Watrowski Rafał, Rohde Anke
Department of Gynecology and Obstetrics, St. Josefskrankenhaus, Teaching Hospital of the University of Freiburg, Sautierstr. 1, 79104, Freiburg, Germany,
Wien Klin Wochenschr. 2014 Sep;126(17-18):524-31. doi: 10.1007/s00508-014-0569-6. Epub 2014 Jul 4.
Gynecology and obstetrics are areas of medicine associated with emotionally loaded concerns. Both positive and negative aspects of psychological well-being can be assessed with the 12-item Well-Being Questionnaire (W-BQ12). Our study aimed to evaluate the psychometric properties of the W-BQ12 in gynecologic and obstetric patients.
A cohort of 228 gynecologic patients, consisting of endocrinologic (n = 102) and obstetric (n = 126) subgroups, responded to a structured interview or to a questionnaire about sociodemographic and medical data, and to a set of psychometric tests: the W-BQ12, the Hospital Anxiety and Depression Scale (HADS), the Beck Depression Inventory (BDI), and the Hamilton Depression Scale (HAMD). Except for the current health problem, all probable confounding factors (psychiatric, oncologic, or other somatic morbidity, postmenopausal status) were excluded.
The W-BQ12 scores correlated significantly and adequately (r = 0.35-0.80) with reference instruments (HADS, BDI, and HAMD). The internal consistency, measured by Cronbach's alpha, was very good for the whole questionnaire (0.86) as well as for the subscales (0.76-0.79). The principal component analysis indicated a clear three-factor structure with eigenvalues >1. Factors 1 ("negative well-being"), 2 ("positive well-being"), and 3 ("energy") explained 22, 21, and 19 % of the variance, respectively.
The W-BQ12 is suitable for the global assessment of psychological well-being, as well as for differentiation between negative and positive well-being aspects in gynecologic patients.
妇产科是与情感负担问题相关的医学领域。心理健康的积极和消极方面都可以通过12项幸福感问卷（W-BQ12）进行评估。我们的研究旨在评估W-BQ12在妇产科患者中的心理测量特性。
一组228名妇科患者，包括内分泌学亚组（n = 102）和产科亚组（n = 126），对关于社会人口统计学和医学数据的结构化访谈或问卷做出回应，并接受一系列心理测量测试：W-BQ12、医院焦虑抑郁量表（HADS）、贝克抑郁量表（BDI）和汉密尔顿抑郁量表（HAMD）。除了当前的健康问题外，所有可能的混杂因素（精神疾病、肿瘤疾病或其他躯体疾病、绝经后状态）均被排除。
W-BQ12得分与参考工具（HADS、BDI和HAMD）显著且充分相关（r = 0.35 - 0.80）。通过克朗巴赫α系数测量的内部一致性，对于整个问卷（0.86）以及各子量表（0.76 - 0.79）都非常好。主成分分析表明存在一个清晰的三因素结构，特征值>1。因素1（“消极幸福感”）、因素2（“积极幸福感”）和因素3（“活力”）分别解释了22%、21%和19%的方差。
W-BQ12适用于对妇科患者心理健康的整体评估，以及区分消极和积极的幸福感方面。
