Skip to main content
Search
Search
    Quick Search anywhere
    Quick search in Citations
Advanced Search
Skip main navigation
Previous article
Next article
Originalia

Die deutschsprachige Version des Illness Perception Questionnaire-Revised

Psychometrische Evaluation an Patienten mit chronisch somatischen Erkrankungen

Published Online:October 26, 2009https://doi.org/10.1026/0943-8149.17.4.158

Abstract

Zusammenfassung. Ziel der Studie war es, die deutschsprachige Version des Illness Perception Questionnaire-Revised (IPQ-R) psychometrisch zu evaluieren. Hierbei wurden die faktorielle Validität, Konstruktvalidität und konkurrente Kriteriumsvalidität bestimmt sowie die interne Konsistenz und Test-Retest-Reliabilität analysiert. Die Mehrzahl der Analysen wurden in einer Querschnittsstudie an N = 817 Patienten aus sechs Rehabilitationskliniken durchgeführt. Die Prüfung der konkurrenten Kriteriumsvalidität erfolgte an einer Teilstichprobe dieser Patienten in Kontrastierung zu einer Stichprobe von N = 58 Akutpatienten. Die Test-Retest-Reliabilität wurde anhand einer Stichprobe von N = 45 Patienten aus zwei Rehabilitationskliniken ermittelt. Die faktorielle Struktur des Original-Fragebogens kann insgesamt bestätigt werden. Die Cronbachs Alpha-Koeffizienten liegen mit Werten zwischen .70 und .87 in einem befriedigend bis guten Bereich, lediglich die Skala „Behandlungskontrolle” weist mit einem α von .58 einen inakzeptablen Wert auf. Das Muster der Korrelationsmatrix ist plausibel. Der Fragebogen diskriminiert zwischen Rehabilitanden und Akutpatienten und weist mit Intraklassenkoeffizienten zwischen .55 und .87 bzw. Pearson-Korrelationskoeffizienten zwischen .56 und .87 eine ausreichende Test-Retest-Reliabilität auf. Die kognitiven Krankheitsrepräsentationen von Rehabilitanden können mit dem deutschsprachigen IPQ-R relativ reliabel und valide gemessen werden. Einige der Ergebnisse weisen jedoch auf Überarbeitungspotenzial des Fragebogens hin.


German version of the Illness Perception Questionnaire-Revised (IPQ-R): Psychometric evaluation in patients with chronic somatic illness

Abstract. The objective of this study was the psychometric evaluation of the German version of the Illness Perception Questionnaire-Revised (IPQ-R). For this, factorial validity, construct validity, and concurrent criterion validity were determined and internal consistency and test-retest reliability were analyzed. The majority of the analyses were carried out in a cross-sectional study of N = 817 patients from six rehabilitation centers. The test for concurrent criterion validity was made on a partial sample of these patients contrasted with a sample of N = 58 acute patients. The test-retest reliability was determined using a sample of N = 45 patients from two rehabilitation centers. In general, the factorial structure of the original questionnaire was confirmed. The Cronbach’s α coefficients are in the satisfactory to good range, with values between .70 and .87, but the scale ”Treatment control” has an unacceptable value of α = .58. The pattern of the correlation matrix is plausible. The questionnaire discriminates between rehabilitation patients and acute patients and shows adequate test-retest reliability, with intraclass coefficients of between .55 and .87 and Pearson correlation coefficients between .56 and .87, respectively. Assessment of the cognitive illness representations of rehabilitation patients using the German IPQ-R is relatively reliable and valid. Some results indicate that the questionnaire could be optimized.

Literatur

  • Aalto, A.-M. , Aro, A. R. , Weinman, J. , Heijmans, M. , Manderbacka, K. , Elovaino, M. (2006). Sociodemographic, disease status, and illness perceptions predictors of global self-ratings of health and quality of life among those with coronary heart disease – one year follow-up study. Quality of Life Research, 15, 1307–1322. First citation in articleCrossref, Google Scholar

  • Andresen, E. M. , Malmstrom, T. K. , Miller, D. K. , Miller, J. P. , Wolinsky, F. D. (2005). Restest reliability of self-reported function, self-care, and disease history. Medical Care, 43, 93–97. First citation in articleGoogle Scholar

  • Bortz, J. , Döring, N. (Hrsg.) (2002). Forschungsmethoden und Evaluation für Human- und Sozialwissenschaftler. Berlin: Springer. First citation in articleCrossref, Google Scholar

