Propiedades psicométricas del Cuestionario Revisado de Percepción de Enfermedad (IPQ-R) en adultos mexicanos con asma

  • Isaías Vicente Lugo González | Universidad Nacional Autónoma de México | Facultad de Estudios Superiores Iztacala |
  • Cynthia Zaira Vega Valero | Universidad Nacional Autónoma de México | Facultad de Estudios Superiores Iztacala |
  • Yuma Yoaly Pérez Bautista | Universidad Nacional Autónoma de México | Facultad de Estudios Superiores Iztacala |
  • Margarita Fernández Vega | Universidad Nacional Autónoma de México | Facultad de Estudios Superiores Iztacala |
Palabras clave: creencias sobre el asms, percepción de enfermedad, asma, confibilidad, validez

Resumen

El objetivo del presente trabajo fue evaluar las propiedades psicométricas de la versión en español del Illness Perception Questionnaire-Revised (IPQ-R) en pacientes mexicanos con asma. Se obtuvo una muestra por conveniencia de 315 adultos quienes respondieron una batería de evaluación. Los resultados muestran que el IPQ-R cuenta con una escala de identidad con 16 síntomas, escala de causas con 21 opciones y un grupo de subescalas en las que se agrupan cuatro factores y tres indicadores con αlfas que van de 0.591 a 0.874, con un KMO= 0.809 y una varianza total explicada del 51.611%, Se incluyen evidencias de validez convergente y divergente con variables de adherencia, creencias sobre medicamentos y control del asma. Se concluye que el IPQ-R es un instrumento confiable y valido para la evaluación de creencias sobre la enfermedad en adultos mexicanos con asma.

Biografía del autor/a

Isaías Vicente Lugo González, | Universidad Nacional Autónoma de México | Facultad de Estudios Superiores Iztacala |
Estudiante del doctorado en Psicología y Salud, Facultad de Estudios Superiores Iztacala. UNAM. Docente de posgrado en Psicología. Facultad de Estudios Superiores Iztacala. UNAM. 
Cynthia Zaira Vega Valero, | Universidad Nacional Autónoma de México | Facultad de Estudios Superiores Iztacala |
Doctora en Psicología por la UNAM, profesora titular de la carrera de Psicología y coordinadora de la residencia en Gestión Organizacional de la maestría en Psicología. de la FES Iztacala, Universidad Nacional Autónoma de México. 

Citas

Aberkane, S. (2017). Psychometric testing of an Arabic translation of the Revised-Illness Perception Questionnaire (IPQ-R) for chronic illness patients. The Malaysian Journal of Medical Sciences, 24(4), 74-85. https://doi.org/10.21315/mjms2017.24.4.9

Abubakari, A. R., Jones, M. C., Lauder, W., Kirk, A., Devendra, D., & Anderson, J. (2012). Psychometric properties of the Revised Illness Perception Questionnaire: Factor structure and reliability among African-origin populations with type 2 diabetes. International Journal of Nursing Studies, 49(6), 672-681. DOI:10.1016/j.ijnurstu.2011.11.008

Achstetter, L. I., Schultz, K., Faller, H., & Schuler, M. (2016). Leventhal’s common-sense model and asthma control: Do illness representations predict success of an asthma rehabilitation? Journal of Health Psychology, 1, 1-10. DOI: 10.1177/1359105316651332

Albert, V., Coutu, M. F., & Durand, M. J. (2013). Internal consistency and construct validity of the Revised Illness Perception Questionnaire adapted for work disability following a musculoskeletal disorder. Disability and Rehabilitation, 35(7), 557-565. DOI: 10.3109/09638288.2012.702849

Aujla, N., Walker, M., Sprigg, N., Abrams, K., Massey, A., & Vedhara, K. (2016). Can illness beliefs, from the common-sense model, prospectively predict adherence to self-management behaviours? A systematic review and meta-analysis. Psychology & Health, 31(8). 931–958. DOI: 10.1080/08870446.2016.1153640

Bahçecioğlu, G., & Çevik-Akyl, R. (2014). Determination of effect on asthma control of illness perception of asthma patients. Acta Medica Mediterránea, 30, 591-600. http://www.actamedicamediterranea.com/

