Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a Questionnaire

BackgroundCommonly applied measures of symptoms of anxiety are not sensitive to disease-specific anxiety in patients with chronic obstructive pulmonary disease (COPD). There is a need for validated instruments measuring COPD-specific anxiety. Therefore, we translated the COPD-Anxiety Questionnaire (...

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Main Authors: Ingeborg Farver-Vestergaard, Sandra Rubio-Rask, Signe Timm, Camilla Fischer Christiansen, Ole Hilberg, Anders Løkke
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2022.907939/full
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author Ingeborg Farver-Vestergaard
Sandra Rubio-Rask
Signe Timm
Signe Timm
Camilla Fischer Christiansen
Ole Hilberg
Ole Hilberg
Anders Løkke
Anders Løkke
author_facet Ingeborg Farver-Vestergaard
Sandra Rubio-Rask
Signe Timm
Signe Timm
Camilla Fischer Christiansen
Ole Hilberg
Ole Hilberg
Anders Løkke
Anders Løkke
author_sort Ingeborg Farver-Vestergaard
collection DOAJ
description BackgroundCommonly applied measures of symptoms of anxiety are not sensitive to disease-specific anxiety in patients with chronic obstructive pulmonary disease (COPD). There is a need for validated instruments measuring COPD-specific anxiety. Therefore, we translated the COPD-Anxiety Questionnaire (CAF) into Danish (CAF-R-DK) and performed an initial validation of the psychometric properties in a sample of patients with COPD.Materials and MethodsTranslation procedures followed the World Health Organization guidelines. Participants with COPD completed questionnaires measuring COPD-specific anxiety (CAF-R-DK), general psychological distress (Hospital Anxiety and Depression Scale) as well as variables related to COPD (COPD Assessment Test; modified Medical Research Council dyspnea scale), quality of life (the 12-item Short Form survey, SF12), and socio-demography.ResultsA total of 260 patients with COPD (mean age: 65.0, 69% female) completed questionnaires. The Danish version of CAF-R-DK demonstrated acceptable Cronbach’s α values that were comparable with those of the original CAF. As expected, the CAF-R-DK showed positive correlations with convergent constructs (CAT; HADS) and negative correlations with discriminant constructs (SF-12). However, the results for specific subdomains of the CAF-R-DK indicated inconsistency in the underlying concept of disease-specific anxiety, which was also suggested based on the subsequent confirmatory and exploratory factor analyzes.ConclusionThe CAF could serve as an important supplement to generic psychological distress screening of patients with COPD in somatic health care settings, and the questionnaire is now available in Danish. Translation into other languages is needed with the purpose of obtaining data for further testing the psychometric properties of the questionnaire.
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spelling doaj.art-371f67cfad154aa9a4ab4711d98bbcd72022-12-22T00:54:39ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-07-011310.3389/fpsyg.2022.907939907939Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a QuestionnaireIngeborg Farver-Vestergaard0Sandra Rubio-Rask1Signe Timm2Signe Timm3Camilla Fischer Christiansen4Ole Hilberg5Ole Hilberg6Anders Løkke7Anders Løkke8Department of Medicine, Lillebaelt Hospital, Vejle, DenmarkDepartment of Medicine, Lillebaelt Hospital, Vejle, DenmarkResearch Unit, Lillebaelt Hospital, Kolding, DenmarkDepartment of Regional Health Research, University of Southern Denmark, Odense, DenmarkDepartment of Medicine, Lillebaelt Hospital, Vejle, DenmarkDepartment of Medicine, Lillebaelt Hospital, Vejle, DenmarkDepartment of Regional Health Research, University of Southern Denmark, Odense, DenmarkDepartment of Medicine, Lillebaelt Hospital, Vejle, DenmarkDepartment of Regional Health Research, University of Southern Denmark, Odense, DenmarkBackgroundCommonly applied measures of symptoms of anxiety are not sensitive to disease-specific anxiety in patients with chronic obstructive pulmonary disease (COPD). There is a need for validated instruments measuring COPD-specific anxiety. Therefore, we translated the COPD-Anxiety Questionnaire (CAF) into Danish (CAF-R-DK) and performed an initial validation of the psychometric properties in a sample of patients with COPD.Materials and MethodsTranslation procedures followed the World Health Organization guidelines. Participants with COPD completed questionnaires measuring COPD-specific anxiety (CAF-R-DK), general psychological distress (Hospital Anxiety and Depression Scale) as well as variables related to COPD (COPD Assessment Test; modified Medical Research Council dyspnea scale), quality of life (the 12-item Short Form survey, SF12), and socio-demography.ResultsA total of 260 patients with COPD (mean age: 65.0, 69% female) completed questionnaires. The Danish version of CAF-R-DK demonstrated acceptable Cronbach’s α values that were comparable with those of the original CAF. As expected, the CAF-R-DK showed positive correlations with convergent constructs (CAT; HADS) and negative correlations with discriminant constructs (SF-12). However, the results for specific subdomains of the CAF-R-DK indicated inconsistency in the underlying concept of disease-specific anxiety, which was also suggested based on the subsequent confirmatory and exploratory factor analyzes.ConclusionThe CAF could serve as an important supplement to generic psychological distress screening of patients with COPD in somatic health care settings, and the questionnaire is now available in Danish. Translation into other languages is needed with the purpose of obtaining data for further testing the psychometric properties of the questionnaire.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.907939/fulldisease-specific fearrespiratory illness/diseasepsychological distressassessmentmeasurementDanish translation
spellingShingle Ingeborg Farver-Vestergaard
Sandra Rubio-Rask
Signe Timm
Signe Timm
Camilla Fischer Christiansen
Ole Hilberg
Ole Hilberg
Anders Løkke
Anders Løkke
Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a Questionnaire
Frontiers in Psychology
disease-specific fear
respiratory illness/disease
psychological distress
assessment
measurement
Danish translation
title Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a Questionnaire
title_full Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a Questionnaire
title_fullStr Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a Questionnaire
title_full_unstemmed Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a Questionnaire
title_short Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a Questionnaire
title_sort disease specific anxiety in chronic obstructive pulmonary disease translation and initial validation of a questionnaire
topic disease-specific fear
respiratory illness/disease
psychological distress
assessment
measurement
Danish translation
url https://www.frontiersin.org/articles/10.3389/fpsyg.2022.907939/full
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