Development and Evaluation of the Psychosocial Adaptation Questionnaire among Patients with Chronic Skin Disease

Abstract

Background/Objective: Chronic skin disease (CSD) often has physiological, psychological, and social impacts, which requires the patient to adjust to achieve psychosocial adaptation (PSA). As a standardized assessment instrument was lacking, we developed a PSA questionnaire for patients with CSD (PSAQ-CSD). Methods: According to the steps of questionnaire development, a systematic process of scoping review, qualitative research, content validity expert review, testing in a sample of 321 adults, item analysis, and classical test theory methods were applied. Results: Following item analysis and exploratory factor analyses, 18 items were eventually entered into the model of confirmatory factor analyses, with a cumulative contribution of 65.435%. Three subscales were developed: emotional, self-cognitive, and social dimensions. Item analysis, exploratory factor analyses, and content validity expert review narrowed the subscales to 8, 6, and 4 items, respectively. Conclusions: The 18-item PSAQ-CSD has been confirmed to have good internal consistency reliability and convergent and discriminant validity. It may be a useful tool to evaluate the PSA among patients with CSD and provide a basis for further research.

Development and validation of the perceived symptom manageability scale among people living with the human immunodeficiency virus

“…The critical ratio (CR) and item-total correlation (ITC) in 15 items of the PSM-HIV scale were acceptable, meaning that items have adequate discrimination and correlation. After factor analysis, three factors were extracted according to strict criteria that were very consistent with the Belief Theory [ 26 ], Bandura’s self-efficacy theory [ 27 ], and the connotation of the PSM [ 20 ]. The Kaiser-Meyer-Olkin (KMO) and Bartlett’s Test results also showed they were appropriate for factor analysis.…”

“…The item analysis was performed using the critical ratio (CR) and item-total correlation (ITC) [ 26 ] based on 170 subjects’ data that met the inclusion and exclusion criteria as above. After the total scale score was calculated and ranked, according to the critical score of 27%, the subjects were divided into a high group and a low group.…”

“…The average variance extracted (AVE) values > 0.36 and the composite reliability (CR) > 0.70 indicated that the CV of dimensions was acceptable. DV was compared to test the extent to which the scale differed between subgroups with different health conditions in the study sample [ 26 ]. Inter-group comparisons of scores of PSM after grouping by characteristics were a standard measure of DV.…”

Pszichodermatológia és egészségpszichológiai ellátás a bőrgyógyászatban

“…összességében elégedett-e magával). A szerzők szerint a skála egy forgalmas bőrgyógyászati rendelésen is felvehető, és kiegészítheti a bőrgyógyászati életminőség vizsgálatokat (Zhang et al, 2021).…”

Psychodermatology and health psychology care in dermatology

“…The 18-item scale tested by 321 skin patients examines three factors: the psychological (e.g., skin problems making the patient helpless), social (e.g., other people making offensive comments about the patient's skin condition), and cognitive aspects (e.g., overall satisfaction). According to the authors, the scale can also be administered in a busy dermatological office and can complement dermatological quality-of-life studies (Zhang et al, 2021). Ryan and Wagner (2021) argued that it would be worthwhile to establish a one-year psychodermatology scholarship for dermatologists and psychiatrists who have just completed their U.S. residency training, which would also have a positive impact on patients, professionals, and the medical faculty.…”