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简明疾病感知问卷的系统评价与荟萃分析

A systematic review and meta-analysis of the Brief Illness Perception Questionnaire.

作者信息

Broadbent Elizabeth, Wilkes Carissa, Koschwanez Heidi, Weinman John, Norton Sam, Petrie Keith J

机构信息

a Department of Psychological Medicine , The University of Auckland , Auckland , New Zealand.

b Institute of Pharmaceutical Science, Kings College London , London , England.

出版信息

Psychol Health. 2015;30(11):1361-85. doi: 10.1080/08870446.2015.1070851. Epub 2015 Aug 26.

Abstract

OBJECTIVE

This paper aims to systematically review the use and performance of the Brief Illness Perception Questionnaire (Brief IPQ).

DESIGN

Electronic databases were searched for papers administering the Brief IPQ published in peer-reviewed journals. Data were extracted from the results for meta-analysis.

MAIN OUTCOME MEASURES

Use by illness population, country, language and study design. The questionnaire's concurrent validity, predictive validity, sensitivity to change, discriminant validity and mean scores for different populations were summarised.

RESULTS

The review included 188 papers. The Brief IPQ has been administered to patients from age 8 to over 80, with a wide range of illnesses, in 26 languages from 36 countries. Pooled correlations between illness perceptions and depression, anxiety, blood glucose levels and quality of life were consistent with previous research and theory (range .25-.49 for consequences, identity and emotional representations; -.12 to -.27 for personal control). All items were able to predict some outcomes up to one-year follow-up. Each subscale demonstrated sensitivity to change after intervention in randomised controlled trials with the personal control and causal items showing most frequent change.

CONCLUSIONS

The Brief IPQ is widely used and has good psychometric properties. More studies should include and analyse the causal item.

摘要

目的

本文旨在系统评价简易疾病认知问卷(Brief IPQ)的使用情况及性能。

设计

检索电子数据库,查找同行评审期刊上发表的使用Brief IPQ的论文。从结果中提取数据进行荟萃分析。

主要观察指标

按疾病人群、国家、语言和研究设计分类的使用情况。总结了该问卷的同时效度、预测效度、对变化的敏感性、区分效度以及不同人群的平均得分。

结果

该综述纳入了188篇论文。Brief IPQ已被用于来自36个国家、使用26种语言、年龄从8岁到80多岁、患有多种疾病的患者。疾病认知与抑郁、焦虑、血糖水平和生活质量之间的合并相关性与先前的研究和理论一致(后果、身份认同和情感表征的范围为0.25 - 0.49;个人控制的范围为 - 0.12至 - 0.27)。所有项目在长达一年的随访中都能够预测一些结果。在随机对照试验中,每个子量表在干预后都表现出对变化的敏感性,其中个人控制和因果关系项目变化最为频繁。

结论

Brief IPQ被广泛使用且具有良好的心理测量特性。更多研究应纳入并分析因果关系项目。

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