{"title":"癌症患者失眠症元认知问卷简表的验证及其在失眠症的差异-认知唤醒模型中的可行性。","authors":"Jana Sleiman, Oli Ahmed, Seockhoon Chung","doi":"10.30773/pi.2023.0435","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>We aimed to explore the reliability and validity of the two shortened versions of the Metacognition Questionnaire-Insomnia (Metacognition Questionnaire-Insomnia-6 items [MCQI-6], Metacognition Questionnaire-Insomnia-14 items [MCQI-14]) among patients with cancer and examine the feasibility of the Discrepancy-Cognitive Arousal (DCA) model of insomnia among the cancer patients.</p><p><strong>Methods: </strong>A total of 154 patients with cancer were enrolled in this survey, which included rating scales such as the discrepancy between desired time in bed and desired total sleep time (DBST) index, Insomnia Severity Index (ISI), Cancer-related Dysfunctional Beliefs and Attitude about Sleep-14 items (C-DBAS-14), MCQI-6, and MCQI-14.</p><p><strong>Results: </strong>Both the MCQI-6 and MCQI-14 showed a good reliability of internal consistency. Confirmatory factor analysis showed a good model fit for two single-factor shortened versions. The total score of the MCQI-6 was significantly correlated with the MCQI-14 (r=0.97, p<0.01), ISI (r=0.68, p<0.01), C-DBAS-14 (r=0.78, p<0.01), and DBST index (r=0.21, p<0.05). Mediation analysis showed that the DBST index did not directly influence insomnia severity; however, the relationship was mediated by cancer-related dysfunctional beliefs about sleep and sleep-related metacognitive process among patients with cancer.</p><p><strong>Conclusion: </strong>The Korean versions of MCQI-6 and MCQI-14 are useful, reliable, and valid tools to evaluate sleep-related metacognitive processes among patients with cancer. The DCA model of insomnia was feasible even among cancer patients.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222085/pdf/","citationCount":"0","resultStr":"{\"title\":\"Validation of Shortened Forms of Metacognition Questionnaire-Insomnia and Its Feasibility in the Discrepancy-Cognitive Arousal Model of Insomnia Among Patients With Cancer.\",\"authors\":\"Jana Sleiman, Oli Ahmed, Seockhoon Chung\",\"doi\":\"10.30773/pi.2023.0435\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>We aimed to explore the reliability and validity of the two shortened versions of the Metacognition Questionnaire-Insomnia (Metacognition Questionnaire-Insomnia-6 items [MCQI-6], Metacognition Questionnaire-Insomnia-14 items [MCQI-14]) among patients with cancer and examine the feasibility of the Discrepancy-Cognitive Arousal (DCA) model of insomnia among the cancer patients.</p><p><strong>Methods: </strong>A total of 154 patients with cancer were enrolled in this survey, which included rating scales such as the discrepancy between desired time in bed and desired total sleep time (DBST) index, Insomnia Severity Index (ISI), Cancer-related Dysfunctional Beliefs and Attitude about Sleep-14 items (C-DBAS-14), MCQI-6, and MCQI-14.</p><p><strong>Results: </strong>Both the MCQI-6 and MCQI-14 showed a good reliability of internal consistency. Confirmatory factor analysis showed a good model fit for two single-factor shortened versions. The total score of the MCQI-6 was significantly correlated with the MCQI-14 (r=0.97, p<0.01), ISI (r=0.68, p<0.01), C-DBAS-14 (r=0.78, p<0.01), and DBST index (r=0.21, p<0.05). Mediation analysis showed that the DBST index did not directly influence insomnia severity; however, the relationship was mediated by cancer-related dysfunctional beliefs about sleep and sleep-related metacognitive process among patients with cancer.</p><p><strong>Conclusion: </strong>The Korean versions of MCQI-6 and MCQI-14 are useful, reliable, and valid tools to evaluate sleep-related metacognitive processes among patients with cancer. The DCA model of insomnia was feasible even among cancer patients.</p>\",\"PeriodicalId\":21164,\"journal\":{\"name\":\"Psychiatry Investigation\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222085/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychiatry Investigation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.30773/pi.2023.0435\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/6/24 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatry Investigation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.30773/pi.2023.0435","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/24 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Validation of Shortened Forms of Metacognition Questionnaire-Insomnia and Its Feasibility in the Discrepancy-Cognitive Arousal Model of Insomnia Among Patients With Cancer.
Objective: We aimed to explore the reliability and validity of the two shortened versions of the Metacognition Questionnaire-Insomnia (Metacognition Questionnaire-Insomnia-6 items [MCQI-6], Metacognition Questionnaire-Insomnia-14 items [MCQI-14]) among patients with cancer and examine the feasibility of the Discrepancy-Cognitive Arousal (DCA) model of insomnia among the cancer patients.
Methods: A total of 154 patients with cancer were enrolled in this survey, which included rating scales such as the discrepancy between desired time in bed and desired total sleep time (DBST) index, Insomnia Severity Index (ISI), Cancer-related Dysfunctional Beliefs and Attitude about Sleep-14 items (C-DBAS-14), MCQI-6, and MCQI-14.
Results: Both the MCQI-6 and MCQI-14 showed a good reliability of internal consistency. Confirmatory factor analysis showed a good model fit for two single-factor shortened versions. The total score of the MCQI-6 was significantly correlated with the MCQI-14 (r=0.97, p<0.01), ISI (r=0.68, p<0.01), C-DBAS-14 (r=0.78, p<0.01), and DBST index (r=0.21, p<0.05). Mediation analysis showed that the DBST index did not directly influence insomnia severity; however, the relationship was mediated by cancer-related dysfunctional beliefs about sleep and sleep-related metacognitive process among patients with cancer.
Conclusion: The Korean versions of MCQI-6 and MCQI-14 are useful, reliable, and valid tools to evaluate sleep-related metacognitive processes among patients with cancer. The DCA model of insomnia was feasible even among cancer patients.
期刊介绍：
The Psychiatry Investigation is published on the 25th day of every month in English by the Korean Neuropsychiatric Association (KNPA). The Journal covers the whole range of psychiatry and neuroscience. Both basic and clinical contributions are encouraged from all disciplines and research areas relevant to the pathophysiology and management of neuropsychiatric disorders and symptoms, as well as researches related to cross cultural psychiatry and ethnic issues in psychiatry. The Journal publishes editorials, review articles, original articles, brief reports, viewpoints and correspondences. All research articles are peer reviewed. Contributions are accepted for publication on the condition that their substance has not been published or submitted for publication elsewhere. Authors submitting papers to the Journal (serially or otherwise) with a common theme or using data derived from the same sample (or a subset thereof) must send details of all relevant previous publications and simultaneous submissions. The Journal is not responsible for statements made by contributors. Material in the Journal does not necessarily reflect the views of the Editor or of the KNPA. Manuscripts accepted for publication are copy-edited to improve readability and to ensure conformity with house style.
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