Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2019, Vol. 41 ›› Issue (5): 615-621.doi: 10.3881/j.issn.1000-503X.10960

• Original Articles • Previous Articles     Next Articles

Psychometric Evaluation of the Union Physio-Psycho-Social Assessment Questionnaire

DUAN Yanping1(),WEI Jing1,HONG Xia1,CAO Jinya1,SHI Lili1,ZHAO Xiaohui1,KE Meiyun2,ZHU Yuanjue3,LI Shunwei4,JIANG Jing1,SHAN Guangliang5   

  1. 1 Department of Psychological Medicine
    2 Department of Gastroenterology
    3 Department of Respiratory Disease
    4 Department of Neurology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China
    5 Department of Epidemiology & Biostatistics,Institute of Basic Medical Sciences,CAMS and PUMC,Beijing 100005,China;
  • Received:2018-10-29 Online:2019-10-30 Published:2019-11-08
  • Contact: Yanping DUAN,Jing WEI
  • Supported by:
    Supported by the National High Technology Research and Development Program(863 program)(2006AA02Z428);the National Health Council Medical Administration(2018 program)


Objective To validate the Union Physio-Psycho-Social Assessment Questionnaire(UPPSAQ-70)and test its validity and reliability.Methods From April,2013 to July,2018,patients were asked to finish the computer evaluation of UPPSAQ-70 and Symptom Checklist 90(SCL-90)in Peking Union Medical College Hospital(PUMCH).Confirmatory factor analysis(CFA)was conducted on the SPSS 17.0,and the number of fixed factors was 8 factors and 3 factors.Amos 23.0 was used to verify the original 8-factor model,8-factor revision model,3-factor model,3-factor revision model,and single-factor model.Each factor of SCL-90 was used as the calibration standard to calculate the correlation coefficient between factors.The retest reliability was tested by the outpatients in PUMCH in July,2018.Results Exploratory factor analysis indicated that the 8-factor revised model included:depression,anxiety and fatigue,sleep,physical discomfort,sexual function,happiness and satisfaction,hypochondria,and social anxiety.The 3 factors revised model included that:psychological,physiological and social dimension.Confirmatory factor analysis indicated that the 8-factor modified model was superior to the 3-factor model and the single-factor model: χ 2=10 410.4,df=1862,RMSEA=0.07,CFI=0.753,and NFI=0.715.With SCL-90 as the standard criteria,except the low correlation coefficient between emotional scale and depression(r=0.600)and anxiety(r=0.520),the correlation coefficients of other symptoms were below 0.5.The chronbach’s α between each factor and total score of UPPSAQ-70 was between 0.823 and 0.904,and the Chronbach’s α coefficient of the whole scale was between 0.954 and 0.956 after each item was deleted.The retest reliability of the scale of 32 participants Chronbach’s α was 0.847.Each item of the scale measured between one week was significantly correlated(P<0.05). Conclusion UPPSAQ-70 is a good scale for evaluating overall health status and is especially feasible in general hospitals.

Key words: Union Physio-Psycho-Social Assessment Questionnaire, reliability analysis, validity analysis, psychometrics

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