semenvatting
This study examined the factor structure of the Illness Cognition Questionnaire (ICQ) in three samples: chronic pain (CP), chronic fatigue (CFS) and fibromyalgia (FM). Former research in patients with rheumatoid arthritis and multiple sclerosis indicated a three-factor structure (helplessness, acceptance and perceived benefits). For 449 Flemish CP-patients, 296 Flemish CFS-patients and 372 Dutch FM-patients, complete data on the ICQ were available. Confirmatory factor analysis was performed, as well as a multi-group analysis to assess the stability of the factor structure in these three patient groups. Finally, norms were calculated. The three-factor structure was confirmed in CP, CFS and FM. Moreover, the three-factor model can be considered as invariant across the three samples. An analysis of variance indicated a significant difference in ICQ-scores between the three samples. Therefore, separate norms were calculated for the three different chronic conditions. The Illness Cognition Questionnaire seems to be a valid instrument to assess the proposed generic illness cognitions (helplessness, acceptance and perceived benefits) in patients with CP, CFS and FM.
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Anderson, J.S., & Ferrans, C.E. (1997). The quality of life of persons with chronic fatigue syndrome. Journal of Nervous and Mental Disease,185, 359-367.
Bentler, P.M. (1990). Comparative Fit Indexes in Structural Models. Psychological Bulletin, 107, 238-246.
Bollen, K.A., & Long, J.S. (1993). Introduction. In K.A. Bollen & J.S. Long (Eds.), Testing structural equation models (pp. 1-9). Newbury Park: Sage Publications.
Brandstädter, J., & Renner, G. (1990). Tenacious goal pursuit and flexible goal adjustment: explication and age-related analysis of assimilative and accommodative strategies of coping. Psychology and Aging, 5, 58-97.
Brandstädter, J., & Rothermund, K. (2002). The life-course dynamics of goal pursuit and goal adjustment: a two-process framework. Developmental Review, 22, 117-150.
Brandstädter, J., Wentura, D., & Rothermund, K. (1999). Intentional self-development through adulthood and later life: tenacious pursuit and flexible adjustment of goals. In J. Brandstädter & R.M. Lerner (Eds.), Action and self-development: Theory and research through the life-span (pp. 373-400). Thousand Oaks (CA): Sage.
Browne, M.W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K.A. Bollen & J.S. Long (Eds.), Testing structural equation models (pp. 136-162). Newbury Park: Sage Publications.
Cole, D.F.A. (1987). Utility of confirmatory factor analysis in test validation research. Journal of Consulting and Clinical Psychology, 55, 584-594.
Cuttance, P. (1987). Issues and problems in the application of structural equation models. In Cattance, P., & Ecob, R. (Eds.), Structural Modeling by Example (pp. 241-279) Cambridge University Press: New York.
Evers, A.W.M., Duller, P., Kerkhof, P.C.M. van de, Valk, P.G.M. van der, Gerritsen, M.J., Otero, M.E., Verhoeven, E.W.M. & Kraaimaat, F.W. (2007). Invloed van huidaandoeningen op het dagelijks leven (IHDL). Een ziektespecifiek en generiek meetinstrument voor chronische huidaandoeningen. Psychologie & Gezondheid, 35, 42-51.
Evers, A.W.M., Kraaimaat, F., Lankveld, W. van, Jongen, P.J.H., Jacobs, J.W.G., & Bijlsma J.W.J. (2001). Beyond Unfavorable Thinking: The Illness Cognition Questionnaire for Chronic Disease. Journal of Consulting and Clinical Psychology, 69, 1026-1036.
Evers, A.W.M., Lu, Y., Duller, P., Valk, P.G.M. van der, Kraaimaat, F.W., & Kerkhof, P.C.M. van de (2005). Common burden of chronic skin diseases? Contributors to psychological distress in adults with psoriasis and atopic dermatitis. British Journal of Dermatology, 152, 1275-1281.
Fukuda, K., Straus, S.E., Hickie, I., Sharpe, M.C., Dobbins, J.G., & Komaroff, A. (1994). The chronic fatigue syndrome: a comprehensive approach to its definition and study. Annals of Internal Medicine, 121, 953-959.
Hagger, M.S. (2003). A meta-analytic review of the common-sense model of illness representations. Psychology and Health, 18, 141-184.
Hoyle, R.H., & Smith, G.T. (1994). Formulating clinical research hypotheses as structural equation models: A conceptual overview. Journal of Consulting and Clinical Psychology, 62, 429-440.
Kaptein, A.A., Scharloo, M., Helder, D.I., Klein, W.C., Korlaar, I.M. van, & Woertman, M. (2003). Representations of chronic illness. In L.D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour (pp. 97-118). London: Routledge.
Kiebert, G., Sorensen, S.V., Revicki, D., Fagan, S.C., Doyle, J.J., Cohen, J., & Fivenson, D. (2002). Atopic dermatitis is associated with a decrement in health-related quality of life. International Journal of Dermatology, 41, 151-158.
Koleck, M., Mazaux, J-M., Rascle, N., & Bruchon-Schweitzer, M. (2006). Psycho-social factors and coping strategies as predictors of chronic evolution and quality of life in patients with low back pain: A prospective study. European Journal of Pain, 10, 1-11.
