The German Version of the H-YBOCS for the Assessment of Hypochondriacal Cognitions and Behaviors: Development, Reliability and Validity
The German Version of the H-YBOCS for the Assessment of Hypochondriacal Cognitions and Behaviors: Development, Reliability and Validity
复制标题
用于评估疑病症认知和行为的 H-YBOCS 德国版：发展、可靠性和有效性
DOI：
--
复制
发表时间：
2013
影响因子：
2.7
通讯作者：
M. Witthöft
中科院分区：
文献类型：
--
作者：
Florian Weck;Maria Gropalis;Julia M. B. Neng;M. Witthöft
背景临床医生管理的访谈对于评估治疗研究的有效性是必不可少的，并且是临床实践的重要工具。最近，Yale-Brown强迫量表被应用于疑病症特征维度评估(H-YBOCS)，并取得了良好的效果。目的本研究旨在开发和验证德国版H-YBOCS。结果探索性因素分析和验证性因素分析表明，德国版H-YBOCS具有三因素结构(认知因素、行为因素和洞察力因素)。当前版本的H-YBOCS表现出很高的内部一致性(α = 0.93)和评分员间的可靠性(ICC0.97)。与疾病态度问卷的高度相关(r = 0.81)和与简明症状问卷的非显著相关(r = 0.12)也证实了收敛和区分效度。H-YBOCS区分疑病和焦虑症患者，具有较高的敏感度(0.94)和特异度(0.78)。结论德文版H-YBOCS是评价疑病特征的有效访谈工具，对科学研究和临床实践具有重要意义。
BackgroundClinician-administered interviews are essential for assessing the efficacy of treatment studies and constitute an important instrument for clinical practice. Recently, the Yale–Brown Obsessive Compulsive Scale was adapted for the dimensional assessment of hypochondriacal characteristics (H-YBOCS) and yielded promising results.PurposeThis study aimed to develop and validate a German version of the H-YBOCS.MethodAltogether, 101 patients with hypochondriasis and 49 patients with anxiety disorders were diagnosed using the German version of the H-YBOCS. Well-established questionnaires for assessing hypochondriacal characteristics and the general psychopathology were administered as well.ResultsExploratory and confirmatory factor analyses suggested a three-factor structure for the German version of the H-YBOCS (cognitive factor, behavioral factor, and insight factor). The current version of H-YBOCS demonstrated high internal consistency (α = 0.93) and inter-rater reliability (ICC = .97). Convergent and discriminant validity were also confirmed by high correlations with questionnaires such as the Illness Attitudes Scales (r = 0.81) and non-significant correlations with the Brief Symptom Inventory (r = 0.12). The H-YBOCS discriminated between patients with hypochondriasis and those with anxiety disorder, with high sensitivity (0.94) and specificity (0.78).ConclusionThe German version of the H-YBOCS proved to be a highly effective interview instrument for the dimensional assessment of hypochondriacal characteristics and therefore constitutes an important contribution to scientific research and clinical practice.
DOI：
--
发表时间：
1970
期刊：
--
影响因子：
--
作者：
C. Spielberger;R. Gorsuch;R. Lushene
通讯作者：
C. Spielberger;R. Gorsuch;R. Lushene
影响因子：
--
作者：
W. Goodman;L. Price;S. Rasmussen;C. Mazure;Roberta L. Fleischmann;Candy L. Hill;G. Heninger;D. Charne
通讯作者：
W. Goodman;L. Price;S. Rasmussen;C. Mazure;Roberta L. Fleischmann;Candy L. Hill;G. Heninger;D. Charne