Division of Clinical Psychology, University of Manchester, Rawnsley Building, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; School of Health, BB235, University of Central Lancashire, Preston, Lancashire PR1 2HE, UK.
Division of Clinical Psychology, University of Manchester, Rawnsley Building, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK.
Psychiatry Res. 2015 Dec 30;230(3):871-7. doi: 10.1016/j.psychres.2015.11.035. Epub 2015 Nov 25.
Metacognitive beliefs have been shown to correlate with emotional disorders and more recently have been implicated in health anxiety. Research exploring these beliefs have tended to use the Metacognition Questionnaire (MCQ), which is a general measure. To facilitate research on the metacognitive model applied to health anxiety the present study reports on the development and initial evaluation of a new specific metacognitive measure of health anxiety, the Metacognitions Questionnaire-Health Anxiety (MCQ-HA). Principal components analysis identified 14 suitable items to be explored. Subsequent exploratory factor analysis of the MCQ-HA identified three factors: "Beliefs that Thoughts can cause Illness", "Beliefs about Biased thinking", and "Beliefs that Thoughts are Uncontrollable". Confirmatory factor analysis supported the three factor model with all selected goodness-of-fit statistics equivalent to or better than recommended values. Preliminary evidence suggests good internal-consistency, incremental, convergent and discriminant validity in relation to associated measures. The MCQ-HA appears to be a potentially useful predictor of health anxiety.
元认知信念与情绪障碍相关，最近也与健康焦虑有关。探索这些信念的研究往往使用元认知问卷（MCQ），这是一种通用的测量方法。为了促进应用于健康焦虑的元认知模型的研究，本研究报告了一种新的特定健康焦虑元认知测量工具——健康焦虑元认知问卷（MCQ-HA）的开发和初步评估。主成分分析确定了 14 个合适的项目进行探索。随后对 MCQ-HA 的探索性因子分析确定了三个因素：“思维会导致疾病的信念”、“关于偏见思维的信念”和“思维无法控制的信念”。验证性因子分析支持三因素模型，所有选定的拟合优度统计量均等于或优于推荐值。初步证据表明，与相关测量相比，该量表具有良好的内部一致性、增量、收敛和区分效度。MCQ-HA 似乎是健康焦虑的一个有潜在用途的预测指标。