Beléndez, M., Bermejo, R, M., & García, M, D. (2005). Estructura factorial de la versión española del Revised Illness Perception Questionnaire en una muestra de hipertensos. Psicothema, 17(2), 318-324. http://www.psicothema.com/pdf/3106.pdf

Bender, B. G., & Bender, S. E. (2005). Patient-identified barriers to asthma treatment adherence: responses to interviews, focus groups, and questionnaires. Immunology and Allergy Clinics of North America, 25(1), 107-130. doi.org/10.1016/j.iac.2004.09.005

Brandes, K., & Mullan, B. (2014). Can the common-sense model predict adherence in chronically ill patients? A meta-analysis. Health Psychology Review, 8(2), 129-153. DOI:10.1080/17437199.2013.820986

Brink, E. V. A., Alsén, P. I. A., & Cliffordson, C. (2011). Validation of the Revised Illness Perception Questionnaire (IPQ‐R) in a sample of persons recovering from myocardial infarction–the Swedish version. Scandinavian Journal of Psychology, 52(6), 573-579. DOI: 10.1111/j.1467-9450.2011.00901.x

Broadbent, E., Petrie, K., Main, J., & Weinman, J. (2006). The brief illness perception questionnaire. Journal of Psychosomatic Research. 60, 631-637. DOI:10.1016/j.jpsychores.2005.10.020

Broadbent, E., Wilkes, C., Koschwanez, H., Weinman, J., Norton, S., & Petrie, K. J. (2015). A systematic review and meta-analysis of the Brief Illness Perception Questionnaire. Psychology & Health, 30(11), 1361-1385. DOI: 10.1080/08870446.2015.1070851

Brzoska, P., Yilmaz, A, Y., Sultanoglu, E., Sultanoglu, B., & Razum, O. (2012). The factor structure of the Turkish version of the Revised Illness Perception Questionnaire (IPQ-R) in patients with diabetes and cardiovascular disease. BMC Public Health, 12(1), 852. http://www.biomedcentral.com/1471-2458/12/852

Byer, B., & Myers, L. B. (2000). Psychological correlates of adherence to medication in asthma. Psychology, Health & Medicine, 5(4), 389-393. DOI: 10.1080/713690213

Cabassa, L. J., Lagomasino, I. T., Dwight-Johnson, M., Hansen, M. C., & Xie, B. (2008). Measuring Latinos' perceptions of depression: A confirmatory factor analysis of the Illness Perception Questionnaire. Cultural Diversity and Ethnic Minority Psychology, 14(4), 377. DOI: 10.1037/a001282

Cameron, P., & Moss-Morris, R. (2004). Illness-related cognition and behavior. In: A. A., Kaptein, & J. Weinman. Health Psychology (pp, 84-110), Oxford: BPS Blackwell.

Chaboyer, W., Lee, B. O., Wallis, M., & Chien, C. S. (2012). Taiwanese translation and psychometric testing of the revised illness perception questionnaire for patients with traumatic injury. Journal of Clinical Nursing, 21(23-24), 3466-3474. DOI: 10.1111/j.1365-2702.2011.03964.x

Chen, S. L., Tsai, J. C., & Lee, W. L. (2008). Psychometric validation of the Chinese version of the Illness Perception Questionnaire‐Revised for patients with hypertension. Journal of Advanced Nursing, 64(5), 524-534. DOI: 10.1111/j.1365-2648.2008.04808.x

Cheung, M. M. Y., Saini, B., & Smith, L. (2017). Drawing asthma: An exploration of patients' perceptions and experiences. Journal of Asthma, 54. 1-10. DOI: 10.1080/02770903.2017.1325492

Chilcot, J., Norton, S., Wellsted, D., & Farrington, K. (2012). The factor structure of the revised illness perception questionnaire (IPQ-R) in end-stage renal disease patients. Psychology, Health & Medicine, 17(5), 578-588. http://dx.doi.org/10.1080/13548506.2011.647702

Dempster, M., & McCorry, N. K. (2012). The factor structure of the Revised Illness Perception Questionnaire in a population of oesophageal cancer survivors. Psycho‐Oncology, 21(5), 524-530. DOI: 10.1002/pon.1927

DeVellis, R. F. (2012). Scale development: theory and applications. USA: SAGE Publications.