  • Broadbent, E. , Petrie, K. J. , Main, J. , Weinman, J. (2006). The brief illness perception questionnaire. Journal of Psychosomatic Research, 60, 631–637. First citation in articleCrossref, Google Scholar

  • Cronbach, L. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297–334. First citation in articleCrossref, Google Scholar

  • De Ridder, D. T. , Theunissen, N. C. , van Dulme, S. M. (2007). Does training general practitioners to elicit patients’ illnes representations and action plans influence their communication as a whole? Patient Education and Counseling, 66, 327–336. First citation in articleCrossref, Google Scholar

  • Figueiras, M. J. , Alves, N. C. (2007). Lay perceptions of serious illnesses : An adapted version of the revised Illness Perception Questionnaire (IPQ-R) for healthy people. Psychology & Health, 22, 143–158. First citation in articleCrossref, Google Scholar

  • Fortune, G. , Barrowclough, C. , Lobban, F. (2004). Illness representations in depression. British Journal of Clinical Psychology, 43, 347–364. First citation in articleCrossref, Google Scholar

  • Frostholm, L. , Oernboel, E. , Christensen, K. S. , Toft, T. , Olesen, F. , Weinman, J. , Fink, P. (2007). Do illness perceptions predict health outcomes in primary care patients? A-2-year follow-up study. Journal of Psychosomatic Research, 62, 129–138. First citation in articleCrossref, Google Scholar

  • Gaab, J. , Ehlert, U. (2005). Chronische Erschöpfung und Chronisches Erschöpfungssyndrom. Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Grace, S. L. , Evindar, A. , Kung, T. N. , Scholey, P. E. , Stewart, D. (2004). Automatic referral to cardiac rehabilitation. Medical Care, 42, 661–669. First citation in articleCrossref, Google Scholar

  • Gross, D. P. , Ferrari, R. , Russell, A. S. , Battié, M. C. , Schopflocher, D. , Hu, R. W. , Waddell, G. , Buchbinder, R. (2006). A population-based survey of back pain beliefs in Canada. Spine, 31, 2142–2145. First citation in articleCrossref, Google Scholar

  • Hagger, M. S. , Orbell, S. (2005). A confirmatory factor analysis of the revised Illness Perception Questionnaire (IPQ-R) in a cervical screening context. Psychology and Health, 20, 161–173. First citation in articleCrossref, Google Scholar

  • Herrmann, C. , Buss, U. , Snaith, R. P. (1995). Hospital Anxiety and Depression Scale – Deutsche Version. Bern: Huber. First citation in articleGoogle Scholar

  • Hill, S. , Dziedzic, K. , Thomas, E. , Baker, S. R. , Croft, P. (2007). The illness perceptions associated with health and behavioural outcomes in people with musculoskeletal hand problems: findings from the North Staffordshire Osteoarthritis Project (NorStOP). Rheumatology, 46, 944–951. First citation in articleCrossref, Google Scholar

  • Kaiser, H. F. , Rice, J. (1974). Little Jiffy, Mark IV. Educational and Psychological Measurement, 34, 111–117. First citation in articleCrossref, Google Scholar

  • Kuipers, E. , Watson, P. , Onwumere, J. , Bebbington, P. , Dunn, G. , Weinman, J. , Fowler, D. , Freeman, D. , Hardy, A. , Garety, P. (2007). Discrepant illness perceptions, affect and expressed emotion in people with psychosis and their carers. Social Psychiatry and Psychiatric Epidemiology, 42, 277–283. First citation in articleCrossref, Google Scholar

  • Latanzio-Bunschoten, S. (2003). Psychometrische Evaluation des Illness Perception Questionnaire (IPQ-R) im deutschsprachigen Raum. Unveröffentlichte Diplomarbeit, Universität Zürich. First citation in articleGoogle Scholar

  • Lau, R. R. , Hartman, K. A. (1983). Common sense representations of common illnesses. Health Psychology, 2, 167–185. First citation in articleCrossref, Google Scholar

  • Lau-Walker, M. (2006). Predicting self-efficacy using illnessperception components: A patient survey. British Journal of Health Psychology, 11, 643–661. First citation in articleCrossref, Google Scholar

  • Leventhal, H. , Leventhal, E. A. , Cameron, L. (2001). Representations, procedures, and affect in illness self-regulation: A perceptual-cognitive model. In A. Baum, T. A. Revenson, J. E. Singer, (Eds.), Handbook of Health Psychology (pp. 19–48). Mahwah, NJ: Lawrence Erlbaum. First citation in articleGoogle Scholar

