Hong Youjin, An Hoyoung, Cho Eulah, Ahmed Oli, Ahn Myung Hee, Yoo Soyoung, Chung Seockhoon
Department of Psychiatry, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Republic of Korea.
Department of Psychiatry, Keyo Hospital, Uiwang, Gyeonggi, Republic of Korea.
Front Psychiatry. 2023 Jul 6;14:1132169. doi: 10.3389/fpsyt.2023.1132169. eCollection 2023.
We aimed to examine the psychometric properties of the Korean version of the questionnaires on adherence to physical distancing and health beliefs about COVID-19 in the general population in South Korea. In addition, we investigated how the various sections interacted with each other and with viral anxiety and depression, and ultimately affected adherence to physical distancing.
An anonymous online survey was conducted among members of the general population in South Korea between 10 and 18 January 2022. We recruited 400 respondents and measured their demographic information, symptoms, and responses to questions about COVID-19. First, we examined the reliability and validity of the questionnaires, which included questions about people's adherence to physical distancing guidelines and COVID-19-related health beliefs. Second, we examined the relationship between physical distancing and viral anxiety or depression, as assessed using the six-item Stress and Anxiety to Viral Epidemics (SAVE-6) scale and the Patient Health Questionnaire-9 (PHQ-9).
All 400 participants (204 men, age 41.6 ± 10.8) completed the survey. Confirmatory factor analysis revealed a good model fit for adherence to physical distancing (CFI = 1.000, TLI = 1.019, RMSEA = 0.000, and SRMR = 0.034) and health beliefs about COVID-19 (CFI = 0.993, TLI = 0.991, RMSEA = 0.030, and SRMR = 0.052). It also showed good reliability for Factor I (Cronbach's α = 0.826) and Factor II (α = 0.740). Four categories of the COVID-19 health beliefs questionnaire also showed good reliability for perceived susceptibility (α = 0.870), perceived severity (α = 0.901), perceived benefit (α = 0.935), and barriers to following physical distancing (α = 0.833). Structural equation models showed that the effects of health beliefs and viral anxiety and depression were mediated mostly by personal injunctive norms. Goodness-of-fit measures indicated a good fit. (Chi-square = 24.425, df = 7, < 0.001; CFI = 0.966; RMSEA = 0.079).
The Korean version of the COVID-19 adherence to physical distancing and health beliefs questionnaires showed good reliability and validity in the Korean general population. In addition, the effects of health beliefs, along with viral anxiety and depression, were mainly mediated by personal injunctive norms.
我们旨在检验韩国版关于韩国普通人群遵守物理距离措施及对新冠疫情健康认知的问卷的心理测量特性。此外，我们还研究了问卷的各个部分如何相互作用，以及与病毒焦虑和抑郁的相互作用，并最终如何影响对物理距离措施的遵守情况。
于2022年1月10日至18日对韩国普通人群进行了一项匿名在线调查。我们招募了400名受访者，并测量了他们的人口统计学信息、症状以及对有关新冠疫情问题的回答。首先，我们检验了问卷的信效度，问卷包括关于人们遵守物理距离指导方针以及与新冠疫情相关的健康认知的问题。其次，我们使用六项病毒流行应激与焦虑量表（SAVE-6）和患者健康问卷-9（PHQ-9）评估了物理距离与病毒焦虑或抑郁之间的关系。
所有400名参与者（204名男性，年龄41.6±10.8岁）均完成了调查。验证性因素分析显示，该模型对遵守物理距离措施（CFI = 1.000，TLI = 1.019，RMSEA = 0.000，SRMR = 0.034）和对新冠疫情的健康认知（CFI = 0.993，TLI = 0.991，RMSEA = 0.030，SRMR = 0.052）的拟合良好。同时，它对因素I（Cronbach's α = 0.826）和因素II（α = 0.740）也显示出良好的信度。新冠疫情健康认知问卷的四个类别在感知易感性（α = 0.870）、感知严重性（α = 0.901）、感知益处（α = 0.935）以及遵守物理距离措施的障碍（α = 0.833）方面也显示出良好的信度。结构方程模型表明，健康认知以及病毒焦虑和抑郁的影响主要通过个人指令性规范来介导。拟合优度指标显示拟合良好。（卡方 = 24.425，自由度 = 7，<0.001；CFI = 0.966；RMSEA = 0.079）。
韩国版新冠疫情遵守物理距离措施及健康认知问卷在韩国普通人群中显示出良好的信效度。此外，健康认知以及病毒焦虑和抑郁所产生的影响主要通过个人指令性规范来介导。