DiMatteo, M. R. (2004). Variations in patients’ adherence to medical recommendations: A quantitative review of 50 years of research. Medical Care, 42(3), 200-209. DOI: 10.1097/01.mlr.0000114908.90348.f9

Diefenbach, M. A., & Leventhal, H. (1996). The common-sense model of illness representation: Theoretical and practical considerations. Journal of Social Distress and the Homeless, 5(1), 11-38. DOI: 10.1007/BF02090456

Dirección General de Epidemiología. (DGE, 2015). Anuarios de morbilidad 1984-2015. Recuperado de http://www.epidemiologia.salud.gob.mx/anuario/html/anuarios.html

Fan, Y., Huang, Z., Zhang, D., Chang, J., Jia, Y., He, S., & Wei, B. (2017). Psychometric validation of the Chinese version of the Illness Perception Questionnaire–Revised for women with stress urinary incontinence. Journal of Obstetrics and Gynaecology Research, 43(8), 1305-1316. DOI:10.1111/jog.13351

Ferrando, P. J., & Anguiano-Carrasco, C. (2010). El análisis factorial como técnica de investigación en psicología. Papeles del Psicólogo, 31(1), 18-33. http://www.redalyc.org/articulo.oa?id=77812441003

Foster, J. M., Lavoide, K. L., & Boulet, L. P. (2011). Treatment adherence and psychosocial factors in severe asthma. En: K. F. Chung, E. H. Bel & S. E. Wenzel (Eds) European Respiratory Monograph: Dificult to treat severe asthma, 51 (pp. 28-49). European Respiratory Society. DOI: 10.1183/1025448x.erm5110

García, C., Fernández, R., Martínez, D., Franco, F., & Pérez, J. (2012). Prevalencia y riesgos asociados con pacientes adultos con asma de 40 años o más de la Ciudad de México: estudio de base poblacional. Salud Pública de México. 54, 425-432. PMID: 22832835

Giannousi, Z., Manaras, I., Georgoulias, V., & Samonis, G. (2010). Illness perceptions in Greek patients with cancer: a validation of the Revised‐Illness Perception Questionnaire. Psycho‐Oncology, 19(1), 85-92. DOI: 10.1002/pon.1538

Global Initiative for Asthma. (GINA, 2016). Global strategy for asthma management and prevention. Recuperado de www.ginasthma.org

Guía Mexicana de Asma. (GUIMA, 2017). Guía Mexicana de Asma. Neumología y Cirugía de Tórax, 76, S1, 1-137.

Hagger, M. S., & Orbell, S. (2005). A confirmatory factor analysis of the revised illness perception questionnaire (IPQ-R) in a cervical screening context. Psychology & Health, 20(2), 161-173. DOI: 10.1080/0887044042000334724

Halm, E., Mora, P., & Leventhal, H. (2006). No Symptoms, No Asthma. The acute episodic disease beliefs is associated with poor self-management among inner-city adults with persistent asthma. Chest, 129, 573-580. DOI 10.1378/chest.129.3.573

Hernández-Sampieri, R., Fernández-Collado, C., & Baptista-Lucio, P. (2014). Metodología de la investigación. México: Mc Graw-Hill.

Holmes, E. A., Hughes, D. A., & Morrison, V. L. (2014). Predicting adherence to medications using health psychology theories: a systematic review of 20 years of empirical research. Value in Health, 17(8), 863-876. DOI: .org/10.1016/j.jval.2014.08.2671

Horne, R., & Hankins, M. (2002). The Medication Adherence Report Scale. Brighton,England: Center for Health Care Research.

