标题：Validating the Life Events Scale for the Elderly with proxy-based data: A case-control psychological autopsy study in rural China
作者：Mo, Qiqing; Zhou, Liang; He, Qiuping; Jia, Cunxian; Ma, Zhenyu
作者机构：[Mo, Qiqing; Ma, Zhenyu] Guangxi Med Univ, Sch Publ Hlth, Dept Social Med, 22 Shuangyong Rd, Nanning 530021, Peoples R China.; [Zhou, Liang] Guangzh 更多
通讯作者地址：[Ma, ZY]Guangxi Med Univ, Sch Publ Hlth, Dept Social Med, 22 Shuangyong Rd, Nanning 530021, Peoples R China.
来源：GERIATRICS & GERONTOLOGY INTERNATIONAL
关键词：Chinese rural elderly; life event; psychological autopsy; suicide
摘要：Aim The present study aimed to evaluate the validity of proxy informants' reports on Life Event Scale for the Elderly (LESE) by using psychological autopsy method among rural older adults in China. Methods A multistage stratified cluster sampling method was used to select research sites. Using a case-control psychological autopsy study, face-to-face interviews were carried out to collect information from 242 suicide cases and 242 living controls. We compared the intensity and number of life events to assess the validity and reliability of LESE with proxy data reported by different informants. Data from proxy respondents of the living controls were compared with data reported by the targets (gold standards). Intraclass correlation coefficients were computed to evaluate the consistency of informants. Spearman's correlation analysis was used to analyze the convergent validity and discriminate validity of the LESE. Results The number of life events between different informants showed higher intraclass correlation coefficients values than the intensity of life events, but the results of correlation analysis was similar. The LESE was positively correlated with depression, loneliness and hopelessness, and negatively correlated with quality of life, family function and social support both in suicide cases and living controls. Conclusions The LESE has good convergent validity and discriminant validity. LESE is a valid instrument for measuring life events in psychological autopsy studies. We suggest using the number of life events to assess the validity and reliability with proxy data in a psychological autopsy study, which is more reliable than using the intensity of life events. Geriatr Gerontol Int 2019; center dot center dot: center dot center dot-center dot center dot.