VALIDATION OF THE HUNGARIAN TRANSLATION OF FREIBURG QUESTIONNAIRE OF COPING WITH ILLNESS - SHORT VERSION (FQCI). RESULTS OF THE CONFIRMATORY FACTOR ANALYSIS
A Freiburgi Betegségfeldolgozási Kérdőív rövidített változatának (FKV-LIS) hazai adaptációja. A megerősítő faktoranalízis eredményei
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This paper describes the validation process of the Hungarian translation of the Freiburg Questionnaire of Coping With Illness–Short Version (FQCI), developed by Fritz Muthny. In spite of the fact that FQCI is a frequently used questionnaire, there are unambiguous data only about two of its scales validity and reliability. FQCI is a 35-item questionnaire, which assesses a wide range of coping forms with illness at levels of cognitions, emotions, and behavior. Responses from patients during residential cardiac rehabilitation (n=747) and one year later, and responses from patients with different malignant diseases (n=555) during residential treatment were the bases for confirmatory factor analyses of the original five-factor model, the model modified according to our results and the consistency of the latter model across our subsamples. Goals of our study were identification of the basic strategies in coping with illness, reexamination of the factor/scale structure, and if necessary, its revision. We examined the sameness of the factor structure in the different patient groups. Most of the original scales of the FQCI did not reach acceptable reliability in our sample. Our revised factor structure matches four out of the five original scales: ‘Depressive and resigned coping’; ‘Active and problem-focused coping’; ‘Self-affirmation and distraction’; ‘Searching for meaning and religious coping’. Fit indices of the revised factor structure approach good fit in our total sample, show good fit in patients after myocardial infarction, acceptable fit in cancer patients, and poor fit in patients after bypass surgery. Results of the multigroup factor analysis indicate an identical factor structure in the three patient groups. The revised scales ‘Depressive and resigned coping’ and ‘Active and problem-focused coping’ function acceptably in the case of cancer and cardiac patients. The scales ‘Self-affirmation and distraction’ and ‘Searching for meaning and religious coping’ can be used with restraint.
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