Horne, R., & Weinman, J. (2002). Self-regulation and self-management in asthma: Exploring the role of illness perceptions and treatment beliefs in explaining non-adherence to preventer medication. Psychology & Health, 17(1), 17-32. DOI: 10.1080/08870440290001502

Horne, R., Weinman. J., & Hankins, M. (1999). The Beliefs about Medicines Questionnaire (BMQ): the development and evaluation of a new method for assessing the cognitive representation of medication. Psychology & Health, 14(1), 1–24. DOI: 10.1080/08870449908407311

Hotz, S., Kaptein, A., Pruitt, S., Sanchez-Sosa, J. J. & Willey, C. (2003). Behavioural mechanisms explaining adherence: What every health professional should know. In: E. Sabate (Ed.) Adherence to long term therapies: Evidence for action (pp. 135-149). Geneva: World Health Organization.

Hurt, C. S., Burns, A., Brown, R. G., & Barrowclough, C. (2010). Perceptions of subjective memory complaint in older adults: the Illness Perception Questionnaire–Memory (IPQ-M). International Psychogeriatrics, 22(5), 750-760. DOI:10.1017/S1041610209991542

Hurtado-Piña, A. (2017). Validación de un instrumento basado en el Illness Perception Questionnaire-Revised (IPQ-R) para pacientes mexicanos con obesidad (Tesis de maestría inédita), Universidad Iberoamericana, México. http://ri.ibero.mx:8080/viewer/?code=016446#

Instituto Nacional de Enfermedades Respiratorias. (INER, 2018). Informe anual 2017. Recuperado de www.iner.salud.gob.mx

Jessop, D. C., & Rutter, D. R. (2003). Adherence to asthma medication: The role of illness representations. Psychology and Health, 18(5), 595-612. DOI: 10.1080/0887044031000097009

Kucukarslan, S. N. (2012). A review of published studies of patients’ illness perceptions and medication adherence: lessons learned and future directions. Research in Social and Administrative Pharmacy, 8(5), 371-382. DOI:10.1016/j.sapharm.2011.09.002

Kucukarslan, S. N., Lee, K. S., Patel, T. D., & Ruparelia, B. (2013). An experiment using hypothetical patient scenarios in healthy subjects to evaluate the treatment satisfaction and medication adherence intention relationship. Health Expectations, 18(5), 1291-1298. doi: 10.1111/hex.12103

Kucukarslan, S. N., Plumley, D., Chang, A., & Ueda, A. (2014). Intending to adhere or to not adhere: Results from an experiment in healthy subjects testing illness perceptions and behavioral intentions in asthma. Research in Social and Administrative Pharmacy, 10(1), 239-245. DOI: http://dx.doi.org/10.1016/j.sapharm.2013.05.001

Leventhal, H., Bodnar-Deren, S., Breland, J., Hash-Converse, J., & Phillips, A. L. (2012). Modeling health and illness behavior: The approach of the commonsense model. In: A. Baum, T, A. Revenson & J. Singer (Eds) Handbook of Health Psychology (2ed) (pp. 3-35). Londres: Ed. Routledge. Taylor & Francis Books.

Leventhal, H., Breland, J. Y., Mora, H., & Leventhal, E. (2010). Lay representations of Illness and treatment: A Framework for Action. In A. Steptoe (Ed.), Handbook of Behavioral Medicine (pp, 137-154). USA: Springer Science-Business Media. DOI 10.1007/978-0-387-09488-5_11

Leventhal, H., Weinman, J., Leventhal, E., & Phillips, A. (2008). Health Psychology: The search for pathways between behavior and health. Annual Review of Psychology. 59, 477-505. DOI: 10.1146/annurev.psych.59.103006.093643

Lobban, F., Barrowclough, C., & Jones, S. (2005). Assessing cognitive representations of mental health problems. I. The illness perception questionnaire for schizophrenia. British Journal of Clinical Psychology, 44(2), 147-162. DOI:10.1348/014466504X19497

Lugo-González, I, V., Reynoso-Erazo, L., & Fernández-Vega, M. (2014). Percepción de enfermedad, depresión, ansiedad y control del asma: Una primera aproximación. Neumología y Cirugía de Tórax. 73(2), 114-121. http://new.medigraphic.com/

Lugo-González, I, V., & Vega-Valero, C, Z. (2020). Propiedades psicométricas de la Medication Adherence Report Scale-Asthma (MARS-A) en adultos mexicanos con asma. Psicología y Salud. 30(2).