  • Leventhal, H. , Meyer, D. , Nerenz, D. (1980). The common sense representation of illness danger. In S. Rachman, (Ed.), Contributions To Medical Psychology – Volume 2 (pp. 7–30). Oxford: Pergamon Press. First citation in articleGoogle Scholar

  • Leventhal, H. , Nerenz, D. R. , Steele, D. J. (1984). Illness representations and coping with health threats. In A. Baum, S. E. Singer, S. E. Taylor, (Eds.), Handbook of Psychology and Health, Volume IV: Social Psychology Aspects of Health (pp. 219–252). Hillsdale, NJ: Lawrence Erlbaum. First citation in articleGoogle Scholar

  • Lobban, F. , Barrowclough, C. , Jones, S. (2005). Assessing cognitive representations of mental health problems. II. The Illness Perception Questionnaire for schizophrenia: Relatives’ version. British Journal of Clinical Psychology, 44, 163–179. First citation in articleCrossref, Google Scholar

  • Moss-Morris, R. , Weinman, J. A., Petrie, K. J. , Horne, R. , Cameron, L. , Buick, D. L. (2002). The Revised Illness Perception Questionnaire (IPQ-R). Psychology and Health, 17, 1–16. First citation in articleCrossref, Google Scholar

  • Petrie, K. J. , Jago, J. A. , Devcich, D. A. (2007). The role of illness perceptions in patients with medical conditions. Current Opinion in Psychiatry, 20, 163–167. First citation in articleCrossref, Google Scholar

  • Petrie, K. J. , Weinman, J. (2006). Why illness perceptions matter. Clinical Medicine, 6, 536–539. First citation in articleCrossref, Google Scholar

  • Rutter, C. L. , Rutter, D. R. (2007). Longitudinal analysis of the illness representation model in patients with irritable bowel syndrome (IBS). Journal of Health Psychology, 12, 141–148. First citation in articleCrossref, Google Scholar

  • Scheier, M. F. , Carver, C. S. (1985). Optimism, coping and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219–247. First citation in articleCrossref, Google Scholar

  • Scholz, U. , Gutiérrez-Doña, B. , Sud, S. , Schwarzer, R. (2002). Is general self-efficacy a universal construct? Psychometric findings from 25 countries. European Journal of Psychological Assessment, 18, 242–251. First citation in articleLink, Google Scholar

  • Schwarzer, R. , Jerusalem, M. (Eds.). (1999). Skalen zur Erfassung von Lehrer- und Schülermerkmalen. Dokumentation der psychometrischen Verfahren im Rahmen der Wissenschaftlichen Begleitung des Modellversuchs Selbstwirksame Schulen. Berlin: Freie Universität. First citation in articleGoogle Scholar

  • Sheldrick, R. , Tarrier, N. , Berry, E. , Kincey, J. (2006). Post-traumatic stress disorder and illness perceptions over time following myocardial infarction and subarachnoid haemorrhage. British Journal of Health Psychology, 11, 387–400. First citation in articleCrossref, Google Scholar

  • SPSS Inc. (1999). SPSS Base 10.0 for Windows User’s Guide. SPSS Inc., Chicago IL. First citation in articleGoogle Scholar

  • Van Oostrom, I. , Meijers-Heijboer, H. , Duivenvoorden, H. I. , Bröcker-Vriends, A. H. , van Asperen, C. J. , Sijmons, R. H. , Seynaeve, C. , Van Gool, A. R. , Klijn, J. G. , Tibben, A. (2007). The common sense model of self-regulation and psychological adjustment to predictive genetic testing: A prospective study. Psycho-Oncology, 16 (12), 1121–1129. First citation in articleCrossref, Google Scholar

  • Watson, D. , Clark, L. A. , Tellegen, A. (1988). Development and validation of brief measures of positive and negative effect: The PANAS Scales. Journal of Personality and Social Psychology, 11, 431–445. First citation in articleGoogle Scholar

  • Weinman, J. A. , Petrie, K. J. , Moss-Morris, R. , Horne, R. (1996). The Illness Perception Questionnaire: A new method for assessing the cognitive representation of illness. Psychology and Health, 11, 431–445. First citation in articleCrossref, Google Scholar

  • Wieland, R. (1990). Die Optimismus-Skala. Retrieved November 12, 2007 from menbit.uni-wuppertal.de/verf/lot/lot.pdf. First citation in articleGoogle Scholar

  • Zigmond, A. S. , Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370. First citation in articleCrossref, Google Scholar