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The COVID-19 Pandemic Mental Health Questionnaire (CoPaQ): psychometric evaluation and compliance with countermeasures in psychiatric inpatients and non-clinical individuals
BMC Psychiatry ( IF 4.4 ) Pub Date : 2021-08-31 , DOI: 10.1186/s12888-021-03425-6
Stephanie V Rek 1, 2 , Markus Bühner 3 , Matthias A Reinhard 1 , Daniel Freeman 4 , Daniel Keeser 1 , Kristina Adorjan 1 , Peter Falkai 1 , Frank Padberg 1
Affiliation  

The COVID-19 pandemic has greatly impacted people’s lives across a broad spectrum of psychosocial domains. We report the development and psychometric evaluation of the self-report COVID-19 Pandemic Mental Health Questionnaire (CoPaQ), which assesses COVID-19 contamination anxiety, countermeasure necessity and compliance, mental health impact, stressor impact, social media usage, interpersonal conflicts, paranoid ideations, institutional & political trust, conspiracy beliefs, and social cohesion. Further, we illustrate the questionnaire’s utility in an applied example investigating if higher SARS-Cov-2 infection rates in psychiatric patients could be explained by reduced compliance with preventive countermeasures. A group of 511 non-clinical individuals completed an initial pool of 111 CoPaQ items (Open Science Framework: https://osf.io/3evn9/ ) and additional scales measuring psychological distress, well-being, and paranoia to assess construct validity and lifetime mental health diagnosis for criterion validity. Factor structure was determined by exploratory factor analyses and validated by conducting confirmatory factor analysis in the accompanying longitudinal sample (n = 318) and an independent psychiatric inpatient sample primarily admitted for major depressive-, substance abuse-, personality-, and anxiety disorders (n = 113). Internal consistency was assessed by Cronbach’s Alpha and McDonald’s Omega. For the applied research example, Welch t-tests and correlational analyses were conducted. Twelve out of 16 extracted subscales were retained in the final questionnaire version, which provided preliminary evidence for adequate psychometric properties in terms of factor structure, internal consistency, and construct and criterion validity. Our applied research example showed that patients exhibited greater support for COVID-19 countermeasures than non-clinical individuals. However, this requires replication in future studies. We demonstrate that the CoPaQ is a comprehensive and valid measure of the psychosocial impact of the pandemic and could allow to a degree to disentangle the complex psychosocial phenomena of the pandemic as exemplified by our applied analyses.

中文翻译:

COVID-19 大流行心理健康问卷 (CoPaQ):精神病住院患者和非临床个体的心理测量评估和应对措施的依从性

COVID-19 大流行在广泛的心理社会领域极大地影响了人们的生活。我们报告了自我报告 COVID-19 大流行心理健康问卷 (CoPaQ) 的开发和心理测量评估,该问卷评估了 COVID-19 污染焦虑、对策的必要性和依从性、心理健康影响、压力源影响、社交媒体使用、人际冲突、偏执的想法、制度和政治信任、阴谋信仰和社会凝聚力。此外,我们在一个应用示例中说明了问卷的效用,该示例调查是否可以通过降低对预防对策的依从性来解释精神病患者中较高的 SARS-Cov-2 感染率。一组 511 名非临床个体完成了 111 个 CoPaQ 项目的初始池(开放科学框架:https://osf. io/3evn9/) 和其他衡量心理困扰、幸福感和偏执的量表,以评估结构效度和终生心理健康诊断的标准效度。因子结构由探索性因子分析确定,并通过在随附的纵向样本(n = 318)和主要因重度抑郁症、药物滥用、人格和焦虑症入院的独立精神科住院样本(n = 113)。内部一致性由 Cronbach's Alpha 和 McDonald's Omega 评估。对于应用研究示例,进行了 Welch t 检验和相关分析。在最终的问卷版本中保留了 16 个提取的分量表中的 12 个,它为因子结构、内部一致性以及结构和标准有效性方面的足够心理测量属性提供了初步证据。我们的应用研究实例表明,与非临床个体相比,患者对 COVID-19 对策表现出更大的支持。然而,这需要在未来的研究中重复。我们证明了 CoPaQ 是衡量大流行的心理社会影响的全面而有效的衡量标准,并且可以在一定程度上解开大流行的复杂心理社会现象,如我们的应用分析所示。
更新日期:2021-08-31
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