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评估患者对其癌症相关疲劳的认知:疾病认知问卷改编版的验证

Assessing patients' beliefs about their cancer-related fatigue: validation of an adapted version of the Illness Perception Questionnaire.

作者信息

Pertl Maria Margareta, Hevey David, Donohoe Gary, Collier Sonya

机构信息

School of Psychology, Aras An Phiarsaigh, Trinity College Dublin, Dublin 2, Ireland.

出版信息

J Clin Psychol Med Settings. 2012 Sep;19(3):293-307. doi: 10.1007/s10880-012-9298-z.

DOI:10.1007/s10880-012-9298-z
PMID:22476942
Abstract

Cancer-related fatigue (CRF) is a common and distressing side-effect of cancer treatment. The present study developed a brief version of the Illness Perception Questionnaire (IPQ) for assessing patients' representations of CRF. Cancer patients and survivors (n = 155) completed a revised version of the IPQ as well as measures of fatigue severity at two different time-points. Confirmatory factor analysis at both Time 1 and 2 showed that the seven-factor solution based on the Self-Regulation Model fit the data adequately and factorial invariance over the two time-points was supported. The resulting subscales exhibited good internal consistency and test-retest reliability. The adapted version of the IPQ shows promise for the assessment of patient perceptions regarding CRF. The scale may be able to be used clinically to identify if patients have inaccurate or unhelpful representations of CRF and to help tailor interventions for persistent fatigue in cancer survivors.

摘要

癌症相关疲劳(CRF)是癌症治疗常见且令人痛苦的副作用。本研究开发了一份简短版的疾病认知问卷(IPQ),用于评估患者对CRF的认知。癌症患者及幸存者(n = 155)在两个不同时间点完成了IPQ的修订版以及疲劳严重程度测量。时间1和时间2的验证性因素分析均表明,基于自我调节模型的七因素解决方案能充分拟合数据,且支持两个时间点间的因子不变性。由此产生的分量表具有良好的内部一致性和重测信度。IPQ的改编版在评估患者对CRF的认知方面显示出前景。该量表或许可在临床上用于识别患者对CRF的认知是否不准确或无帮助,并有助于为癌症幸存者的持续性疲劳量身定制干预措施。

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本文引用的文献

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Is increasing physical activity necessary to diminish fatigue during cancer treatment? Comparing cognitive behavior therapy and a brief nursing intervention with usual care in a multicenter randomized controlled trial.在癌症治疗期间增加身体活动是否有助于减轻疲劳?一项多中心随机对照试验比较认知行为疗法和简短护理干预与常规护理的效果。
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一项针对治疗后持续性疲劳的癌症幸存者的在线干预措施的初步随机对照试验方案。
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Psychol Health. 2016 Jul;31(7):891-902. doi: 10.1080/08870446.2016.1158259. Epub 2016 Mar 16.
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A pan-Canadian practice guideline and algorithm: screening, assessment, and supportive care of adults with cancer-related fatigue.加拿大泛加实践指南及算法:癌症相关疲劳成人的筛查、评估和支持性护理。
Curr Oncol. 2013 Jun;20(3):e233-46. doi: 10.3747/co.20.1302.
《疾病感知问卷》在评估心理健康从业者对精神分裂症患者看法中的效用。
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