中文版健康焦慮問卷：心理計量特徵及其與DSM-IV及DSM-5診斷系統之關係

Chinese Version of Health Anxiety Questionnaire: Psychometric Properties and Its Association with DSM-IV/DSM-5 Systems

陳宜明(I-Ming Chen) ； 黃偉烈(Wei-Lieh Huang) ； 李明濱(Ming-Been Lee) ； 廖士程(Shih-Cheng Liao)

《台灣醫學》 23卷1期 (2019/01) Pp. 21-30

https://doi.org/10.6320/FJM.201901_23(1).0003

摘要

本研究檢視了中文版健康焦慮問卷（Chinese version of Health Anxiety Questionnaire，C-HAQ）的心理計量特徵，並探索其與DSM-IV身體型疾患、DSM-5身體症狀及相關障礙症之關係。結果顯示，C-HAQ之內部一致性為0.943，再测信度為0.958，均在良好範疇。探索性因素分析顯示其有對健康與疾病的過度擔憂、症狀對生活干擾程度、尋求再保證之行為三個因素。與其他憂鬱，焦慮，身體症狀量表之相關性為中等。CHAQ應用於DSM-5身體症狀及相關障礙症之評估，具有比評估DSM-IV身體型疾患更佳之表現;不論對應於何種系統，17/18都是判斷是否具有診斷的適宜切點。

關鍵字

健康焦慮問卷 ； 身體症狀及相關障礙症 ； 身體症狀障礙症 ； 身體型疾患

並列摘要

In this study, we examined the psychometric properties of the Chinese version of Health Anxiety Questionnaire (C-HAQ), and explored its association with somatoform disorders in DSM-IV, and somatic symptom and related disorders in DSM-5. We found good internal consistency (0.943) and test-retest reliability (0.958) of C-HAQ. Exploratory factor analysis reveals three factors: excessive worry to health and illness, extent to which symptoms interfere with a person's life, and reassurance-seeking behavior. It has moderate correlation with depression, anxiety and somatic constructs. According to the result of ROC curve analysis, C-HAQ has better performance in evaluating DSM-5 somatic symptom and related disorders than in evaluating DSM-IV somatoform disorders. No matter applying which diagnostic system, 17/18 is a proper cutoff for making the diagnosis.

並列關鍵字

Health Anxiety Questionnaire ； somatic symptom and related disorders ； somatic symptom disorder ； somatoform disorders

參考文獻

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