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Gepubliceerd in: Quality of Life Research 4/2018

04-01-2018

The reliability and validity of the Chinese version of the Metacognitions about Health Questionnaire in college students

Auteurs: Lisha Dai, Robin Bailey, Yunlong Deng

Gepubliceerd in: Quality of Life Research | Uitgave 4/2018

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Abstract

Purpose

In order to explain the potential mechanism that might motivate and maintain health anxiety (HA), researchers have developed several measures to assess the level of HA and to identify related cognitions and personality features. However, such instruments typically measure general metacognitions [e.g., the Metacognition Questionnaire-30 (MCQ-30)], thereby compromising the degree of sensitivity and specificity of measurement as applied to HA-related metacognitions. To address that issue, the Metacognitions about Health Questionnaire (MCQ-HA) was designed especially for measuring metacognitive beliefs specific to HA. Because a Chinese version of MCQ-HA may be helpful in improving our understanding of HA in a Chinese population, in the current study we sought to develop a Chinese version of the MCQ-HA (CMCQ-HA).

Methods

We translated the MCQ-HA into Chinese with consideration of cultural diversity. For evaluation of its validity and stability, a sample of 1290 Chinese college students answered the CMCQ-HA, the Short Health Anxiety Inventory, the MCQ-30, and the Neuroticism scale of the Eysenck Personality Questionnaire. 292 students of them answered the CMCQ-HA twice.

Results

Good internal consistency (α = 0.81) and test–retest reliability (ICC = 0.70) of the CMCQ-HA was presented. Exploratory and confirmatory factor analyses indicated a three-factor structure: beliefs about biased thinking, beliefs that thoughts can cause illness, and beliefs that thoughts are uncontrollable. Convergent validity, divergent validity, and incremental validity all were acceptable. Measurement invariance across gender was established.

