Huang Y.-H.Wu C.-H.Chen H.-J.Cheng Y.-R.Hung F.-C.Leung K.-K.Lue B.-H.Chen C.-Y.TAI-YUAN CHIUWu Y.-C.2021-02-022021-02-0220180263-2136https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044430660&doi=10.1093%2ffampra%2fcmx076&partnerID=40&md5=96c8375fb032fd7cbf51be7f725f17dchttps://scholars.lib.ntu.edu.tw/handle/123456789/545030Background. 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.Behavior Rating Scale; Chronic disease; Comprehensive health care; Emotional adaptation; Emotions; Primary health care[SDGs]SDG3adult; 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 Specificityjournal article10.1093/fampra/cmx076289689042-s2.0-85044430660