Scale development and psychometric properties of the Cardiac Self-Blame Attributions scale in patients with

Kadie M Harry1, Kymberley K Bennett1, Jacob M Marszalek1

  • 1University of Missouri-Kansas City, USA.

Health Psychology Open
|August 8, 2018
PubMed

Insights

This study introduces a new scale to measure how patients with cardiovascular disease attribute blame to their behaviors or character. The Cardiac Self-Blame Attributions scale offers a reliable tool for understanding patient perspectives on their heart disease.

Area of Science:

  • Cardiology
  • Psychology
  • Health Outcomes Research

Background:

  • Cardiovascular disease patients may attribute their condition to behaviors or character.
  • Previous research on self-blame effects on health outcomes is mixed.
  • A lack of validated, multiple-item measures may explain inconsistent findings.

Purpose of the Study:

  • To develop and validate a reliable and multi-item scale measuring cardiac self-blame attributions.
  • To differentiate between behavioral and characterological self-blame in cardiovascular disease patients.
  • To provide a psychometric tool for future research on cardiac attributions.

Main Methods:

  • Development and testing of an 11-item Cardiac Self-Blame Attributions scale.
  • Data collection via questionnaires from 121 patients with cardiovascular disease.
  • Factor analysis to determine scale structure, reliability, and validity.

Main Results:

  • The Cardiac Self-Blame Attributions scale demonstrated a robust two-factor structure.
  • The scale explained 65% of the variance in self-blame attributions.
  • The scale exhibited good reliability and discriminant validity.

Conclusions:

  • The developed Cardiac Self-Blame Attributions scale is a reliable and valid psychometric instrument.
  • The scale can be utilized to investigate how patients attribute their cardiovascular disease.
  • This tool may help clarify the impact of self-blame on health outcomes in cardiovascular disease.

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