The SF-36 physical and mental health factors were confirmed in cancer and HIV/AIDS patients

The SF-36 physical and mental health factors were confirmed in cancer and HIV/AIDS patients
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DOI:
10.1016/j.jclinepi.2006.07.001
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发表时间:
2007-01-01
影响因子:
7.2
通讯作者:
Hays, Ron D.
Hays, Ron D.
中科院分区:
医学2区
文献类型:
--
作者:
Chang, Chih-Hung;Wright, Benjamin D.;Hays, Ron D.

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背景和目的:本研究评估了现有总评系统所暗示的RAND-36/SF-36条目测量身心健康(PH和MH)的程度。方法:从5个机构招募1714名异质性癌症和艾滋病患者。其中,女性占56%,高加索人占81%,主要癌症和艾滋病患者各占约10%。结果:对SF-36的分析证实了健康的两个维度,即生理和精神。然而,条目拟合度统计和残差因子分析显示,部分旨在代表健康维度的条目与MH维度吻合较好。结论:本文论证了Rasch残差因子分析对于理解和加强对健康的解释的价值。(C)2006 Elsevier Inc.保留所有权利。
Background and Objective: This study assesses the extent to which the RAND-36/SF-36 items measure physical and mental health (PH and MH), as implied by existing summary scoring systems.Methods: A total of 1,714 heterogeneous cancer and HIV/AIDS patients were recruited from five institutions. Of these, 56% were women; 81% Caucasians; and about 10% were from each of the major cancer types and HIV/AIDS.Results: Analyses of the SF-36 confirmed the two dimensions of health namely physical and mental. However, item fit statistics and residual factor analysis revealed that some items intended to represent the PH dimension fit better with the MH dimension.Conclusion: This paper demonstrated the value of Rasch residual factor analysis for understanding and enhancing interpretation of health. (c) 2006 Elsevier Inc. All rights reserved.