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适应于肌肉骨骼疾病所致工作残疾的修订版疾病感知问卷的内部一致性和结构有效性。

Internal consistency and construct validity of the Revised Illness Perception Questionnaire adapted for work disability following a musculoskeletal disorder.

机构信息

Department of Clinical Sciences, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Canada.

出版信息

Disabil Rehabil. 2013 Apr;35(7):557-65. doi: 10.3109/09638288.2012.702849. Epub 2012 Aug 14.

DOI:10.3109/09638288.2012.702849
PMID:22889376
Abstract

PURPOSE

To assess internal consistency and construct validity of the French version of the Revised Illness Perception Questionnaire adapted for Work Disability (IPQR-WD).

METHOD

A cross sectional study was conducted in rehabilitation centers and private clinics in the Montreal region of Canada, involving 43 men and women, French speaking, absent from work between 3 months and a year due to musculoskeletal disorders. The 9 dimension IPQR-WD and the following eight-related instruments for construct validity were administered: Tampa Scale for Kinesiophobia (TSK), Pain Catastrophizing Scale (PCS), Psychological Distress Index (PDI-14), Pain Disability Index (PDI), Self-Efficacy for Return to Work Scale (SERWS), Pain Beliefs and Perceptions Inventory (PBPI), Implicit Models of Illness Questionnaire (IMIQ) and a Visual Analog Scale for pain intensity (VAS).

RESULTS

Calculations of Cronbach's α (from 0.58 to 0.87) revealed satisfactory internal consistency of the IPQR-WD dimensions. Multiple regression analyses were performed with each IPQR-WD dimension and significant independent variables. Final models explained a good proportion of the variance (adjusted r(2) = 0.33-0.70) for each dimension, except for the Cyclical timeline dimension for which associations became non-significant after adjusting for gender, age and length of sick leave. The SERWS and the VAS were not significantly associated to any of the IPQR-WD dimensions.

CONCLUSIONS

Moderate to strong correlations were found with six-related instruments which support the multidimensional nature of the IPQR-WD and its unique contribution as one simple questionnaire that can assess representations related to work disability. [Box: see text].

摘要

目的

评估适用于工作残疾的修订疾病感知问卷(IPQR-WD)法语版的内部一致性和结构效度。

方法

在加拿大蒙特利尔地区的康复中心和私人诊所进行了一项横断面研究,涉及 43 名因肌肉骨骼疾病缺勤 3 个月至 1 年的讲法语的男性和女性。使用了 9 个维度的 IPQR-WD 和以下 8 个与结构效度相关的工具:运动恐惧症量表(TSK)、疼痛灾难化量表(PCS)、心理困扰指数(PDI-14)、疼痛残疾指数(PDI)、重返工作自我效能感量表(SERWS)、疼痛信念和知觉问卷(PBPI)、疾病隐含模型问卷(IMIQ)和疼痛强度视觉模拟量表(VAS)。

结果

Cronbach's α 的计算(从 0.58 到 0.87)显示 IPQR-WD 维度具有令人满意的内部一致性。对每个 IPQR-WD 维度和显著的自变量进行了多元回归分析。除了周期性时间线维度外,最终模型解释了每个维度的很大一部分方差(调整后的 r(2) = 0.33-0.70),在调整性别、年龄和病假长度后,关联性变得不显著。SERWS 和 VAS 与 IPQR-WD 的任何维度均无显著相关性。

结论

与六个相关工具的中度至强相关性支持了 IPQR-WD 的多维性质及其独特贡献,作为一个简单的问卷,可以评估与工作残疾相关的代表性。[方框:见文本]。

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