Conclusions

The CMCQ-HA shows promise for the measurement of specific HA-related metacognitions in Chinese populations.
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Literatuur
3.
go back to reference Salkovskis, P. M., & Warwick, H. M. (1986). Morbid preoccupations, health anxiety and reassurance: A cognitive-behavioural approach to hypochondriasis. Behaviour Research and Therapy, 24(5), 597–602.CrossRefPubMed Salkovskis, P. M., & Warwick, H. M. (1986). Morbid preoccupations, health anxiety and reassurance: A cognitive-behavioural approach to hypochondriasis. Behaviour Research and Therapy, 24(5), 597–602.CrossRefPubMed
5.
go back to reference Noyes, R., Happel, R. L., & Yagla, S. J. (1999). Correlates of hypochondriasis in a nonclinical population. Psychosomatics, 40, 461–469.CrossRefPubMed Noyes, R., Happel, R. L., & Yagla, S. J. (1999). Correlates of hypochondriasis in a nonclinical population. Psychosomatics, 40, 461–469.CrossRefPubMed
6.
go back to reference Malouff, J. M., Thorsteinsson, E. B., & Schutte, N. S. (2005). The relationship between the five-factor model of personality and symptoms of clinical disorders: A meta-analysis. Journal of Psychopathology and Behavioral Assessment, 27, 101–114.CrossRef Malouff, J. M., Thorsteinsson, E. B., & Schutte, N. S. (2005). The relationship between the five-factor model of personality and symptoms of clinical disorders: A meta-analysis. Journal of Psychopathology and Behavioral Assessment, 27, 101–114.CrossRef
7.
go back to reference Cox, B. J., Borger, S. C., Asmundson, G. J. G., & Taylor, S. (2000). Dimensions of hypochondriasis and the five factor model of personality. Personality and individual differences, 29, 99–108.CrossRef Cox, B. J., Borger, S. C., Asmundson, G. J. G., & Taylor, S. (2000). Dimensions of hypochondriasis and the five factor model of personality. Personality and individual differences, 29, 99–108.CrossRef
8.
go back to reference Williams, P. G. (2004). The psychopathology of self-assessed health: A cognitive approach to health anxiety and hypochondriasis. Cognitive Therapy Research, 28(5), 629–644.CrossRef Williams, P. G. (2004). The psychopathology of self-assessed health: A cognitive approach to health anxiety and hypochondriasis. Cognitive Therapy Research, 28(5), 629–644.CrossRef
10.
go back to reference Norris, L., A. & Marcus, D. K. (2014). Cognition in health anxiety and hypochondriasis: Recent advances. Current Psychiatry Reviews, 10(1), 44–49.CrossRef Norris, L., A. & Marcus, D. K. (2014). Cognition in health anxiety and hypochondriasis: Recent advances. Current Psychiatry Reviews, 10(1), 44–49.CrossRef
11.
go back to reference Barsky, A. J., & Wyshak, G. (1990). Hypochondriasis and somatosensory amplification. The British Journal of Psychiatry, 157(3), 404–409.CrossRefPubMed Barsky, A. J., & Wyshak, G. (1990). Hypochondriasis and somatosensory amplification. The British Journal of Psychiatry, 157(3), 404–409.CrossRefPubMed
12.
13.
14.
go back to reference Hadjistavropoulos, H. D., Janzen, J. A., Kehler, M. D., Leclerc, J. A., Sharpe, D., & Bourgault-Fagnou, M. D. (2012). Core cognitions related to health anxiety in self-reported medical and non-medical samples. Journal of Behavioral Medicine, 35(2), 167–178. https://doi.org/10.1007/s10865-011-9339-3. Hadjistavropoulos, H. D., Janzen, J. A., Kehler, M. D., Leclerc, J. A., Sharpe, D., & Bourgault-Fagnou, M. D. (2012). Core cognitions related to health anxiety in self-reported medical and non-medical samples. Journal of Behavioral Medicine, 35(2), 167–178. https://​doi.​org/​10.​1007/​s10865-011-9339-3.
16.
go back to reference Bailey, R., & Wells, A. (2016). The contribution of metacognitive beliefs and dysfunctional illness beliefs in predicting health anxiety: An evaluation of the metacognitive versus the cognitive models. Clinical Psychologist, 20(3), 129–137. https://doi.org/10.1111/cp.12078. Bailey, R., & Wells, A. (2016). The contribution of metacognitive beliefs and dysfunctional illness beliefs in predicting health anxiety: An evaluation of the metacognitive versus the cognitive models. Clinical Psychologist, 20(3), 129–137. https://​doi.​org/​10.​1111/​cp.​12078.
19.
go back to reference Wells, A., & Cartwright-Hatton, S. (2004). A short from of the metacognitions questionnaire: Properties of the MCQ-30. Behaviour Research and Therapy, 42(4), 385–396.CrossRefPubMed Wells, A., & Cartwright-Hatton, S. (2004). A short from of the metacognitions questionnaire: Properties of the MCQ-30. Behaviour Research and Therapy, 42(4), 385–396.CrossRefPubMed
23.
go back to reference Looper, K. J., & Kirmayer, L. J. (2001). Hypochondriacal concerns in a community population. Psychological Medicine, 31(4), 577–584.CrossRefPubMed Looper, K. J., & Kirmayer, L. J. (2001). Hypochondriacal concerns in a community population. Psychological Medicine, 31(4), 577–584.CrossRefPubMed
25.
go back to reference Su, X., Li, Z., Jiang, C., & Ma, Y. (2016). The cognitive characteristics of hypochondriasis and the development of related measurements. Journal of Psychiatry, 29(6), 477–480. Su, X., Li, Z., Jiang, C., & Ma, Y. (2016). The cognitive characteristics of hypochondriasis and the development of related measurements. Journal of Psychiatry, 29(6), 477–480.
