Metacognitions in patients with chronic obstructive pulmonary disease: a psychometric study of the metacognitions questionnaire-30.

IF 2.6 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Frontiers in Psychology Pub Date : 2023-10-20 eCollection Date: 2023-01-01 DOI:10.3389/fpsyg.2023.1265102
Toril Dammen, Costas Papageorgiou, Jonas Christoffer Lindstrøm, Gunnar Einvik
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Abstract

The metacognitions questionnaire-30 (MCQ-30) was developed for the assessment of metacognitive beliefs and processes that are central components of the metacognitive model of emotional disorders. Anxiety and depression commonly occur in patients with chronic obstructive pulmonary disease (COPD). Testing such a model for anxiety and depression in patients with COPD is warranted. However, the psychometric properties of the MCQ-30 in COPD patients are unknown. Therefore, in this study we aimed to examine these properties in COPD patients. The MCQ-30 was administered to 203 COPD patients referred to a rehabilitation unit in respiratory medicine. Confirmatory factor analysis (CFA) was used to test the five-factor as well as the bi-factor models of MCQ-30. Exploratory factor analyses were also performed. Both models did not meet the criteria for an acceptable fit on Comparative Fit Index (CFI) of 0.810 and 0.858 vs. criterion of ≥0.9, but the Root Mean Square Error of Approximation (RMSEA) criterion ≤0.08 was acceptable for both models with RMSEA = 0.074 and 0.066, respectively. The factors were mostly moderately correlated (0.41-0.58) with acceptable reliability coefficients (0.73-0.87). The exploratory factor analysis identified three of the five factors originally described in the five-factor model of the MCQ-30. These data show that the factor structure of the MCQ-30 appears to differ from that of the original instrument in COPD patients and further studies are needed to confirm its validity and reliability in this patient group.

Abstract Image

慢性阻塞性肺病患者的元认知:元认知问卷的心理测量学研究-30。
元认知问卷-30(MCQ-30)用于评估元认知信念和过程,这些信念和过程是情绪障碍元认知模型的核心组成部分。焦虑和抑郁通常发生在慢性阻塞性肺病(COPD)患者中。对COPD患者的焦虑和抑郁进行测试是有必要的。然而,MCQ-30在COPD患者中的心理测量特性尚不清楚。因此,在本研究中,我们旨在检查COPD患者的这些特性。MCQ-30给203名COPD患者服用,这些患者被转诊到呼吸医学康复中心。采用验证性因子分析(CFA)对MCQ-30的五因子和双因子模型进行了检验。还进行了探索性因素分析。两个模型都不符合比较拟合指数(CFI)为0.810和0.858的可接受拟合标准,而标准≥0.9,但均方根误差(RMSEA)标准≤0.08对于两个具有RMSEA的模型都是可接受的 = 分别为0.074和0.066。这些因素大多与可接受的可靠性系数(0.73-0.87)适度相关(0.41-0.58)。探索性因素分析确定了MCQ-30五因素模型中最初描述的五个因素中的三个。这些数据表明,在COPD患者中,MCQ-30的因子结构似乎与原始仪器的因子结构不同,需要进一步的研究来确认其在该患者组中的有效性和可靠性。
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来源期刊
Frontiers in Psychology
Frontiers in Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
5.30
自引率
13.20%
发文量
7396
审稿时长
14 weeks
期刊介绍: Frontiers in Psychology is the largest journal in its field, publishing rigorously peer-reviewed research across the psychological sciences, from clinical research to cognitive science, from perception to consciousness, from imaging studies to human factors, and from animal cognition to social psychology. Field Chief Editor Axel Cleeremans at the Free University of Brussels is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal publishes the best research across the entire field of psychology. Today, psychological science is becoming increasingly important at all levels of society, from the treatment of clinical disorders to our basic understanding of how the mind works. It is highly interdisciplinary, borrowing questions from philosophy, methods from neuroscience and insights from clinical practice - all in the goal of furthering our grasp of human nature and society, as well as our ability to develop new intervention methods.
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