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Title: | Quick screening tool for patients with severe negative emotional reactions to chronic illness—Psychometric study of the negative emotions due to chronic illness screening test (NECIS). |
Authors: | 吳治勳 Huang, Yun-Hsin Wu, Chih-Hsun Chen, Hsiu-Jung Cheng, Yih-Ru |
Contributors: | 心理系 |
Keywords: | Behavior Rating Scale;Chronic disease;comprehensive health care;emotions;emotional adaptation;primary health care |
Date: | 2018-01 |
Issue Date: | 2018-03-21 17:30:52 (UTC+8) |
Abstract: | Background : Severe negative emotional reactions to chronic illness are maladaptive to patients and they need to be addressed in a primary care setting. Objective : The psychometric properties of a quick screening tool—the Negative Emotions due to Chronic Illness Screening Test (NECIS)—for general emotional problems among patients with chronic illness being treated in a primary care setting was investigated. Method : Three studies including 375 of patients with chronic illness were used to assess and analyze internal consistency, test–retest reliability, criterion-related validity, a cut-off point for distinguishing maladaptive emotions and clinical application validity of NECIS. Self-report questionnaires were used. Results : Internal consistency (Cronbach’s α) ranged from 0.78 to 0.82, and the test–retest reliability was 0.71 (P < 0.001). Criterion-related validity was 0.51 (P < 0.001). Based on the ‘severe maladaptation’ and ‘moderate maladaptation’ groups defined by using the ‘Worsening due to Chronic Illness’ index as the analysis reference, the receiver-operating characteristic curve analysis revealed an area under the curve of 0.81 and 0.82 (ps < 0.001), and a cut-off point of 19/20 was the most satisfactory for distinguishing those with overly negative emotions, with a sensitivity and specificity of 83.3 and 69.0%, and 68.5 and 83.0%, respectively. The clinical application validity analysis revealed that low NECIS group showed significantly better adaptation to chronic illness on the scales of subjective health, general satisfaction with life, self-efficacy of self-care for disease, illness perception and stressors in everyday life. Conclusion : The NECIS has satisfactory psychometric properties for use in the primary care setting. |
Relation: | Family Practice, Volume 35, Issue 1, Pages 34–40 |
Data Type: | article |
DOI 連結: | https://doi.org/10.1093/fampra/cmx076 |
DOI: | 10.1093/fampra/cmx076 |
Appears in Collections: | [心理學系] 期刊論文
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