McAndrew, L. M., Musumeci‐Szabó, T. J., Mora, P. A., Vileikyte, L., Burns, E., Halm, E. A., Leventhal, E., & Leventhal, H. (2008). Using the common-sense model to design interventions for the prevention and management of chronic illness threats: from description to process. British Journal of Health Psychology, 13(2), 195-204. DOI:10.1348/135910708X295604

Méndez, I., Namihira, D., Moreno, L., y Sosa, C. (2001), El protocolo de investigación. Lineamientos para su elaboración y análisis. México: Trillas.

Mora, P., & McAndrew. (2013). Common-sense model of self-regulation. En: M.D. Gellman & J.R. Turner (Eds.) Encyclopedia of Behavioral Medicine (pp. 460-467). New York: Springer. DOI 10.1007/978-1-4419-1005-9

Moon, Z., Moss-Morris, R., Hunter, M. S., & Hughes, L. D. (2017). Measuring illness representations in breast cancer survivors (BCS) prescribed tamoxifen: Modification and validation of the Revised Illness Perceptions Questionnaire (IPQ-BCS). Psychology & Health, 32(4), 439-458. http://dx.doi.org/10.1080/08870446.2016.1275629

Moss-Morris, R., Weinman, J., Petrie, K., Horne, R., Cameron, L., & Buick, D. (2002). The Revised Illness Perception Questionnaire (IPQ-R). Psychology & Health. 17(1), 1–16. DOI: 10.1080/08870440290001494

Nathan, R. A., Sorkness, C. A., Kosinski, M., Schatz, M., Li, J. T., Marcus, P., Murray, J., & Pendergraft, T. B. (2004). Development of the asthma control test: a survey for assessing asthma control. Journal of Allergy and Clinical Immunology, 113(1), 59-65. DOI: https://doi.org/10.1016/j.jaci.2003.09.008

Nicholls, E. E., Hill, S., & Foster, N. E. (2013). Musculoskeletal pain illness perceptions: factor structure of the Illness Perceptions Questionnaire-Revised. Psychology & Health, 28(1), 84-102. http://dx.doi.org/10.1080/08870446.2012.714782

Ohm, R., & Aaronson, L. S. (2006). Symptom perception and adherence to asthma controller medications. Journal of Nursing Scholarship, 38(3), 292-297. DOI: 10.1111/j.1547-5069.2006.00116.x

Osborne, J. W. (2014). Best Practices in Exploratory Factor Analysis. Scotts Valley, CA: CreateSpace Independent Publishing. ISBN-13:978-1500594343, ISBN-10:1500594342.

Østrem, A., & Horne, R. (2015). Reducing asthma attacks: consider patients' beliefs. Primary Care Respiratory Medicine, 25, 15021. DOI:10.1038/npjpcrm.2015.21

Pacheco, V., Viladrich, C., Pujol, E., Cabezas, C., Núñez, M., Roura, P., Núñez, E., & del VAL, J. L. (2012). Percepción en enfermedades crónicas: Validación lingüística del Illness Perception Questionnaire Revised y del Brief Illness Perception Questionnaire para la población española. Atención Primaria. 44(5), 280-287. DOI:10.1016/j.aprim.2010.11.022

Palomino, A. A., Morales, O. L., Contreras, J. O., & Salazar, O. F. (2015). Cumplimiento terapéutico en asma: ¿un problema de gran magnitud? Iatreia, 28(4), 400-409. DOI 10.17533/udea.iatreia.v28n4a05.

Pedrosa, I., Juarros, J., Robles, A., Basteiro, J., & García, E. (2015). Pruebas de bondad de ajuste en distribuciones simétricas ¿qué estadístico utilizar? Universitas Psychologica, 14(1), 245. doi:10.11144/Javeriana.upsy14-1.pbad

Petrie, K., & Weinman, J. (2006). Why illness perceptions matter. Clinical Medicine, 6(6), 536-539. DOI: 10.7861/clinmedicine.6-6-536

Petrie, K., & Weinman, J. (2012). Patients’ perceptions of their illness: The dynamo of volition in health care. Current Directions in Psychological Science, 21(1), 60-65. DOI: 10.1177/0963721411429456

Ponieman, D., Wisnivesky, J. P., Leventhal, H., Musumeci-Szabó, T. J., & Halm, E. A. (2009). Impact of positive and negative beliefs about inhaled corticosteroids on adherence in inner-city asthmatic patients. Annals of Allergy, Asthma & Immunology, 103(1), 38-42. DOI: 10.1016/S1081-1206(10)60141-X.

