Abstract
Aim: The SHAI is a well-established, brief, valid, and reliable self-report measure of health anxiety (HA) widely used worldwide in medical and non-medical contexts. Subjects and methods: The psychometric properties, internal consistency, and fit indices of the scale’s structure were examined in 867 Colombian adolescents (458 women and 409 men; M = 15.97; SD = 1.37). Results: The high reliability for SHAI was confirmed. Three models were tested, and the best-fitting model was the original two-factor structure (Fear of Illness and Negative Consequences of an Illness). Fit indices supported the two-factor model with a Comparative Fit Index (CFI) = 0.961 and Root Mean Square Error of Approximation (RMSEA) = 0.047 (90 % CI: .041–0.052). The total reliability of the scale was α = 0.82, which can be considered significant and high, with reports of α = 0.80 and α = 0.68 for the factors of Fear of Disease and Negative Consequences of Disease, respectively. While reliability was excellent, the model’s fit was also adequate and consistent with the original structure. Conclusion: The Colombian version of the SHAI is a valid and reliable tool for assessing health anxiety in clinical practice and the research field.
| Original language | English |
|---|---|
| Pages (from-to) | 237-248 |
| Number of pages | 12 |
| Journal | Archives of Psychiatry Research |
| Volume | 61 |
| Issue number | 3 |
| DOIs | |
| State | Published - 16 Dec 2025 |
Keywords
- Adolescent
- SHAI
- assessment
- health anxiety
- hypochondria
- reliability
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