Youth and Parent Versions of the Asthma-Related Anxiety Scale: Development and Initial Testing
Youth and Parent Versions of the Asthma-Related Anxiety Scale: Development and Initial Testing
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DOI：
10.1089/ped.2011.0076
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发表时间：
2011-01-01
影响因子：
0.9
通讯作者：
Klein, Rachel G.
中科院分区：
文献类型：
--
作者：
Bruzzese, Jean-Marie;Unikel, Lynne H.;Klein, Rachel G.
在成年人中，与哮喘相关的焦虑已被认为会影响哮喘的自我管理。然而，该问题尚未在儿科样本中得到解决，也没有制定措施来评估青少年或父母与哮喘相关的焦虑。本研究的目的是开发和测试评估哮喘相关焦虑的新型工具的心理测量特性：青少年哮喘相关焦虑量表（YAAS）和家长哮喘相关焦虑量表（PAAS）。分析量表项目的内容有效性。我们使用探索性因子分析确定了因子结构，并测试了 285 名患有未受控制的哮喘的西班牙裔和非裔美国青少年（平均年龄 = 12.8）及其父母 (n = 230) 的量表的心理测量特性，这些青少年参加了一项更大的随机对照试验，测试哮喘干预的功效；对照组家庭（134 名青少年和 103 名家长）提供了后续数据来评估时间稳定性。 YAAS 和 PAAS 均包含 2 个因子，Cronbach α 系数范围为 0.75 至 0.90。对哮喘严重程度的焦虑和对疾病相关限制的焦虑这两个因素在每项测量中都高度相关。这些测量显示了内容和结构的有效性，并在 2-3 个月内表现出中等的时间稳定性（范围：0.36-0.42）。 YAAS 和 PAAS 具有足够的心理测量特性，可以有意义地有助于评估青少年及其父母与哮喘相关的焦虑，满足该人群的临床需求。
Among adults, anxiety related to asthma has been acknowledged to influence asthma self-management. However, it has not been addressed in pediatric samples and there have been no measures developed to assess asthma-related anxiety in youth or parents. The objective of this study was to develop and test the psychometric properties of novel instruments assessing asthma-related anxiety: the Youth Asthma-Related Anxiety Scale (YAAS) and Parent Asthma-Related Anxiety Scale (PAAS). Scale items were analyzed for content validity. We determined the factor structure using exploratory factor analysis and tested the scales' psychometric properties with 285 Hispanic and African American early adolescents with uncontrolled asthma (mean age = 12.8) and their parents (n = 230) who participated in a larger randomized control trial testing the efficacy of an asthma intervention; control group families (134 youth and 103 parents) provided follow-up data to assess temporal stability. Both the YAAS and PAAS contained 2 factors with Cronbach alpha coefficients ranging from 0.75 to 0.90. The 2 factors, anxiety about asthma severity and about disease-related restrictions, were highly correlated within each measure. The measures displayed content and construct validity and demonstrated moderate temporal stability over 2-3 months (range: 0.36-0.42). The YAAS and PAAS have adequate psychometric properties and can meaningfully contribute to the assessment of asthma-related anxiety in adolescents and their parents, filling a clinical need in this population.