Objective To examine the reliability, validity, and practicability of Cognitive Emotion Regulation Questionnaire (CERQ) in hypertensive patients in China. Methods Altogether 434 hypertensive patients and 462 healthy subjects were recruited. All the subjects were assessed with the CERQ-Chinese version (CERQ-C), Dysfunctional Attitude Scale (DAS) , Mood and Anxiety Symptom Questionnaire-Short Form ( MASQ-SF), and Center for Epidemiologic Studies Depression Scale (CES-D). We calculated the mean inter-item correlations for the total CERQ and for each of the subscales. Cronbach's alpha coefficient was used to analyze the inter-correlation and reliability, and confirmatory factor analysis was used to examine the 9-factor model. Results 1 ) Hypertension group reported significantly higher score than that of healthy ones on rumination (12.19 ±2.51 vs. 11.51 ±2.60, P＜0.001), catastrophizing(8.82 ±2.19 vs. 8.11±2.70,P＜ 0.001 ) ,and blaming others( 10.76 ±2.11 vs. 9.88 ±2.48 ,P ＜0.001 ) , and had significantly lower score than that of healthy ones on positive reappraisal ( 13.80 ± 3.55 vs. 14.71 ± 4. 11, P ＜ 0.001 ). 2 )Reliability: In the hypertension group the Cronbach's alpha for the total CERQ was 0.80, and that for the 9 subscales ranged from 0.71 (self-blame) to 0.90 (rumination). In the healthy group the Cronbach's alpha for the total CERQ was 0.79, and that for the 9 subscales ranged from 0.71 (positive reappraisal) to 0.90 (rumination). The mean inter-item correlation coefficient for the 9 subscales was 0. 21 -0.42 (the hypertension group)/0.19 -0.32 (the healthy group). In the hypertension group, the test-retest reliability of the total scale was 0.82, the test-retest reliability of the 9 subscales ranged from 0.73 to 0.92. The confirmatory factor analysis showed that the 9 first-order factor data fitted both 2 samples well. Conclusion CERQ meets the psychometric standard and it is reliable and valid for cognitive emotion regulation strategies, which may be regarded as an appropriate assessment tool.%目的:研究认知性情绪调节问卷(Cognitive Emotion Regulation Questionnaire,CERQ)在中国高血压病患者中应用的信、效度及适用性.方法:在434例高血压病患者和462名正常人群完成CERQ中文版、认知失调性态度问卷、心境与焦虑症状问卷(简式)、流调中心用抑郁量表4种问卷的评定.采用条目间平均相关系数、Cronbach α系数及重测信度来检验CERQ的信度.采用CERQ的9个分量表分别与下列量表进行相关分析以评估CERQ的聚合与区分效度:认知失调性态度问卷、心境与焦虑症状问卷、流调中心用抑郁量表.采用t检验比较高血压病组与正常对照组的认知性情绪调节策略.采用单因素多变量方差分析比较认知性情绪调节策略的性别差异.结果:1)量表得分情况:高血压病组与正常对照组均在积极重新评价分量表得分最高,灾难化分量表得分最少.而2组的认知性情绪调节策略的使用上差异有统计学意义.高血压病组在沉思(12.19±2.51 vs.11.51±2.60,P<0.001)、灾难化(8.82±2.19 vs.8.11±2.70,P<0.001)、责难他人(10.76±2.11 vs.9.88±2.48,P<0.001)3个分量表得分明显高于正常对照组.而在积极重新评价分量表得分明显低于正常对照组(13.80±3.55 vs.14.71±4.11,P<0.001).2)信度:高血压病组中,9个分量表的条目间平均相关系数在0.21～0.42之间;正常对照组样本中,9个分量表的条目间平均相关系数在0.19～0.32之间.高血压病组CERQ总的Cronbach α系数为0.80,9个分量表的Cronbach α系数在0.71～0.90之间;高血压病组CERQ总的重测信度为0.82,9个分量表的重测信度在0.73～0.92之间.3)结构效度:验证性因素分析结果显示2个样本中CERQ的9因子模型的拟合指数良好.结论:CERQ在高血压病患者中显示了良好的信、效度,是用来评价中国高血压病患者的认知性情绪调节策略的有效且可靠的测量工具.
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