Validity and reliability of the Polish adaptation of the Health-Related Hardiness Scale – the first confirmatory factor analysis results for a commonly used scale

Authors

  • Joanna Dymecka University of Opole
  • Ilona Bidzan-Bluma University of Gdańsk
  • Monika Bidzan Medical University of Gdansk
  • Anna Borucka-Kotwica University of Gdańsk
  • Paweł Atroszko University of Gdańsk
  • Mariola Bidzan University of Gdańsk

DOI:

https://doi.org/10.5114/hpr.2020.95746

Keywords:

chronic illness, health-related hardiness, adaptation, confirmatory factor analyses

Abstract

Background
The Health-Related Hardiness Scale (HRHS) developed by Pollock is one of the most widely used measures to assess the construct of hardiness in chronic diseases. However, the original structure of the scale has been investigated only with exploratory factor analysis, and there have been no studies investigating the structure of the scale using a confirmatory approach, so significant doubts about the validity of the scale could be raised.

Participants and procedure
A total of 450 participants took part in the study, with the majority suffering from chronic diseases. A Polish ver-sion of the HRHS, the Sense of Coherence questionnaire (SOC-29), the Resiliency Assessment Scale (SPP-25), the Liverpool Scale of Sense of Self Efficacy (LSES), and the Acceptance of Illness Scale (AIS) were used. Confirmatory factor analyses (CFA) to assess factor structure of the HRHS and correlational analyses to investigate criterion validity were conducted. Since the original structure did not fit the data adequately, a modified structure of the short version of the scale was investigated and a good fit to the data was obtained.

Results
The modified version consisted of two subscales of Control (6 items) and Challenge/Commitment (6 items) which had good Cronbach’s α reliability, .75 and .75 respectively, and .83 for the overall score. The HRHS showed expected correlation patterns with criterion variables. Separate sten norm were provided for female and male patients with chronic illnesses.

Conclusions
The Polish version of the HRHS is a useful and valuable tool for assessing levels of health-related psychological hardiness. The scale can be used for both clinical and research purposes.

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References

Ahmadi, G. T., & Vahedi, G. A. (2013). Comparison of psychological hardiness with mental health among male and female students. European Psychiatry, 28, 1. https://doi.org/10.1016/S0924-9338(13)77464-9.

Almedom, A. M. (2005). Resilience, hardiness, sense of coherence, and posttraumatic growth: All paths leading to light at the end of the tunnel. Journal of Loss and Trauma, 10, 253–265. https://doi. org/10.1080/15325020590928216.

Antonovsky, A. (1987). Unraveling the mystery of health. How people manage stress and stay well. San Francisco, CA: Jossey-Bass Publishers.

Antonovsky, A. (2005). Rozwikłanie tajemnicy zdrowia. Jak radzić sobie ze stresem i nie zachorować [Unraveling the mystery of health. How people manage stress and stay well]. Warszawa: Instytut Psychiatrii i Neurologii.

Bernard, L. C., Hutchison, S., Lavin, A., & Pennington, P. (1996). Ego-strength, hardiness, self-esteem, self-efficacy, optimism, and maladjustment: Health-related personality constructs and the Big Five model of personality. Assessment, 3, 115–131. https://doi.org/10.1177/107319119600300203.

Brooks, M. V. (2003). Health-related hardiness and chronic illness: a synthesis of current research. Nursing Forum, 38, 11–20. https://doi.org/10.1111/ j.0029-6473.2003.00011.x.

Brown, T. A. (2015). Methodology in the social sciences. Confirmatory factor analysis for applied research (2nd ed.). New York: Guilford Press.

Chroni, S., Hatzigeorgiadis, A., & Theodorakis, Y. (2006). Onsite coping in novice climbers as a function of hardiness and self-efficacy. Annals of Leisure Research, 9, 139–154. https://doi.org/10.1080/ 11745398.2006.10816426.

Dymecka, J., Bidzan, M., & Gerymski, R. (2020). Polska adaptacja Liverpoolskiej Skali Poczucia Własnej Skuteczności [Polish adaptation of the Liverpool Self-Efficacy Scale]. Unpublished manuscript.

