Research Center for Child Mental Development, University of Fukui, Eiheiji, Fukui, Japan.
Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Eiheiji, Fukui, Japan.
PeerJ. 2023 Aug 9;11:e15710. doi: 10.7717/peerj.15710. eCollection 2023.
The coronavirus disease 2019 (COVID-19) has caused mental health issues in both adults and adolescents. The Coronavirus Anxiety Scale (CAS) and Obsession with COVID-19 Scale (OCS) questionnaires measure anxiety and persistent and disturbed thoughts (also known as obsessions) related to COVID-19. We developed Japanese versions of the CAS (, CAS-JA) and OCS (, OCS-JA) questionnaires to make them suitable for adolescents and validated the characteristics of these scales.
Two online surveys were administered to high school students aged 15-18 years. A total of 263 students participated in the first survey and almost half of them participated in the second survey. In the first survey, participants responded to the CAS-JA, OCS-JA, generalized anxiety and obsessive-compulsive subscales of the Spence Children's Anxiety Scale (SCAS), and Kessler 6 Scale (K6). The SCAS and K6 were used to verify discriminant validity and inter-scale correlations. In the second survey, the participants completed the CAS-JA and OCS-JA again to verify test-retest reliability. We performed a confirmatory factor analysis and calculated the model fit indices. Additionally, we examined the internal consistency reliability, convergent validity, and inter-item correlations of the CAS-JA and OCS-JA. Moreover, differences in CAS-JA and OCS-JA responses by gender and region of residence (state of emergency and non-emergency areas) were examined.
The results of the single-factor model confirmatory factor analysis of model fit indices were above the threshold. The required criteria for internal consistency reliability, test-retest reliability, and discriminant and convergent validity were met in both the CAS-JA and OCS-JA. No statistically significant differences attributed to residence and gender were found in both questionnaires.
The results indicate that the CAS-JA and OCS-JA questionnaires are useful in measuring COVID-19-related anxiety, and persistent and disturbed thoughts in Japanese adolescents.
2019 年冠状病毒病(COVID-19)导致成人和青少年出现心理健康问题。冠状病毒焦虑量表(CAS)和对 COVID-19 的痴迷量表(OCS)问卷用于测量与 COVID-19 相关的焦虑以及持续和困扰的想法(也称为痴迷)。我们开发了冠状病毒焦虑量表(CAS)和对 COVID-19 的痴迷量表(OCS)的日语版本(CAS-JA 和 OCS-JA),使其适用于青少年,并验证了这些量表的特征。
对 15-18 岁的高中生进行了两项在线调查。共有 263 名学生参加了第一次调查,其中近一半的学生参加了第二次调查。在第一次调查中,参与者回答了 CAS-JA、OCS-JA、Spence 儿童焦虑量表(SCAS)的广泛性焦虑和强迫性分量表以及 Kessler 6 量表(K6)。SCAS 和 K6 用于验证判别有效性和量表间相关性。在第二次调查中,参与者再次完成了 CAS-JA 和 OCS-JA,以验证测试-重测信度。我们进行了验证性因素分析并计算了模型拟合指数。此外,我们还检查了 CAS-JA 和 OCS-JA 的内部一致性信度、收敛有效性和项目间相关性。此外,还检查了 CAS-JA 和 OCS-JA 对性别和居住地(紧急状态和非紧急区域)的反应差异。
模型拟合指数的单因素模型验证性因素分析结果均高于阈值。CAS-JA 和 OCS-JA 均满足内部一致性信度、测试-重测信度以及判别和收敛有效性的要求。在两个问卷中,居住地和性别均无统计学差异。
结果表明,CAS-JA 和 OCS-JA 问卷可用于测量日本青少年与 COVID-19 相关的焦虑以及持续和困扰的想法。