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Originalarbeit

Das Angstbewältigungsinventar für medizinische Situationen (ABI-MS)

Published Online:June 06, 2019https://doi.org/10.1026/0012-1924/a000233

Abstract

Zusammenfassung. Das „Angstbewältigungsinventar für medizinische Situationen“ (ABI-MS) ist ein Situations-Reaktions-Inventar, das habituelle Präferenzen für den Einsatz kognitiv vermeidender und vigilanter Bewältigungsstrategien in potenziell bedrohlichen medizinischen Kontexten messen soll. Im ABI-MS, das sich konzeptuell und methodisch an das Angstbewältigungs-Inventar (ABI; Krohne & Egloff, 1999) anlehnt, werden 4 Szenarien vorgegeben (Blutabnahme, Schnittwunde, Darmspiegelung und Narkose), in die sich die Personen hineinversetzen sollen. Zu jedem Szenario werden jeweils 4 kognitiv vermeidende und 4 vigilante Reaktionsoptionen gegeben, deren Zutreffen die Personen beurteilen. In der vorliegenden Untersuchung wurden Struktur und psychometrische Qualität des ABI-MS geprüft. Konfirmatorische Faktorenanalysen (N = 2 131) auf der Basis des Zwei-Parameter Logistischen Item-Response-Modells bestätigen die Annahme zweier situationsübergreifender Faktoren der Angstbewältigung in medizinischen Kontexten. Das Inventar erreicht zufriedenstellende Reliabilitäten. Eine Retest-Untersuchung belegt, dass primär habituelle Präferenzen erfasst werden. Korrelationen mit Verfahren zur Messung von Angstbewältigung und Persönlichkeitseigenschaften geben Hinweise auf die konvergente und diskriminante Validität des ABI-MS.


The Coping Inventory for Medical Situations (CIM)

Abstract. The Coping Inventory for Medical Situations (CIM) is a stimulus–response inventory designed to measure habitual preferences for using cognitive avoidance and vigilance in potentially threatening medical contexts. In the CIM, which is conceptually and methodically based on the Mainz Coping Inventory (MCI; Krohne & Egloff, 1999), four scenarios are described (venipuncture, wound care of a cut injury, colonoscopy, and narcosis prior to surgery). For each scenario, four avoidant and four vigilant response options are presented. Participants indicate which of the response options they generally use in a given scenario. The present study examined the structure and psychometric quality of CIM. Factor analyses based on the two-parameter logistic item response model (N = 2,131) confirmed the assumption of the existence of two primary factors of coping with anxiety in medical contexts. The scales of the inventory achieve satisfactory reliabilities. Test–retest correlations showed that the inventory primarily assesses habitual preferences. Correlations with measures of coping and personality traits indicated the convergent and discriminant validity of the CIM.

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