验证应对健康损伤和问题的问卷在一个纵向队列的验证,最近出现的RA
Zafer Akman1, Gilles Boire2,3, Nathalie Carrier2
1Department of Medicine, Yale University School of Medicine, New Haven, CT, USA.
Rheumatology advances in practice
|July 21, 2025
概括
应对健康损伤和问题 (CHIP) 问卷对评估早期和已确定的类风湿性关节炎 (RA) 的应对方式是有效的. 研究结果表明,对治疗坚持的潜在第五个子尺度可能会提高其效用.
科学领域:
- 类风湿病学 类风湿病学
- 心理学 心理学 心理学
- 卫生科学 卫生科学 卫生科学
背景情况:
- 类风湿性关节炎 (RA) 管理需要了解患者的应对机制.
- 应对健康损伤和问题 (CHIP) 问卷评估应对风格,但需要在RA队伍中进行验证.
- 之前的CHIP验证研究主要集中在非RA患者群体,例如背部疼痛患者.
研究的目的:
- 在预期的早期类风湿性关节炎 (RA) 患者队列中验证应对健康损伤和问题 (CHIP) 问卷.
- 评估CHIP问卷的心理测量特性,包括内部一致性,因子结构和对变化的敏感性.
- 探索对CHIP问卷的潜在修改,以更好地描述RA的应对情况.
主要方法:
- 从2006年到2022年,对381名新诊断的RA患者进行前性队列研究.
- 在基线和随访 (>2年) 时,自给自取原来的4个分级CHIP (分心,缓解,仪器,情绪关注).
- 心理测量评估使用Cronbach的alpha用于内部一致性,探索性和确认性因子分析 (EFA,CFA)用于因子结构,以及混合线性模型用于变化灵敏度.
主要成果:
- 在CHIP问卷中,在早期和已确定的RA患者中,CHIP显示出良好的心理测量特性.
- 四个分级的平均得分与背部疼痛患者报告的平均得分相似.
- 除了分心之外的所有子尺度都显示随着时间的推移显著下降,表明对变化的敏感性.
- 探索性因子分析表明,在仪器领域内,与治疗坚持相关的潜在第五个子级别,尽管它没有改善内部一致性.
结论:
- 原来的CHIP问卷是一个有效的工具,用于描述早期和已建立的RA中的个人应对方式.
- 在RA的应对可以通过五个子尺度更全面地理解,其中包括治疗坚持.
- 进一步的研究可以改进CHIP以更好地捕捉RA患者应对的细微差别.
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