Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmialem Vakıf University, 34093, Istanbul, Turkey.
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Medipol University, Istanbul, Turkey.
Clin Rheumatol. 2018 Dec;37(12):3247-3254. doi: 10.1007/s10067-018-4239-3. Epub 2018 Jul 28.
In chronic inflammatory rheumatic diseases (CIRD), it is important to understand patients' fears towards their disease in order to improve patient-physician dialog, to raise the quality of care offered, and to optimize treatment adherence. In this study, we aimed to translate the Fear Assessment in Inflammatory Rheumatic diseases (FAIR) questionnaire into Turkish and evaluate its psychometric properties in patients with CIRD. One hundred fifteen patients filled the provided socio-demographic information form, FAIR-Tr questionnaire, Hospital Anxiety and Depression Scale (HADS), and Beck's Hopelessness Scale (BHS). For the analysis of short-term reliability, 50 patients re-filled the FAIR-Tr questionnaire 1 week later. Internal consistency was evaluated with Cronbach's α coefficient and test-retest reliability was evaluated with intraclass correlation coefficients (ICC). Construct validity analysis was investigated based on the correlation with HADS and BHS. All patients found FAIR-Tr easily understandable and acceptable. FAIR-Tr internal consistency (Cronbach's α = 0.93) and test-retest reliability (ICC = 0.91) were excellent. Psychometric validation was proved upon observing high correlation with HADS (Anxiety, r = 0.77; Depression, r = 0.70) and moderate correlation with BHS (r = 0.65). FAIR-Tr is a questionnaire that has excellent internal consistency and test-retest reliability. The successful correlation with HADS and BHS supported its psychometric validity in terms of evaluating the fear in CIRD cases. We think that FAIR-Tr is a specific scale that can help to evaluate the disease- and treatment-related fears of the Turkish patients with CIRD and may be useful in both routine practice and clinical studies.
在慢性炎症性风湿病（CIRD）中，了解患者对疾病的恐惧非常重要，以便改善医患对话、提高提供的护理质量并优化治疗依从性。在这项研究中，我们旨在将炎症性风湿病恐惧评估（FAIR）问卷翻译成土耳其语，并评估其在 CIRD 患者中的心理测量特性。115 名患者填写了提供的社会人口统计学信息表、FAIR-Tr 问卷、医院焦虑和抑郁量表（HADS）和贝克绝望量表（BHS）。为了分析短期可靠性，50 名患者在 1 周后重新填写了 FAIR-Tr 问卷。内部一致性采用 Cronbach's α 系数评估，重测信度采用组内相关系数（ICC）评估。根据与 HADS 和 BHS 的相关性，进行了结构有效性分析。所有患者都认为 FAIR-Tr 易于理解和接受。FAIR-Tr 的内部一致性（Cronbach's α=0.93）和重测信度（ICC=0.91）均非常优秀。通过观察与 HADS 高度相关（焦虑，r=0.77；抑郁，r=0.70）和与 BHS 中度相关（r=0.65），证明了心理测量学的有效性。FAIR-Tr 是一种具有优异内部一致性和重测信度的问卷。与 HADS 和 BHS 的成功相关性支持了其在评估 CIRD 患者恐惧方面的心理测量有效性。我们认为 FAIR-Tr 是一种特定的量表，可以帮助评估土耳其 CIRD 患者的疾病和治疗相关恐惧，并且可能在常规实践和临床研究中都有用。
