《健康认知问卷》中文版在中国大学生中的效度验证
Validation of the Chinese version of the Health Cognitions Questionnaire in Chinese college students.
作者信息
Dai Lisha, Xu Zan, Yin Meng, Wang Xiang, Deng Yunlong
机构信息
Clinical Psychology Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan 410013, People's Republic of China.
Student Affairs Department, Central South University, Changsha, Hunan 410000, People's Republic of China.
出版信息
Neuropsychiatr Dis Treat. 2019 Jul 5;15:1845-1854. doi: 10.2147/NDT.S210842. eCollection 2019.
PURPOSE
The cognitive behavioral model is considered the most comprehensive for explaining the pathogenesis of health anxiety (HA). The model proposes 4 dysfunctional beliefs that play a vital role in developing and sustaining HA: a) the likelihood of contracting or having an illness, b) awfulness of the illness, c) difficulty coping with illness, and d) inadequacy of medical services. The Health Cognitions Questionnaire (HCQ), widely used in English populations, was developed for assessing these core cognitions. As HA is a growing problem in China, we translated the HCQ into a Chinese version (CHCQ) and examined its psychometric properties. These core cognitions were compared among individuals with and without medical conditions.
METHODS
A set of questionnaires that included the CHCQ and the Short Health Anxiety Inventory (SHAI) was used to gather data from 1,319 Chinese college students. After 4 weeks, 145 of the students completed the CHCQ again. The validity, reliability, and measurement invariance were evaluated among individuals with various medical conditions.
RESULTS
The final CHCQ included 19 items. A 4-factor structure was well suited to the data. Good internal consistency (Cronbach's for total score was 0.849, subscales ranged from 0.753 to 0.841), test-retest reliability (the interclass correlation coefficient for total score was 0.762, subscales ranged from 0.626 to 0.683), and criterion validity of the CHCQ were demonstrated. Measurement and structural invariance were established. Individuals with a diagnosed disease scored higher on the likelihood-of-illness subscale (Cohen's =0.22, < 0.01) than those without an illness.
CONCLUSION
The CHCQ shows promise for the assessment of 4 core HA-related cognitions in the Chinese population.
目的
认知行为模型被认为是解释健康焦虑（HA）发病机制最全面的模型。该模型提出了4种功能失调信念，它们在HA的发生和持续发展中起着至关重要的作用：a）患病的可能性，b）疾病的严重性，c）应对疾病的困难程度，d）医疗服务的不足。健康认知问卷（HCQ）在英国人群中广泛使用，用于评估这些核心认知。由于HA在中国是一个日益严重的问题，我们将HCQ翻译成中文版（CHCQ）并检验其心理测量特性。对有和没有医疗状况的个体的这些核心认知进行了比较。
方法
使用一组包括CHCQ和简短健康焦虑量表（SHAI）的问卷，从1319名中国大学生中收集数据。4周后，145名学生再次完成CHCQ。评估了不同医疗状况个体的效度、信度和测量不变性。
结果
最终的CHCQ包括19个项目。四因素结构与数据非常匹配。显示出良好的内部一致性（总分的Cronbach's 为0.849，子量表范围为0.753至0.841）、重测信度（总分的组内相关系数为0.762，子量表范围为0.626至0.683）以及CHCQ的效标效度。建立了测量和结构不变性。被诊断患有疾病的个体在患病可能性子量表上的得分高于未患病个体（Cohen's =0.22， < 0.01）。
结论
CHCQ在评估中国人群中与HA相关的4种核心认知方面显示出前景。
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