The construct validity of the Illness Cognition Questionnaire: The robustness of the three-factor structure across patients with chronic pain and chronic fatigue

Lauwerier, Emelien; Crombez, Geert; Van Damme, Stefaan; Goubert, Liesbet; Vogelaers, Dirk; Evers, Andrea W. M.

doi:10.1007/s12529-009-9059-z

Cited by 70Musculoskeletal pain and rehabilitationPsychometric Methodologies and TestingFibromyalgia and Chronic Fatigue Syndrome Research

The construct validity of the Illness Cognition Questionnaire: The robustness of the three-factor structure across patients with chronic pain and chronic fatigue

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Lauwerier, Emelien, Crombez, Geert, Van Damme, Stefaan, Goubert, Liesbet, Vogelaers, Dirk, Evers, Andrea W. M.·2010·International Journal of Behavioral Medicine

DOI 10.1007/s12529-009-9059-z

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Abstract

Background The Illness Cognition Questionnaire (ICQ; Evers et al., J Consult Clin Psychol, 69:1026-1036, 2001) assesses three ways of cognitively evaluating the stressful and aversive character of a chronic illness: helplessness, acceptance, and perceived benefits.Purpose The purpose of this study was to evaluate the construct validity of the ICQ in individuals with chronic pain and patients with chronic fatigue.Method The ICQ was administered to 821 individuals with chronic pain and 295 patients with chronic fatigue. Confirmatory factor analyses were performed to assess the hypothesized three-factor structure, containing the factors "helplessness," "acceptance," and "perceived benefits." A multigroup analysis was performed to investigate the stability of the factor structure in both groups.Results Results confirmed the three-factor structure in the two samples. The factor structure was invariant across individuals with chronic pain and chronic fatigue.Conclusion As the three-factor structure provided a good fit in both groups, we confirm the usefulness of the subscale scores in research and clinical practice.

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The ICQ is a reliable and valid instrument, with a Cronbach's alpha of 0.90 for the acceptance subscale.
“The ICQ is a reliable and valid instrument, with a Cronbach's alpha of 0.90 for the acceptance subscale [16, 28].”
From Cognitive behavior therapy in patients with chronic fatigue syndrome: The role of illness acceptance and neuroticism. (2013) · cites this paper as [28]
Section 3.1 (p. 10) reports good internal consistency for the ICQ subscales in both groups, with values ranging from .81 to .91; the paper also supports the questionnaire’s construct validity. Our copy does not identify .90 as the Cronbach’s alpha for the acceptance subscale, so the specific value is not verified. (LLM, conf=0.84)
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967 CONSTRUCT VALIDITY OF THE ILLNESS COGNITION QUESTIONNAIRE: ROBUSTNESS OF THREE‐FACTOR STRUCTURE ACROSS PATIENTS WITH CHRONIC PAIN AND CHRONIC FATIGUE
Lauwerier, E., Crombez, G., Damme, S. V., Goubert, L., & Evers, A. W. M. (2009) · European Journal of Pain · doi:10.1016/s1090-3801(09)60970-8 · Cited by 13 · see citing works
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\nThe construct validity of the illness cognition questionnaire: the robustness of the three-factor structure across patients with chronic pain and chronic fatigue.
Lauwerier, E., Crombez, G., Damme, S. V., Goubert, L., Vogelaers, D., & Evers, A. W. M. (2010) · Radboud Repository (Radboud University)
Self-citation
Reliability and Validity of the Turkish Version of Illness Cognition Questionnaire
Aytar, A., Aykul, A., Altıntaş, A., & Tığlı, A. (2019) · Experimental Aging Research · doi:10.1080/0361073x.2019.1664436 · Cited by 5 · see citing works
Factor analysis of the Korean version of the Illness Cognition Questionnaire for adolescents with chronic illness
Lee, D., Jeong, D.-C., Chung, N., & Lee, S. (2020) · International Journal of Nursing Practice · doi:10.1111/ijn.12889 · Cited by 1 · see citing works

Authors: Lauwerier, E., Crombez, G., Van Damme, S., Goubert, L., Vogelaers, D., & Evers, A. W. M.
Affiliations: Ghent University (BE)
Ghent University Hospital (BE)
Radboud University Nijmegen (NL)
Corresponding author: Crombez, Geert
ORCID: Lauwerier, Emelien
Crombez, Geert
Goubert, Liesbet
Vogelaers, Dirk
Evers, Andrea W. M.
Venue: International Journal of Behavioral Medicine
Publisher: Springer Science and Business Media LLC
Published: 2009-09-15
Volume: 17
Issue: 2
Pages: 90-96
ISSN: 1070-5503 (ISSN-L)
1532-7558
DOI: 10.1007/s12529-009-9059-z
OpenAlex: W2136782093
Cited by: 70
References: 43
Citations by year: 2026: 1 · 2025: 2 · 2024: 5 · 2023: 5 · 2022: 9 · 2021: 5 · 2020: 6 · 2019: 4 · 2018: 2 · 2017: 6 · 2016: 6 · 2015: 4 · 2014: 2 · 2013: 7 · 2012: 2
FWCI: 1.44
Type: journal article
Language: en
Update notices: correction (2009-11-13)
Open access: green
biblio.ugent.be
Licence: other-oa
www.springer.com/tdm (tdm)
Locations: International Journal of Behavioral Medicine (publishedVersion)
PubMed (publishedVersion)
Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Keywords: construct validity, chronic pain, chronic fatigue, helplessness, acceptance, perceived benefits, factor structure, measurement invariance
MeSH terms: Adult, Aged, Aged, 80 and over, Chronic Disease, Cognition, Factor Analysis, Statistical, Fatigue, Female, Helplessness, Learned, Humans, Male, Middle Aged, Pain, Patient Acceptance of Health Care, Surveys and Questionnaires, Young Adult, Pain Perception

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The construct validity of the Illness Cognition Questionnaire: The robustness of the three-factor structure across patients with chronic pain and chronic fatigue

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