Carleton R Nicholas, Park Ilhyeok, Asmundson Gordon J G
Anxiety and Illness Behaviours Laboratory, University of Regina, Regina, Saskatchewan, Canada.
Depress Anxiety. 2006;23(6):340-6. doi: 10.1002/da.20138.
The 11-item Illness/Injury Sensitivity Index [ISI; Taylor, 1993: J Behav Ther Exp Psychiatry 24:289-299] measures fears of injury and illness and has the potential to delineate some mechanisms underlying anxiety-associated chronic health conditions. In a principal components analysis in 2005, Carleton et al. [2005a: J Psychopathol Behav Assess 27:235-241] indicated that a two-factor solution (Fear of Injury and Fear of Illness) best explained the structure of the ISI. The primary purpose of this study was to examine the structural and construct validity of the ISI. Results supported a two-factor solution after removal of two overinclusive items. Although the measure demonstrated good factorial validity, convergent and discriminant validity require further evaluation. In addition, a substantial correlation with fear of pain suggests a shift in our perspective on what constitutes a fundamental fear. Future research implications are discussed.
11项疾病/损伤敏感指数[ISI；泰勒，1993年：《行为疗法与实验精神病学杂志》24：289 - 299]测量对损伤和疾病的恐惧，并且有潜力描绘出一些与焦虑相关的慢性健康状况背后的机制。在2005年的主成分分析中，卡尔顿等人[2005a：《精神病理学与行为评估杂志》27：235 - 241]指出，一个双因素解决方案（对损伤的恐惧和对疾病的恐惧）能最好地解释ISI的结构。本研究的主要目的是检验ISI的结构效度和构想效度。在去除两个包含过度的项目后，结果支持了双因素解决方案。尽管该测量显示出良好的因子效度，但收敛效度和区分效度仍需进一步评估。此外，与疼痛恐惧的显著相关性表明我们对于构成基本恐惧的看法发生了转变。文中还讨论了未来的研究意义。
