Psychometric properties of the chinese version of the cognitions about body and health questionnaire
Journal
Neuropsychiatric Disease and Treatment
Journal Volume
17
Journal Volume
17
Pages
1135-1144
Start Page
1135
End Page
1144
ISSN
1178-2021
Date Issued
2021
Author(s)
Abstract
Introduction: 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, catastro-phizing interpretation of specific bodily complaints, somatosensory amplification, catastro-phizing 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. ? 2021 Liao and Huang.
Subjects
Bodily weakness; Cognitions About Body and Health Questionnaire; Psychometric properties; Somatic symptom disorder
SDGs
Other Subjects
adult; anxiety assessment; Article; Beck Anxiety Inventory; Beck Depression Inventory; bodily weakness; catastrophizing; cognition assessment; Cognitions About Body and Health Questionnaire Chinese version; confirmatory factor analysis; controlled study; criterion related validity; exploratory factor analysis; female; Health Anxiety Questionnaire; health behavior; human; internal consistency; major clinical study; male; Patient Health Questionnaire 15; psychometry; psychosomatic disorder; receiver operating characteristic; reliability; somatic symptom disorder; somatosensory amplification; weakness
Type
journal article