Hierarchical measurement structure in the Women's Health Questionnaire: a confirmatory factor analysis.

Hierarchical measurement structure in the Women's Health Questionnaire: a confirmatory factor analysis.
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DOI:
10.1080/13697137.2018.1564270
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发表时间:
2019-10
期刊:
Climacteric : the journal of the International Menopause Society
影响因子:
--
通讯作者:
Hodis HN
Hodis HN
中科院分区:
其他
文献类型:
--
作者:
Shen BJ;Fan Q;Huang JS;Ho MHR;Mack WJ;Hodis HN

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本研究以验证性因素分析探讨女性健康问卷的测量结构及其组成。参与者为448名绝经后妇女,平均年龄为63.3岁。CFA进行测试,以及几个建议的测量模型拟合数据。单因素模型表现不佳,表明存在多个因素。有7个相关因素的模型拟合数据很好,虽然不同程度的因素间的相关性建议分组相似的因素。分层测量结构,7个一阶因素下组织的两个二阶因素的身体健康和心理健康功能,表现出良好的拟合数据(χ2(367)= 694.05,p < 0.001;近似均方根误差= 0.05;比较拟合指数= 0.95)和一个有意义的模式。心理健康因素由抑郁情绪、焦虑/恐惧、记忆/注意力问题和睡眠问题代表。身体健康因素主要表现为躯体症状、月经症状和血管症状,在较小程度上也表现为睡眠问题和记忆力/注意力问题。研究结果表明,除了全球指数和子量表分数,WHQ可能会产生身体健康和心理健康功能的总结分数,在绝经后妇女的幸福感评价。
This study conducted confirmatory factor analysis (CFA) to examine the measurement structure of the Women’s Health Questionnaire (WHQ) and how its components were organized. Participants were 448 postmenopausal women, with a mean age of 63.3 years. CFA was conducted to test how well several proposed measurement models fit the data. The single-factor model performed poorly, indicating the presence of multiple factors. The model with seven correlated factors fit the data well, although the varying degrees of inter-factor correlations suggested grouping of similar factors. The hierarchical measurement structure, with seven first-order factors organized under two second-order factors of physical health and mental health functioning, demonstrated a good fit with the data (χ2(367) = 694.05, p < 0.001; root mean square error of approximation = 0.05; comparative fit index = 0.95) and a meaningful pattern. The Mental Health factor was represented by Depressed Mood, Anxiety/Fear, Memory/Concentration Problems, and Sleep Problems. The Physical Health factor was manifested mainly by Somatic Symptoms, Menstrual Symptoms, and Vasomotor Symptoms, and, to a lesser extent, also by Sleep Problems and Memory/Concentration Problems. Findings suggested that, in addition to a global index and subscale scores, the WHQ may produce summary scores of physical health and mental health functioning in evaluation of well-being among postmenopausal women.
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