Psychometric Properties of the Persian Version of Modified Short Form of Changes in Outlook Questionnaire Following Disaster for Injured Athletes

Document Type : Original Articles

Author

Associate Professor, School of Physical Education and Sport Science, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

10.22122/jrrs.v15i4.3501

Abstract

Introduction: This study addresses the psychometric properties of the Persian version of the Changes in Outlook Questionnaire (CiOQ) questionnaire following disaster for injured athletes. CiOQ has been designed to measure both positive and negative changes following disaster. The aim of this study is to translate the short form of the questionnaire (CiOQ-S) into Persian and examine its validity and reliability in a sample of the injured athletes.Materials and Methods: The 10-item English version of CiOQ was translated into Persian and completed along with the Hospital Anxiety and Depression Scale (HADS) in a sample of injured athletes deprived of competition (n = 207). Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to evaluate the construct validity. In addition, the Cronbach’s alpha and split-half coefficients were applied to measure reliability. Moreover, the convergent validity was measured using the Pearson’s correlation coefficient.Results: The Persian version of CiOQ demonstrated a similar factor structure to that of the English version, high internal consistency, and convergent validity with measures of anxiety and depression support. The reliability obtained using the Cronbach’s alpha and split-half coefficients were higher than 0.7 for both positive and negative changes. There was a negative correlation between positive change and depression (P < 0.001). However, there was a positive correlation between negative changes with anxiety and depression (P < 0.001).Conclusion: Data indicated that the the Persian version of CiOQ is a reliable and valid measure for assessing positive and negative changes following an adversity.

Keywords

  1. McMillen JC, Smith EM, Fisher RH. Perceived benefit and mental health after three types of disaster. J Consult Clin Psychol 1997; 65(5): 733-9.
  2. Thornton AA, Perez MA. Posttraumatic growth in prostate cancer survivors and their partners. Psychooncology 2006; 15(4): 285-96.
  3. Grubaugh AL, Resick PA. Posttraumatic growth in treatment-seeking female assault victims. Psychiatr Q 2007; 78(2): 145-55.
  4. Schnurr PP, Rosenberg SD, Friedman MJ. Change in MMPI scores from college to adulthood as a function of military service. J Abnorm Psychol 1993; 102(2): 288-96.
  5. Davis CG, Nolen-Hoeksema S, Larson J. Making sense of loss and benefiting from the experience: Two construals of meaning. J Pers Soc Psychol 1998; 75(2): 561-74.
  6. McMillen JC, Cook CL. The positive by-products of spinal cord injury and their correlates. Rehabil Psychol 2003; 48(2): 77-85.
  7. McMillen C, Howard MO, Nower L, Chung S. Positive by-products of the struggle with chemical dependency. J Subst Abuse Treat 2001; 20(1): 69-79.
  8. Tedeschi RG, Calhoun LG. A clinical approach to posttraumatic growth. In: Linley PA, Joseph S, editors. Positive psychology in practice. Hoboken, NJ: John Wiley and Sons; 2004. p. 405-19.
  9. Joseph S, Linley PA. Positive Adjustment to threatening events: An organismic valuing theory of growth through adversity. Rev Gen Psychol 2005; 9(3): 262-80.
  10. Tedeschi RG, Calhoun LG. The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. J Trauma Stress 1996; 9(3): 455-71.
  11. Park CL, Cohen LH, Murch RL. Assessment and prediction of stress-related growth. J Pers 1996; 64(1): 71-105.
  12. Ryff CD, Singer B. The role of purpose in life and personal growth in positive human health. In: Won PTP, Fry PS, editors. The human quest for meaning: A handbook of psychological research and clinical applications. Mahwah, NJ: Lawrence Erlbaum Associates Publishers; 1998. p. 213-35.
  13. Joseph S, Williams R, Yule W. Changes in outlook following disaster: The preliminary development of a measure to assess positive and negative responses. J Trauma Stress 1993; 6(2): 271-9.
  14. Linley PA, Joseph S, Cooper R, Harris S, Meyer C. Positive and negative changes following vicarious exposure to the September 11 terrorist attacks. J Trauma Stress 2003; 16(5): 481-5.
  15. Linley PA, Joseph S, Loumidis K. Trauma work, sense of coherence, and positive and negative changes in therapists. Psychother Psychosom 2005; 74(3): 185-8.
  16. Joseph S, Alex Linley P, Shevlin M, Goodfellow B, Butler LD. Assessing positive and negative changes in the aftermath of adversity: A Short form of the Changes in Outlook Questionnaire. J Loss Trauma 2006; 11(1): 85-99.
  17. Zang Y, Hunt NC, Cox T, Joseph S. Short form of the Changes in Outlook Questionnaire: Translation and validation of the Chinese version. Health Qual Life Out 2012; 10(1): 41.
  18. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67(6): 361-70.
  19. Horowitz M, Wilner N, Alvarez W. Impact of Event Scale: A measure of subjective stress. Psychosom Med 1979; 41(3): 209-18.
  20. Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med 1979; 9(1): 139-45.
  21. Ferguson E, Cox T. Exploratory Factor Analysis: A users’ guide. Int J Select Assess 1993; 1(2): 84-94.
  22. Kaviani H, Seyfourian H, Sharifi V, Ebrahimkhani N. Reliability and validity of Anxiety and Depression Hospital Scales (HADS): Iranian patients with anxiety and depression disorders. Tehran Univ Med J 2009; 67(5): 379-85. [In Persian].
  23. Byrne BM. Structural equation modeling with AMOS, EQS, and LISREL: Comparative approaches to testing for the factorial validity of a measuring instrument. Int. J. Test 2001; 1(1): 55-86.
  24. Janoff-Bulman R. Shattered assumptions: Towards a new psychology of trauma. New York, NY: Free Press; 1992.
  25. Butler LD, Blasey CM, Garlan RW, McCaslin SE, Azarow J, Chen XH, et al. Posttraumatic growth following the terrorist attacks of September 11, 2001: Cognitive, coping, and trauma symptom predictors in an internet convenience sample. Traumatology 2005; 11(4): 247-67.
  26. Aldwin CM, Levenson MR, Spiro A 3rd. Vulnerability and resilience to combat exposure: can stress have lifelong effects? Psychol Aging 1994; 9(1): 34-44.
  27. Frazier P, Conlon A, Glaser T. Positive and negative life changes following sexual assault. J Consult Clin Psychol 2001; 69(6): 1048-55.
  28. Linley PA, Joseph S. Positive change following trauma and adversity: A review. J Trauma Stress 2004; 17(1): 11-21.
  29. Kleim B, Ehlers A. Evidence for a curvilinear relationship between posttraumatic growth and posttrauma depression and PTSD in assault survivors. J Trauma Stress 2009; 22(1): 45-52.
Volume 15, Issue 4 - Serial Number 4
September 2019
Pages 228-234
  • Receive Date: 29 February 2020
  • Revise Date: 02 June 2022
  • Accept Date: 22 May 2022