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A validation study of the Whitely Index, the Illness Attitude Scales, and the Somatosensory Amplification Scale in general medical and general practice patients
Abstract
The aim of this study was to assess the reliability and validity of the Whitely Index (WI), the Illness Attitude Scales (IAS), and the Somatosensory Amplification Scale (SAS). The study population consisted of 130 general medical outpatients, 113 general practice patients, and 204 subjects from the general population. The factorial structure of the IAS appeared to consist of two subscales, namely Health Anxiety and Illness Behaviour. The internal consistency and stability of the three questionnaires were satisfactory, and their scores were highly intercorrelated. Scores on the WI and Health Anxiety subscale of the IAS declined significantly from general medical outpatients, through general practice patients to subjects from the general population. This might imply that medical care utilisation is related to hypochondriasis. A prospective study is needed to determine whether health anxiety contributes to the decision to seek medical care or the consultation of a general practitioner or consultant gives rise to worry about possible illness.
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“All three measures have been psychometrically validated and shown good reliability [66, 67].”
From Illness Anxiety Disorder: A Review of the Current Research and Future Directions (2024) · cites this paper as [67]
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Metadata
- Authors
- Speckens, A. E. M., Spinhoven, P., Sloekers, P. P. A., Bolk, J. H., & van Hemert, A. M.
- Affiliations
- Leiden University Medical Center (NL)
- Corresponding author
- Speckens, Anne E.M.
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 1996-01
- Volume
- 40
- Issue
- 1
- Pages
- 95-104
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2028552158
- Cited by
- 303
- References
- 15
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 17 · 2023: 5 · 2022: 7 · 2021: 5 · 2020: 7 · 2019: 9 · 2018: 5 · 2017: 9 · 2016: 14 · 2015: 17 · 2014: 17 · 2013: 10 · 2012: 12
- FWCI
- 5.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Alexander von Humboldt-Stiftung
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- health anxiety, illness behavior, questionnaire validation, reliability statistics, general practice patients, psychosomatic symptoms
- MeSH terms
- Adult, Attitude to Health, Family Practice, Female, Health Services, Humans, Hypochondriasis, Male, Middle Aged, Prospective Studies
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