Une version française n’existant pas, nos objectifs ont consisté à produire cette version, à en analyser les propriétés psychométriques et à en tester l’invariance dans différents échantillons. Le projet a impliqué les étudiants inscrits en santé à l’Université de Nantes. Nous avons exploité 1347 réponses provenant d’étudiants inscrits en première année commune aux études de santé (PACES), d’étudiants en odontologie et en médecine ainsi que d’internes de médecine générale. Les analyses ont confirmé la structure unidimensionnelle. Les indicateurs de consistance interne et de stabilité temporelle étaient acceptables. La validité convergente était seulement satisfaite pour les internes de médecine générale. L’analyse a montré que l’invariance selon le genre ou le curriculum était acceptable au niveau métrique/ faible. Le niveau d’invariance scalaire/fort selon le genre n’a été satisfait que chez les étudiants en PACES et les internes. Une invariance partielle a été proposée en fonction du genre pour les étudiants en médecine et en odontologie. Nos résultats indiquent que l’échelle CD-RISC 10 peut être utilisée pour évaluer la résilience d’étudiants en santé en France, dès lors qu’une mesure d’invariance accompagne les analyses statistiques.
Mots-clés :
- résilience,
- échelle CD-RISC,
- formation médicale,
- psychométrie,
- stress,
- vulnérabilité
Abstract
Resilience corresponds to positive psychophysiological outcomes while living in a stressful environment. The 10-item Connor-Davidson resilience scale (CD-RISC 10) allows a reliable and rapid estimation of resilience. As French version is still lacking, our objectives were to produce a French version, to analyze the psychometric properties and to measure scale invariance in different samples. The project involved health students enrolled at Nantes University. The dataset was composed by 1347 responses originating from first-year students, from dental and medical students, and from family medicine residents. Analyses revealed a replicable unidimensional structure. The indicators of internal consistency and time-related stability reached acceptance thresholds. Convergent validity was found acceptable only in the sample of family medicine residents. Scale invariance across gender and curriculum was satisfied at the weak/metric level. Strong/scalar invariance across gender was only observed for first-year students and for family medicine residents. Partial scale invariance across gender was proposed for medical and dental students. These results indicate that the French version of the CD-RISC 10 scale can be used to assess French health students resilience. However, invariance measurement remains essential in order to validate comparative analyses.
Keywords:
- resilience,
- CD-RISC scale,
- medical education,
- psychometry,
- stress,
- vulnerability
Resumo
A resiliência corresponde à manifestação de sinais psicofisiológicos positivos num indivíduo que evolui num ambiente de stressante. A escala de resiliência Connor-Davidson (CD-RISC) 10 permite uma estimativa fiável e rápida. Os nossos objetivos foram produzir uma versão francesa desta escala, analisar as suas propriedades psicométricas e testar a sua invariância em diferentes amostras. O projeto envolveu estudantes matriculados em saúde na Universidade de Nantes. Utilizamos 1347 respostas provenientes de alunos matriculados no primeiro ano comum nos estudos de saúde (PACES), estudantes de odontologia e medicina e internos em medicina geral. As análises confirmaram a estrutura unidimensional. Os indicadores de consistência interna e estabilidade temporal foram aceitáveis. A validade convergente só foi satisfeita pelos internos em medicina geral. A análise mostrou que a invariância de género ou de currículo era aceitável no nível métrico/fraco. O nível de invariância escalar/forte de género foi satisfeito apenas nos estudantes do PACES e internos. Invariância parcial foi proposta em função do género nos estudantes em medicina e odontologia. Os nossos resultados indicam que a escala CD-RISC 10 pode ser usada para avaliar a resiliência de estudantes de saúde em França, uma vez que uma medida de invariância acompanha as análises estatísticas.
Palavras chaves:
- resiliência,
- escala CD-RISC,
- formação médica,
- psicometria,
- stress,
- vulnerabilidade
Appendices
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