van Helmondt Sanne Jasperine, van der Lee Marije Liesbeth, de Vries Jolanda
Helen Dowling Instituut, Scientific Research Department, P.O. Box 80, 3723 MB Bilthoven, The Netherlands.
Center of Research on Psychology in Somatic diseases (CoRPS), Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands; Department of Medical Psychology, St Elisabeth Hospital, Tilburg, The Netherlands.
J Psychosom Res. 2017 Nov;102:21-28. doi: 10.1016/j.jpsychores.2017.09.001. Epub 2017 Sep 4.
The study objectives are to translate the FCRI in Dutch, and to explore the factor structure and the psychometric qualities of the Dutch translation of the Fear of Cancer Recurrence Inventory (FCRI-NL).
The original French-Canadian FCRI had been forward-backward translated into English by the developers, and this method was also used to translate the English version of the FCRI into Dutch. Patients were recruited via patient organizations between July 2011 and October 2013. To replicate the original 7-factor structure of the FCRI, confirmatory factor analysis (CFA) was performed. To examine the psychometric qualities, reliability (Cronbach's alpha), test-retest reliability (intra-class correlations; ICC), and convergent and divergent validity (Spearman's correlations) were calculated.
From 290 cancer patients, 255 (88%) were eligible for analysis (aged 51.0±9.8years, 88.6% women). CFA showed a reasonable yet suboptimal fit of the hypothesized model to the data. The FCRI-NL has good reliability (Cronbach's α=0.93 for the total scale and α=0.75-0.92 for the subscales) and test-retest reliability (ICC=0.84 for the total scale and ICC=0.56-0.87 for the subscales). Convergent (r=0.53-0.66 for the FCRI-NL and r=0.48-0.57 for the FCRI-SF-NL) and divergent (r=-0.20--0.07 for the FCRI-NL and r=-0.28--0.17 for the FCRI-SF-NL) validity was demonstrated.
The FCRI-NL seems to have sufficient psychometric properties. However, the FCRI-NL total score should be interpreted with caution. The Severity subscale (FCRI-SF-NL) may be a valuable screening tool for fear of cancer recurrence severity in clinical care.
本研究的目的是将癌症复发恐惧量表（FCRI）翻译成荷兰语，并探讨荷兰语版癌症复发恐惧量表（FCRI-NL）的因子结构和心理测量学特性。
最初的法裔加拿大人FCRI已由开发者进行了前后向翻译为英语，本研究也采用此方法将FCRI的英语版本翻译成荷兰语。2011年7月至2013年10月期间通过患者组织招募患者。为了复制FCRI最初的7因子结构，进行了验证性因子分析（CFA）。为了检验心理测量学特性，计算了信度（克朗巴哈α系数）、重测信度（组内相关系数；ICC）以及聚合效度和区分效度（斯皮尔曼相关系数）。
290名癌症患者中，255名（88%）符合分析条件（年龄51.0±9.8岁，88.6%为女性）。CFA显示假设模型与数据的拟合度合理但未达最优。FCRI-NL具有良好的信度（总量表克朗巴哈α系数=0.93，子量表α系数=0.75 - 0.92）和重测信度（总量表ICC=0.84，子量表ICC=0.56 - 0.87）。证明了聚合效度（FCRI-NL的r=0.53 - 0.66，FCRI-SF-NL的r=0.48 - 0.57）和区分效度（FCRI-NL的r=-0.20 - -0.07，FCRI-SF-NL的r=-0.28 - -0.17）。
FCRI-NL似乎具有足够的心理测量学特性。然而，FCRI-NL总分的解释应谨慎。严重程度子量表（FCRI-SF-NL）可能是临床护理中筛查癌症复发恐惧严重程度的有价值工具。