Lundberg, L., Johannesson, M., Silverdahl, M., Hermansson, C., & Lindberg, M., (2000). Health-related quality of life in patients with psoriasis and atopic dermatitis measured with SF-36, DLQI and a subjective measure of disease activitity. Acta Dermato-Venereologica, 80, 430-434.
Marsh, H.W., Balla, J.R., & McDonald, R.P. (1988). Goodness-of-fit indexes in confirmatory factor analysis: the effect of sample size. Psychological Bulletin, 103, 391-410.
Marsh, H.W., & Hovecar, D. (1985). Application of confirmatory factor analysis to the study of self-concept: First- and higher order factor models and their invariance across groups. Psychological Bulletin, 97, 562-582.
McCabe, M.P., & McKern, S., (2002). Quality of life and multiple sclerosis: Comparison between people with multiple sclerosis and people from the general population. Journal of Clinical Psychology in Medical Settings,9, 287-295.
McDonald, R.P., & Ho, M.R. (2002). Principles and practice in reporting structural equation analyses. Psychological Methods, 7, 64-82.
McElhone, K., Abbott, J., & Teh, L.S. (2006). A review of health related quality of life in systemic lupus erythematosus. Lupus, 15, 633-643.
Naidoo, P., & Pretorius, T.B. (2006). The moderating role of helplessness in rheumatoid arthritis, a chronic disease. Social Behavior and Personality, 34, 103-112.
Nicassio, P.M., Schuman, C., Radojevic, V., & Weisman, M.H. (1999). Helplessness as a mediator of health status in fibromyalgia. Cognitive Therapy and Research, 23, 181-196.
Rothermund, K. (2006). Hanging on and letting go in the pursuit of health goals: psychological mechanisms to cope with a regulatory dilemma. In D. De Ridder & J. De Wit (Eds.), Self Regulation in health behaviour (pp. 217-241). Chichester (UK): Wiley.
Scharloo, M., Kaptein, A.A., Weinman, J., Hazes, J.M., Willems, L.N.A., Bergman, W., & Rooijmans, H.G.M. (1998). Illness perceptions, coping and functioning in patients with rheumatoid arthritis, chronic obstructive pulmonary disease and psoriasis. Journal of Psychosomatic Research, 44, 573-585.
Schweitzer, R., Kelly, B., Foran, A., Terry, D., & Whiting, J. (1995). Quality of life in chronic fatigue syndrome. Social Science & Medicine, 41, 1367-1372.
Steiger, J.H. (1990). Structural model evaluation and modification: an interval estimation approach. Multivariate Behavioral Research, 25, 173-180.
Van Damme, S., Crombez, G., Van Houdenhove, B., Mariman, A., & Michielsen, W. (2006). Well-being in patients with chronic fatigue syndrome: the role of acceptance. Journal of Psychosomatic Research, 61, 595-599.
Van der Werf, S.P., Evers, A., Jongen, P.H.J., & Bleijenberg, G. (2003). The role of helplessness as mediator between neurological disability, emotional instability, experienced fatigue and depression in patients with multiple sclerosis. Multiple Sclerosis, 9, 89-94.
Viane, I., Crombez, G., Eccleston, C., Poppe, C., Devulder, J., Van Houdenhove, B., & De Corte, W. (2003). Acceptance of pain is an independent predictor of mental well-being in patients with chronic pain: empirical evidence and reappraisal. Pain, 106, 65-72.
Walsh, J.D., Blanchard, E.B., Kremer, J.M., & Blanchard, C.G., (1999). The psychosocial effects of rheumatoid arthritis on the patient and the well partner. Behaviour Research and Therapy, 37, 259-271.
Weinman, J.A., & Petrie, K.J. (1997). Perceptions of Health and Illness. In K.J. Petrie & J.A. Weinman (Eds.), Perceptions of Health & Illness: current Research and Applications (pp. 1-17). Overseas publishers association: Amsterdam.
Weiss, S.C., Kimball, A.B., Liewehr, D.J., Blauvelt, A., Turner, M.L., & Emanuel, E.J. (2002). Quantifying the harmful effect of psoriasis on health-related quality of life. Journal of the American Academy of Dermatology, 47, 512-518.
Wheaton, B., Muthén, B., Alwin, D.F., & Summers, G.F. (1977). Assessing reliability and stability in panel models. In D.R. Heise (Ed.), Sociological methodology (pp. 84-136). San Francisco: Josseay-Bass.
Yach, D., Hawkes, C., Gould, C.L., & Hofman, K.J. (2004). The global burden of chronic diseases. Overcoming impediments to prevention and control. Journal of the American Medical Association, 291, 2616-2622.
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De eerste twee auteurs zijn verbonden aan de Vakgroep Experimenteel-Klinische en Gezondheidspsychologie van de Universiteit Gent, de derde auteur is werkzaam bij de Afdeling Medische Psychologie van het Radboud Universitair Medisch Centrum Nijmegen.
Correspondentieadres: Herlinde Logie, Universiteit Gent, Henri Dunantlaan 2, 9000 Gent, België.
E-mailadres:Herlinde.Logie@UGent.be.
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Logie, H., Crombez, G. & Evers, A.W.M. De Ziekte Cognitie Lijst bij chronische onverklaarde lichamelijke klachten. PSEG 35, 90–96 (2007). https://doi.org/10.1007/BF03071769
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DOI: https://doi.org/10.1007/BF03071769