Reliability and Validity of the Chinese Version of the Cognitive Distortions Questionnaire (CD-Quest) in College Students

Med Sci Monit. 2020 Nov 30:26:e926786. doi: 10.12659/MSM.926786.

Abstract

BACKGROUND The aim of this study was to evaluate the reliability and validity of the Chinese version of the Cognitive Distortions Questionnaire (CD-Quest) among Chinese college students. MATERIAL AND METHODS A total of 460 college students from Jining were recruited in the study. Sample 1, including 239 college students, was tested for item analysis and exploratory factor analysis. Sample 2, including 221 college students, was tested for confirmatory factor analysis and criterion validity. The criterion validity was tested using the Negative Automatic Thoughts questionnaire (ATQ) and Dysfunctional Attitudes Scale (DAS). Test-retest reliability was evaluated in 40 college students from sample 1 with 4 weeks interval. RESULTS The corrected item-total correction (ITC) ranged from 0.675 (emotional reasoning) to 0.829 (unfair comparison). Exploratory factor analysis revealed the variance of the CD-Quest items was unidimensional, and it explained 55.261% of the data variance. Confirmatory factor analysis indicated all regression coefficients were higher than 0.4. The criterion validity was excellent, as shown by the relationships among CD-Quest, DAS, and ATQ (r=0.447, 0.566, respectively). Cronbach's alpha coefficient was 0.941 and the test-retest reliability was 0.928. CONCLUSIONS The Chinese version of CD-Quest had good reliability and validity, suggesting it is a reliable tool to evaluate cognitive distortion of Chinese college students.

Publication types

  • Validation Study

MeSH terms

  • Adolescent
  • Cognition / physiology*
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Psychometrics
  • Reproducibility of Results
  • Students*
  • Surveys and Questionnaires*
  • Universities*
  • Young Adult