乳腺癌女性中文版焦虑敏感性指数-3的心理测量学特性
Psychometric Properties of the Chinese Version of Anxiety Sensitivity Index-3 in Women Diagnosed With Breast Cancer.
作者信息
Han Yan, Zhu Jiang, Li Lingyan, Zhou Huan, Li Shichen, Zhang Jinqiang, Fan Jie, Yang Yanjie, Luo Xingwei, Zhu Xiongzhao
机构信息
Medical Psychological Center, Second Xiangya Hospital, Central South University, Changsha, China.
Medical Psychological Institute of Central South University, Changsha, China.
出版信息
Front Psychol. 2020 Feb 7;11:12. doi: 10.3389/fpsyg.2020.00012. eCollection 2020.
BACKGROUND
Anxiety sensitivity (AS) is a trait-like predisposing factor for the prevalence of anxiety in patients diagnosed with breast cancer. The Anxiety Sensitivity Index-3 (ASI-3) has been widely used in both general and clinical samples for measuring AS. However, the data about its psychometric properties in women with breast cancer are deficient. In addition, there is no evidence proving the measure equivalence of ASI-3 across sociodemographic variables in the specific sample. Thus, the present study examined the psychometric properties and conducted measure equivalence testing of ASI-3 in Chinese women diagnosed with breast cancer.
METHODS
This study included 815 Chinese women diagnosed with breast cancer. Single group confirmatory factor analysis (CFA) was administrated to detect the factorial validity of ASI-3, and multigroup CFAs were conducted to test the measurement equivalence of ASI-3 across various sociodemographic variables. The reliability of ASI-3 was tested by Cronbach's alpha coefficient, Guttman split-half coefficient, McDonald's omega coefficient, and test-retest coefficient. The standardized factor loadings, construct reliability, and the average variance extracted of factors were used to measure the construct validity of ASI-3, and the partial correlations were conducted to examine the criterion-related validity of ASI-3.
RESULTS
The ASI-3 had satisfactory reliability and validity in Chinese women diagnosed with breast cancer; three-factor model fitted the data well in CFA and reached partial strict invariances across age, education, and residence groups.
CONCLUSION
This study explored the psychometric properties and measurement invariance across sociodemographic variables of ASI-3 in Chinese women diagnosed with breast cancer. Our results not only proved that the ASI-3 is an appropriate instrument for measuring AS but also deepened the understanding of ASI-3 in Chinese women with malignancy.
背景
焦虑敏感性（AS）是诊断为乳腺癌的患者中焦虑患病率的一种特质性易感因素。焦虑敏感性指数-3（ASI-3）已广泛应用于一般样本和临床样本中以测量AS。然而，关于其在乳腺癌女性中的心理测量学特性的数据并不充足。此外，没有证据证明在特定样本中ASI-3在社会人口统计学变量上的测量等效性。因此，本研究检验了ASI-3在诊断为乳腺癌的中国女性中的心理测量学特性并进行了测量等效性测试。
方法
本研究纳入了815名诊断为乳腺癌的中国女性。采用单组验证性因素分析（CFA）来检测ASI-3的因素效度，并进行多组CFA以测试ASI-3在各种社会人口统计学变量上的测量等效性。通过克朗巴哈α系数、古特曼折半系数、麦克唐纳ω系数和重测系数来测试ASI-3的信度。使用标准化因素负荷、结构信度和因素提取的平均方差来测量ASI-3的结构效度，并进行偏相关分析以检验ASI-3的效标关联效度。
结果
ASI-3在诊断为乳腺癌的中国女性中具有令人满意的信度和效度；三因素模型在CFA中与数据拟合良好，并在年龄、教育程度和居住组中达到了部分严格不变性。
结论
本研究探讨了ASI-3在诊断为乳腺癌的中国女性中的心理测量学特性以及在社会人口统计学变量上的测量不变性。我们的结果不仅证明了ASI-3是测量AS的合适工具，还加深了对ASI-3在患有恶性肿瘤的中国女性中的理解。
Zotero 插件