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題名 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).
作者 吳治勳
Huang, Yun-Hsin
Wu, Chih-Hsun
Chen, Hsiu-Jung
Cheng, Yih-Ru
貢獻者 心理系
關鍵詞 Behavior Rating Scale; Chronic disease; comprehensive health care; emotions; emotional adaptation; primary health care
日期 2018-01
上傳時間 21-Mar-2018 17:30:52 (UTC+8)
摘要 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.
關聯 Family Practice, Volume 35, Issue 1, Pages 34–40
資料類型 article
DOI https://doi.org/10.1093/fampra/cmx076
dc.contributor 心理系zh_Tw
dc.creator (作者) 吳治勳zh_TW
dc.creator (作者) Huang, Yun-Hsinen_US
dc.creator (作者) Wu, Chih-Hsunen_US
dc.creator (作者) Chen, Hsiu-Jungen_US
dc.creator (作者) Cheng, Yih-Ruen_US
dc.date (日期) 2018-01en_US
dc.date.accessioned 21-Mar-2018 17:30:52 (UTC+8)-
dc.date.available 21-Mar-2018 17:30:52 (UTC+8)-
dc.date.issued (上傳時間) 21-Mar-2018 17:30:52 (UTC+8)-
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/116390-
dc.description.abstract (摘要) 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.en_US
dc.format.extent 322247 bytes-
dc.format.mimetype application/pdf-
dc.relation (關聯) Family Practice, Volume 35, Issue 1, Pages 34–40
dc.subject (關鍵詞) Behavior Rating Scale; Chronic disease; comprehensive health care; emotions; emotional adaptation; primary health careen_US
dc.title (題名) 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).zh_TW
dc.type (資料類型) article
dc.identifier.doi (DOI) 10.1093/fampra/cmx076
dc.doi.uri (DOI) https://doi.org/10.1093/fampra/cmx076