对复发或进展的担忧量表(WARPS)的开发与验证。

IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2023-12-01 DOI:10.1111/bjhp.12707
Louise Sharpe, Rachel E. Menzies, Bethany Richmond, Jemma Todd, Carolyn MacCann, Joanne Shaw
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引用次数: 0

摘要

目的:担心复发或进展是慢性身体疾病患者普遍关注的问题。虽然有多种方法可以测量对癌症复发的恐惧和其他疾病特异性的测量,但只有一种对进展恐惧的跨诊断测量,它不评估对复发或复发的恐惧。设计:一项多阶段研究概述了对复发或进展恐惧的新型跨诊断测量方法的开发和验证,即复发和进展担忧量表(WARPS)。方法:从之前的系统回顾中,我们引用了有生活经验的人的话来生成55个项目。接下来,我们在10名患有各种慢性疾病的人中试用了这些项目,最终总共有57个项目。然后,我们招募了四组患有心脏病、风湿病、糖尿病和呼吸系统疾病的人(n = 804)。一个探索性的因素分析在一个随机分割的样本导致18项,单因素量表。然后,我们对剩余样本中的这18个项目进行验证性因子分析。结果:18项WARPS量表具有良好的结构效度、内部一致性和重测信度。具体而言,WARPS与恐惧进展问卷和疾病特异性恐惧密切相关。观察到与抑郁、焦虑、压力和死亡焦虑有显著的中度相关性。WARPS在四种最常见的慢性疾病患者中证明了其有效性和可靠性,并且因素结构在性别之间是不变的。结论:WARPS是一种有效、可靠的工具,可用于评估对复发和进展的诊断担忧。
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The development and validation of the Worries About Recurrence or Progression Scale (WARPS)

Objectives

Worry about recurrence or progression is a common concern among people with chronic physical illnesses. Although there are options to measure the fear of cancer recurrence and other illness-specific measures, there is only one transdiagnostic measure of fear of progression, which does not assess the fear of recurrence or relapse.

Design

A multi-phase study outlining the development and validation of a novel transdiagnostic measure of fear of recurrence or progression, the Worries About Recurrence and Progression Scale (WARPS).

Method

From a prior systematic review, we used quotes from people with lived experience to generate 55 items. Next, we piloted the items with 10 people with a range of chronic conditions, leading to a final total of 57 items. We then recruited four groups of people with cardiac disease, rheumatic disease, diabetes and respiratory disease (n = 804). An exploratory factor analysis in a randomly split sample resulted in an 18 item, single factor scale. We then performed confirmatory factor analysis on these 18 items in the remaining sample.

Results

The 18-item WARPS demonstrated good construct validity, internal consistency and test–retest reliability. Specifically, the WARPS was strongly correlated with the Fear of Progression Questionnaire, and with illness-specific fears. Significant, moderate correlations were observed with depression, anxiety, stress, and death anxiety. The WARPS demonstrated the validity and reliability amongst people with four of the most common chronic conditions and the factor structure was invariant across genders.

Conclusion

The WARPS is a valid and reliable tool to measure transdiagnostic worries about recurrence and progression.

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来源期刊
British Journal of Health Psychology
British Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
14.10
自引率
1.30%
发文量
58
期刊介绍: The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.
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