Psychometric Properties of the Chinese Version of the Cognitions About Body and Health Questionnaire

Shih-Cheng Liao,1,2 Wei-Lieh Huang2– 4 1Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan; 2Department of Psychiatry, College of Medicine, National Taiwan University, Taipei, Taiwan; 3Department of Psychiatry, National Taiwan University Hospital Yunlin Branch, Y...

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Autores principales: Liao SC, Huang WL
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spelling oai:doaj.org-article:b7dc799d8f6c4fea87cf471e10589e4e2021-12-02T16:41:24ZPsychometric Properties of the Chinese Version of the Cognitions About Body and Health Questionnaire1178-2021https://doaj.org/article/b7dc799d8f6c4fea87cf471e10589e4e2021-04-01T00:00:00Zhttps://www.dovepress.com/psychometric-properties-of-the-chinese-version-of-the-cognitions-about-peer-reviewed-fulltext-article-NDThttps://doaj.org/toc/1178-2021Shih-Cheng Liao,1,2 Wei-Lieh Huang2– 4 1Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan; 2Department of Psychiatry, College of Medicine, National Taiwan University, Taipei, Taiwan; 3Department of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan; 4Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, TaiwanCorrespondence: Wei-Lieh HuangDepartment of Psychiatry, National Taiwan University Hospital Yunlin Branch Email weiliehhuang@gmail.comIntroduction: The Cognitions About Body and Health Questionnaire (CABAH) is a self-rating questionnaire measuring cognitions about health. The psychometric properties of its Chinese version and its performance on evaluating somatic symptom disorder (SSD) were examined in this study.Methods: After translating the CABAH into Chinese, we collected data of the CABAH and another four questionnaires (Patient Health Questionnaire-15, Health Anxiety Questionnaire, Beck Depression Inventory-II, Beck Anxiety Inventory) in 208 SSD patients and 197 healthy individuals. We used exploratory factor analysis (EFA) to explore the structure of the Chinese CABAH. Internal consistency and criterion-related validity were analyzed. An independent t-test and receiver operating characteristic (ROC) curve analysis were used to evaluate the performance of the CABAH for evaluating SSD.Results: Six factors were suggested by EFA. Five (bodily weakness, health habits, catastrophizing interpretation of specific bodily complaints, somatosensory amplification, catastrophizing interpretation of general bodily complaints) are conceptually associated with the original CABAH. The sixth factor (reverse, with three items) is different from the original construct. Cronbach’s alpha for the CABAH was 0.885. The CABAH score was moderately correlated with scores of the other four questionnaires. Scores for the whole CABAH and scores of the six factors were all significantly higher in SSD patients than in healthy individuals. The results of ROC curve analysis were as follows: area under the curve=0.700; suggested cutoff=58/59; Youden’s J=0.295.Conclusion: The reliability and validity of the Chinese CABAH were fair, although the three items in the reverse factor should be interpreted cautiously.Keywords: Cognitions About Body and Health Questionnaire, psychometric properties, bodily weakness, somatic symptom disorderLiao SCHuang WLDove Medical Pressarticlecognitions about body and health questionnairepsychometric propertiesbodily weaknesssomatic symptom disorder.Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 1135-1144 (2021)
institution DOAJ
collection DOAJ
language EN
topic cognitions about body and health questionnaire
psychometric properties
bodily weakness
somatic symptom disorder.
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle cognitions about body and health questionnaire
psychometric properties
bodily weakness
somatic symptom disorder.
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Liao SC
Huang WL
Psychometric Properties of the Chinese Version of the Cognitions About Body and Health Questionnaire
description Shih-Cheng Liao,1,2 Wei-Lieh Huang2– 4 1Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan; 2Department of Psychiatry, College of Medicine, National Taiwan University, Taipei, Taiwan; 3Department of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan; 4Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, TaiwanCorrespondence: Wei-Lieh HuangDepartment of Psychiatry, National Taiwan University Hospital Yunlin Branch Email weiliehhuang@gmail.comIntroduction: The Cognitions About Body and Health Questionnaire (CABAH) is a self-rating questionnaire measuring cognitions about health. The psychometric properties of its Chinese version and its performance on evaluating somatic symptom disorder (SSD) were examined in this study.Methods: After translating the CABAH into Chinese, we collected data of the CABAH and another four questionnaires (Patient Health Questionnaire-15, Health Anxiety Questionnaire, Beck Depression Inventory-II, Beck Anxiety Inventory) in 208 SSD patients and 197 healthy individuals. We used exploratory factor analysis (EFA) to explore the structure of the Chinese CABAH. Internal consistency and criterion-related validity were analyzed. An independent t-test and receiver operating characteristic (ROC) curve analysis were used to evaluate the performance of the CABAH for evaluating SSD.Results: Six factors were suggested by EFA. Five (bodily weakness, health habits, catastrophizing interpretation of specific bodily complaints, somatosensory amplification, catastrophizing interpretation of general bodily complaints) are conceptually associated with the original CABAH. The sixth factor (reverse, with three items) is different from the original construct. Cronbach’s alpha for the CABAH was 0.885. The CABAH score was moderately correlated with scores of the other four questionnaires. Scores for the whole CABAH and scores of the six factors were all significantly higher in SSD patients than in healthy individuals. The results of ROC curve analysis were as follows: area under the curve=0.700; suggested cutoff=58/59; Youden’s J=0.295.Conclusion: The reliability and validity of the Chinese CABAH were fair, although the three items in the reverse factor should be interpreted cautiously.Keywords: Cognitions About Body and Health Questionnaire, psychometric properties, bodily weakness, somatic symptom disorder
format article
author Liao SC
Huang WL
author_facet Liao SC
Huang WL
author_sort Liao SC
title Psychometric Properties of the Chinese Version of the Cognitions About Body and Health Questionnaire
title_short Psychometric Properties of the Chinese Version of the Cognitions About Body and Health Questionnaire
title_full Psychometric Properties of the Chinese Version of the Cognitions About Body and Health Questionnaire
title_fullStr Psychometric Properties of the Chinese Version of the Cognitions About Body and Health Questionnaire
title_full_unstemmed Psychometric Properties of the Chinese Version of the Cognitions About Body and Health Questionnaire
title_sort psychometric properties of the chinese version of the cognitions about body and health questionnaire
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/b7dc799d8f6c4fea87cf471e10589e4e
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