Reyes-Lagunes., I. (2011). Conceptualización y desarrollo de la etnopsicometría en México. En A. Domínguez (comp.), Letras Introductorias a la Psicología cultural, transcultural y etnopsicología (pp. 279-302). México: Universidad Iberoamericana.

Reyes-Lagunes, I., & García y Barragán, L. (2008). Procedimiento de validación psicométrica culturalmente relevante: un ejemplo. La Psicología Social en México, XII, 625-630.

Sánchez-Sosa, J. J. (2002). Treatment adherence: The role of behavioral mechanisms and some implications for health care interventions. Revista Mexicana de Psicología. 19(1), 85-92. http://www.redalyc.org/revista.oa?id=2430

Secretaría de Salud. (SSA, 2016). Siete por ciento de la población en México padece asma. Recuperado de: https://www.gob.mx/salud/prensa/siete-por-ciento-de-la-poblacion-en-mexico-padece-asma

Snell, D. L., Siegert, R. J., Hay-Smith, E. J. C., & Surgenor, L. J. (2010). An examination of the factor structure of the Revised Illness Perception Questionnaire modified for adults with mild traumatic brain injury. Brain Injury, 24(13-14), 1595-1605. DOI: 10.3109/02699052.2010.523048

Sofianou, A., Martynenko, M., Wolf, M., Wisnivesky, J., Krauskopf, K., Wilson, E., Sanghavi, M., Leventhal, H., Halm, M., & Federman, A. (2013). Asthma beliefs are associated with medication adherence in older asthmatics. Journal of General Internal Medicine, 28(1), 67–73. DOI: 10.1007/s11606-012-2160-z

Unni, E., & Shiyanbola, O. O. (2016). Clustering medication adherence behavior based on beliefs in medicines and illness perceptions in patients taking asthma maintenance medications. Current Medical Research and Opinion, 32(1), 113-121. DOI: 10.1185/03007995.2015.1105204

van Ittersum, M. W., van Wilgen, C. P., Hilberdink, W. K. H. A., Groothoff, J. W., & van Der Schans, C. P. (2009). Illness perceptions in patients with fibromyalgia. Patient Education and Counseling, 74(1), 53-60. DPI:10.1016/j.pec.2008.07.041

Weinman, J., Petrie, K., Moss-Morris, R., & Horne, R. (1996). The Illness Perception Questionnaire: a new method for assessing the cognitive representation of illness. Psychology & Health, 11(1), 431-45. DOI: 10.1080/08870449608400270

Wittkowski, A., Richards, H. L., Williams, J., & Main, C. J. (2008). Factor analysis of the Revised Illness Perception Questionnaire in adults with atopic dermatitis. Psychology, Health and Medicine, 13(3), 346-359. DOI: 10.1080/13548500701487697

World Health Organization. (WHO, 2011). Asthma. Recuperado de http://www.who.int/mediacentre/factsheets/fs307/en/

Wu, X., Lau, J. T., Mak, W. W., Gu, J., Mo, P. K., & Wang, X. (2018). How newly diagnosed HIV-positive men who have sex with men look at HIV/AIDS–validation of the Chinese version of the revised illness perception questionnaire. BMC Infectious Diseases, 18(1), 1-10. DOI:10.1186/s12879-017-2902-y

Publicado
2020-07-11
Cómo citar
Lugo González, I. V., Vega Valero, C. Z., Pérez Bautista, Y. Y., & Fernández Vega, M. (2020). Propiedades psicométricas del Cuestionario Revisado de Percepción de Enfermedad (IPQ-R) en adultos mexicanos con asma. Revista Digital Internacional De Psicología Y Ciencia Social, 6(2), 388-413. https://doi.org/10.22402/j.rdipycs.unam.6.2.2020.271.388-413