Measuring Physician Trust: An In-Depth Psychometric Analysis of the Trust in Physicians Scale Considering Social Desirability.

IF 1.6 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-09-01 Epub Date: 2026-03-04 DOI:10.1007/s10880-026-10139-y

Chloe Lau, Francesco Bruno, Georgia Marunic, Lena Quilty, Catherine Li, Donald Saklofske, Francesca Chiesi

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Abstract

While the Trust in Physicians Scale demonstrates strong reliability and validity in previous findings, further research is necessary to continue evaluating item response theory parameters and the effects of social desirability. Undergraduate participants (N = 730) between 17 and 48 years of age (M = 18.41, SD = 1.63) completed the Trust in Physicians questionnaire and criterion validity measures. Results from Gulliksen's Pool indicated suitability for factor analysis and goodness of fit was appropriate for a unidimensional model (GFI = 1.00; RMSEA = .09; CFI = .98). When controlling for social desirability, factor loadings ranged from .39 to .84 for the Trust in Physicians factor. Loadings on the social desirability control scale ranged from .08 to .25, suggesting positive links with trust in physician and social desirability. Item response theory analyses under Samejima's graded response model reveal item discrimination values between .42 and 1.71 (m = 1.01). Proper measurement may enable physicians to identify patients who may require attention to therapeutic rapport.

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测量医生信任：考虑社会期望的医生信任量表的深度心理测量分析。

虽然“医生信任量表”在先前的研究结果中显示出较强的信度和效度，但需要进一步的研究来继续评估项目反应理论参数和社会期望的影响。年龄在17 - 48岁之间的本科生（N = 730）（M = 18.41, SD = 1.63）完成了对医生的信任问卷和标准效度测量。Gulliksen’s Pool的结果表明，因子分析的适宜性和拟合优度适合一维模型（GFI = 1.00; RMSEA = 0.09; CFI = 0.98）。在控制社会可取性时，因子负荷范围从。39 . to。84对医生的信任因素。社会期望控制量表的负荷范围从。08到。25，这表明对医生的信任与社会期望呈正相关。在Samejima的分级反应模型下进行的项目反应理论分析，揭示了项目间的区别值。42和1.71 （m = 1.01）。适当的测量可以使医生识别可能需要注意治疗关系的患者。

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来源期刊

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.