Abramowitz Jonathan S, Deacon Brett J, Valentiner David P
1Department of Psychology, University of North Carolina at Chapel Hill, CB # 3270, Davie Hall, Chapel Hill, NC 27599 USA.
2Department of Psychology, University of Wyoming, Dept. 3415, 1000 E. University Ave., Laramie, WY 82071 USA.
Cognit Ther Res. 2007;31(6):871-883. doi: 10.1007/s10608-006-9058-1. Epub 2007 Feb 15.
Contemporary conceptualizations of hypochondriasis (HC) as severe health anxiety have led to the development of cognitive-behavioral approaches to understanding, assessing, and treating this problem. The Short Health Anxiety Inventory (SHAI) is a new instrument that measures cognitive factors associated with HC. In the present study, we examined the psychometric properties and factor structure of the SHAI in a large sample of medically healthy university students. We also examined the scale's convergent, divergent, and predictive validity. Results indicated that the SHAI has good psychometric properties and contains three factors that assess the perceived likelihood and perceived severity of becoming ill, and body vigilance. Facets of health anxiety uniquely predicted increased safety-seeking behavior and medical utilization, behaviors that are commonly observed in HC. Results are discussed in terms of the cognitive-behavioral model of HC.
当代将疑病症(HC)概念化为严重健康焦虑,促使人们开发出认知行为方法来理解、评估和治疗这一问题。简短健康焦虑量表(SHAI)是一种测量与疑病症相关认知因素的新工具。在本研究中,我们在大量身体健康的大学生样本中检验了SHAI的心理测量特性和因子结构。我们还检验了该量表的聚合效度、区分效度和预测效度。结果表明,SHAI具有良好的心理测量特性,包含三个因子,分别评估患病的感知可能性、感知严重性以及身体警觉性。健康焦虑的各个方面独特地预测了寻求安全行为和医疗利用的增加,这些行为在疑病症中很常见。我们根据疑病症的认知行为模型对结果进行了讨论。