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探究中国注射吸毒者中物质依赖的疾病认知问卷修订版的因素结构。

Investigating the factor structure of the Illness Perception Questionnaire-revised for substance dependence among injecting drug users in China.

作者信息

Mo Phoenix K H, Lau Joseph T F, Cheng Kit Man, Mak Winnie W S, Gu Jing, Wu Anise M S, Li Jinghua

机构信息

Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong; The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China.

Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong; The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China; Centre for Medical Anthropology and Behavioral Health, Sun Yat-sen University, Guangzhou, China.

出版信息

Drug Alcohol Depend. 2015 Mar 1;148:195-202. doi: 10.1016/j.drugalcdep.2015.01.008. Epub 2015 Jan 16.

Abstract

BACKGROUND

The Illness Perception Questionnaire-Revised (IPQ-R) has commonly been used to measure illness representations of various diseases. The present study examined whether the original factor structure of the IPQ-R could be confirmed or a new structure could be established on substance dependence among injecting drug users (IDU) in China.

METHODS

A total of 257 IDU completed the 38-item IPQ-R on substance dependence.

RESULTS

Results of confirmatory factor analysis (CFA) showed that the 7-factor structure as proposed by the original IPQ-R reported poor goodness-of-fit statistics. Although removal of 12 items improved the model fit, the goodness-of-fit statistics were still below acceptable standards. Furthermore, factors obtained from the exploratory factor analysis (EFA) of the IPQ-R were not interpretable.

CONCLUSIONS

The CFA found that the original IPQ-R factor structure fit the data poorly. Factors derived from EFA were also not interpretable. Use of the IPQ-R for assessment of illness representations of substance dependence among IDU in China is cautioned until further validation.

摘要

背景

修订后的疾病认知问卷(IPQ-R)常用于测量各种疾病的疾病认知。本研究探讨了IPQ-R的原始因子结构在中国注射吸毒者(IDU)的物质依赖方面是否能够得到证实,或者是否能够建立一个新的结构。

方法

共有257名注射吸毒者完成了关于物质依赖的38项IPQ-R问卷。

结果

验证性因子分析(CFA)结果显示,原始IPQ-R提出的7因子结构的拟合优度统计结果较差。虽然删除12个项目改善了模型拟合,但拟合优度统计结果仍低于可接受标准。此外,从IPQ-R的探索性因子分析(EFA)中获得的因子无法解释。

结论

CFA发现原始IPQ-R因子结构对数据的拟合较差。EFA得出的因子也无法解释。在进一步验证之前,谨慎使用IPQ-R评估中国注射吸毒者的物质依赖疾病认知。

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