Cited by 64Adolescent and Pediatric HealthcareFamily Support in IllnessPsychometric Methodologies and Testing

Exploratory and confirmatory factor analysis of the child uncertainty in illness scale among children with chronic illness

Pai, A. L. H., Mullins, L. L., Drotar, D., Burant, C., Wagner, J., Chaney, J. M.·2006·Journal of Pediatric Psychology

Abstract

OBJECTIVE: To conduct an exploratory factor analysis (EFA) and a confirmatory factor analysis (CFA) of the Child Uncertainty in Illness Scale (CUIS) with a sample of children and adolescents with a chronic health condition. Developmental differences in factor structure were also examined. METHODS: A sample of 373 children aged 8-18 years with chronic conditions completed the CUIS as a part of a larger battery of measures. RESULTS: The EFA yielded a 16-item two-factor model termed Unpredictability/Ambiguity and Comprehension. The CFA yielded a 14-item two-factor model that fits the data very well, where chi2(df = 74) = 95.396, Comparative Fit Index (CFI) = .973, Tucker Lewis Index (TLI) = .967, and Root Mean Square error of approximation (RMSEA) = .038. No developmental differences were found in underlying factor structures: Deltachi2(df = 12) = 17.754, DeltaCFI = .004, DeltaTLI = -.001, and DeltaRMSEA = .000. CONCLUSIONS: The two-factor CUIS measure could be a useful tool for assessing illness uncertainty among children with chronic illness.

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  1. Mishel, M. H., & Braden, C. J. (1987). Uncertainty: A mediator between support and adjustment. Western Journal of Nursing Research, 9, 43-57.
  2. Neville, K. (1998). The relationship among uncertainty, social support, and psychological distress in adolescents recently diagnosed with cancer. Journal of Pediatric Oncology Nursing, 15, 37-46.

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Authors
Pai, A. L. H., Mullins, L. L., Drotar, D., Burant, C., Wagner, J., & Chaney, J. M.
Affiliations
  • Children's Hospital of Philadelphia (US)
  • University of Oklahoma Health Sciences Center (US)
  • Rainbow Babies & Children's Hospital (US)
  • Case Western Reserve University (US)
  • Medical University of South Carolina (US)
  • Oklahoma State University (US)
Venue
Journal of Pediatric Psychology
Published
2006-06-23
Volume
32
Issue
3
Pages
288-296
ISSN
  • 0146-8693 (ISSN-L)
  • 1465-735X
OpenAlex
W2140949618
Cited by
64
References
29
Citations by year
2026: 2 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 6 · 2020: 2 · 2019: 4 · 2018: 7 · 2017: 5 · 2016: 6 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 7
FWCI
3.02
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Pediatric Psychology (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institutes of Health
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
  • Social Sciences › Sociology and Political Science › Family Support in Illness
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Keywords
illness uncertainty, children with chronic illness, adolescents, factor structure, scale validation, comprehension, developmental differences
MeSH terms
Adolescent, Child, Chronic Disease, Cognition, Factor Analysis, Statistical, Female, Humans, Male, Surveys and Questionnaires, Sick Role

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