26.
go back to reference Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98(2), 224–253.CrossRef Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98(2), 224–253.CrossRef
27.
go back to reference Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976), 25(24), 3186–3191.CrossRef Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976), 25(24), 3186–3191.CrossRef
28.
go back to reference Yuan, Y., Zhang, Y., Liu, R., Li, G., & Mao, S. (2015) The reliability and validity of a Chinese-version Short Health Anxiety Inventory: An investigation of university students. Neuropsychiatric Disease and Treatment, 11, 1739. https://doi.org/10.2147/NDT.S83501. Yuan, Y., Zhang, Y., Liu, R., Li, G., & Mao, S. (2015) The reliability and validity of a Chinese-version Short Health Anxiety Inventory: An investigation of university students. Neuropsychiatric Disease and Treatment, 11, 1739. https://​doi.​org/​10.​2147/​NDT.​S83501.
29.
go back to reference Cartwright-Hatton, S., & Wells, A. (1997). Beliefs about worry and intrusions: The metacognitions questionnaire and its correlates. Journal of Anxiety Disorders, 24(3), 318–325. Cartwright-Hatton, S., & Wells, A. (1997). Beliefs about worry and intrusions: The metacognitions questionnaire and its correlates. Journal of Anxiety Disorders, 24(3), 318–325.
31.
go back to reference Eysenck, S. B. G., Eysenck, H. J., & Barrett, P. (1985). A revised version of the psychoticism scale. Personality and Individual Differences, 6(1), 21–29.CrossRef Eysenck, S. B. G., Eysenck, H. J., & Barrett, P. (1985). A revised version of the psychoticism scale. Personality and Individual Differences, 6(1), 21–29.CrossRef
32.
go back to reference Mingyi, Q., Guocheng, W., Rongchun, Z., & Shen, Z. (2000). Development of the revised Eysenck Personality Questionnaire Short Scale for Chinese (EPQ-RSC). Acta Psychologica Sinica, 32(3), 317–323. Mingyi, Q., Guocheng, W., Rongchun, Z., & Shen, Z. (2000). Development of the revised Eysenck Personality Questionnaire Short Scale for Chinese (EPQ-RSC). Acta Psychologica Sinica, 32(3), 317–323.
33.
go back to reference Naunnally, J. C., & Bernstein, I. H. (1994). Psychometric Theory (3rd ed.). New York: McGraw-Hill. Naunnally, J. C., & Bernstein, I. H. (1994). Psychometric Theory (3rd ed.). New York: McGraw-Hill.
34.
go back to reference Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological bulletin, 86(2), 420–428.CrossRefPubMed Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological bulletin, 86(2), 420–428.CrossRefPubMed
35.
go back to reference Tabachnick, B. G., & Fidell, L. S. (2007). Using Multivariate Statistics (5th ed.). New York: Allyn and Bacon. Tabachnick, B. G., & Fidell, L. S. (2007). Using Multivariate Statistics (5th ed.). New York: Allyn and Bacon.
36.
go back to reference O’Connor, B. P. (2000). SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test. Behavior Research Methods, 32(3), 396–402.CrossRef O’Connor, B. P. (2000). SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test. Behavior Research Methods, 32(3), 396–402.CrossRef
37.
go back to reference Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.CrossRef Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.CrossRef
39.
go back to reference Kline, R. B. (2005). Principles and practice of structural equation modeling. New York: Guilford. Kline, R. B. (2005). Principles and practice of structural equation modeling. New York: Guilford.
40.
42.
go back to reference Shrout, P. E. (1998). Measurement reliability and agreement in psychiatry. Statistical Methods in Medical Research, 7(3), 301–317.CrossRefPubMed Shrout, P. E. (1998). Measurement reliability and agreement in psychiatry. Statistical Methods in Medical Research, 7(3), 301–317.CrossRefPubMed
43.
go back to reference Kaiser, H. F. (1970). A second generation little jiffy. Psychometrika, 35(4), 401–415.CrossRef Kaiser, H. F. (1970). A second generation little jiffy. Psychometrika, 35(4), 401–415.CrossRef
44.
go back to reference Dancey, C., & Reidy, J. (2004). Statistics without maths for psychology: Using SPSS for windows. London: Prentice Hall. Dancey, C., & Reidy, J. (2004). Statistics without maths for psychology: Using SPSS for windows. London: Prentice Hall.
46.
go back to reference Steiger, J. H. (1980). Tests for comparing elements of a correlation matrix. Psychological Bulletin, 87, 245–251.CrossRef Steiger, J. H. (1980). Tests for comparing elements of a correlation matrix. Psychological Bulletin, 87, 245–251.CrossRef
48.
go back to reference Schmitt, N., & Kuljanin, G. (2008). Measurement invariance: Review of practice and implications. Human Resource Management Review, 18(4), 210–222.CrossRef Schmitt, N., & Kuljanin, G. (2008). Measurement invariance: Review of practice and implications. Human Resource Management Review, 18(4), 210–222.CrossRef
Metagegevens
Titel
The reliability and validity of the Chinese version of the Metacognitions about Health Questionnaire in college students
Auteurs
Lisha Dai
Robin Bailey
Yunlong Deng
Publicatiedatum
04-01-2018
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1780-5

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