Developing a shortened measure of negative thinking for use in patients with heart failure

  • Rebecca L. Dekker
  • , Terry A. Lennie
  • , Lynne A. Hall
  • , Ann R. Peden
  • , Misook L. Chung
  • , Debra K. Moser

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Objective: Negative thinking is a target for treatment of depressive symptoms in patients with heart failure (HF). A brief instrument is needed to measure negative thinking in these patients. The study objective was to shorten the Crandell Cognitions Inventory (CCI) for use in patients with HF. Methods: Baseline data from outpatients with HF (N = 179, 30% were female, age 60 ± 13 years) were used to evaluate psychometrics of the CCI. Internal consistency reliability was measured with Cronbach's alpha construct validity with hypothesis testing. Principal components analysis was used in shortening. A separate sample of hospitalized patients with HF (N = 77, 49% were female, age 66 ± 11years) was used to validate the shortened CCI (CCI-SF). Results: The CCI showed evidence of reliability and validity, but there was item redundancy in outpatients with HF. The 12-item CCI-SF showed good evidence of reliability and validity in inpatients with HF. Conclusion: The results support the reliability and validity of the CCI-SF to measure negative thinking in hospitalized patients with HF.

Original languageEnglish
Pages (from-to)e60-e69
JournalHeart and Lung: Journal of Acute and Critical Care
Volume40
Issue number3
DOIs
StatePublished - May 2011

Funding

FundersFunder number
National Center for Research ResourcesM01RR002602

    Keywords

    • Cardiovascular
    • Depression
    • Depressive symptoms
    • Heart failure
    • Negative thinking
    • Psychometric

    ASJC Scopus subject areas

    • Pulmonary and Respiratory Medicine
    • Critical Care and Intensive Care Medicine
    • Cardiology and Cardiovascular Medicine

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