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)
Journal
Family Practice
Journal Volume
35
Journal Issue
1
Pages
34-40
Date Issued
2018
Author(s)
Huang Y.-H.
Wu C.-H.
Chen H.-J.
Cheng Y.-R.
Hung F.-C.
Leung K.-K.
Lue B.-H.
Chen C.-Y.
Wu Y.-C.
Abstract
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 a) 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. ? The Author(s) 2017. Published by Oxford University Press.
Subjects
Behavior Rating Scale; Chronic disease; Comprehensive health care; Emotional adaptation; Emotions; Primary health care
SDGs
Other Subjects
adult; Article; chronic disease; controlled study; criterion related validity; depression; diagnostic test accuracy study; disease severity; emotion; emotional disorder; female; human; internal consistency; major clinical study; male; negative emotion; Negative Emotions due; patient attitude; patient satisfaction; primary medical care; psychometry; questionnaire; receiver operating characteristic; screening test; self care; self report; sensitivity and specificity; test retest reliability; Zung self-rating depression scale; aged; behavior assessment; chronic disease; coping behavior; mass screening; middle aged; primary health care; procedures; psychology; psychometry; quality of life; reproducibility; Adaptation, Psychological; Adult; Aged; Behavior Rating Scale; Chronic Disease; Emotions; Female; Humans; Male; Mass Screening; Middle Aged; Primary Health Care; Psychometrics; Quality of Life; Reproducibility of Results; Self Care; Self Report; Sensitivity and Specificity
Publisher
Oxford University Press
Type
journal article