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    Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/116390


    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 link: https://doi.org/10.1093/fampra/cmx076
    DOI: 10.1093/fampra/cmx076
    Appears in Collections:[Department of Psychology] Periodical Articles

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