Eschleman, K. J., Bowling, N. A., & Alarcon, G. M. (2010). A meta-analytic examination of hardiness. International Journal of Stress Management, 17, 277–307. https://doi.org/10.1037/a0020476.

Farber, E. W., Schwartz, J. A., Schaper, P. E., Moonen, D. J., & McDaniel, J. S. (2000). Resilience factors associated with adaptation to HIV disease. Psychosomatics, 41, 140–146. https://doi.org/10.1176/appi. psy.41.2.140.

Felton, B. J., Revenson, T. A., & Hinrichsen, G. A. (1984). Stress and coping in the explanation of psychological adjustment among chronically ill adults. Social Science & Medicine, 18, 889–898. https://doi. org/10.1016/0277-9536(84)90158-8.

Ghafourian-Boroujerdnia, M., Shiravi, Z., Hamid, N., Hemmati, A. A., & Kooti, W. (2014). The relationship of hardiness and immune system cells. Journal of Isfahan Medical School, 31, 1812–1820.

Hashemi, L., Kooshesh, Z., & Eskandari, H. (2015). Role of family communication patterns in development of hardiness and academic self-efficacy in adolescents. Proceedings of the Multidisciplinary Academic Conference, 1–8.

Harris, S. M. (2004). The effect of health value and ethnicity on the relationship between hardiness and health behaviors. Journal of Personality, 72, 379–411. https://doi.org/10.1111/j.0022-3506.2004.00266.x.

Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. https://doi.org/ 10.1080/10705519909540118.

Hystad, S. W., Eid, J., Laberg, J. C., Johnsen, B. H., & Bartone, P. T. (2009). Academic stress and health: exploring the moderating role of personality hardiness. Scandinavian Journal of Educational Research, 53, 421–429. https://doi.org/10.1080/00313830903180349.

Hystad, S. W., Eid, J., Johnsen, B. H., Laberg, J. C., & Bartone, P. T. (2010). Psychometric properties of the revised Norwegian dispositional resilience (hardiness) scale. Scandinavian Journal of Psychology, 51, 237–245. https://doi.org/10.1111/j.1467- 9450.2009.00759.x.

Juczyński, Z. (2001). Narzędzia w promocji i psychologii zdrowia [The tools of measurement in promotion and psychology of health]. Warszawa: Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego.

Kobasa, S. C. (1979). Stressful life events, personality, and health: an inquiry into hardiness. Journal of Personality and Social Psychology, 37, 1–11. https:// doi.org/10.1037/0022-3514.37.1.1.

Kobasa, S. C. (1982). Commitment and coping in stress resistance among lawyers. Journal of Personality and Social Psychology, 42, 707–717. https:// doi.org/10.1037/0022-3514.42.4.707.

Kobasa, S. C., Maddi, S. R., & Kahn, S. (1982). Hardiness and health: a prospective study. Journal of Personality and Social Psychology, 42, 168–177. https:// doi.org/10.1037/0022-3514.42.1.168.

Kravetz, S., Drory, Y., & Florian, V. (1993). Hardiness and sense of coherence and their relation to negative affect. European Journal of Personality, 7, 233–244. https://doi.org/10.1002/per.2410070404.

Maddi, S. R. (1999a). The personality construct of hardiness: I. Effects on experiencing, coping, and strain. Consulting Psychology Journal: Practice and Research, 51, 83–94. https://doi.org/10.1037/1061- 4087.51.2.83.

Maddi, S. R. (1999b). Comments on trends in hardiness research and theorizing. Consulting Psychology Journal: Practice and Research, 51, 67–71. https:// doi.org/10.1037/1061-4087.51.2.67.

Maddi, S. R. (2002). The story of hardiness: Twenty years of theorizing, research, and practice. Consulting Psychology Journal: Practice and Research, 54, 173–185. https://doi.org/10.1037/1061-4087.54.3.173.

Maddi, S. R. (2004). Hardiness: an operationalization of existential courage. Journal of Humanistic Psychology, 44, 279–298. https://doi.org/10.1177/ 0022167804266101.

Maddi, S. R., Harvey, R. H., Khoshaba, D. M., Lu, J. L., Persico, M., & Brow, M. (2006). The personality construct of hardiness, III: Relationships with repression, innovativeness, authoritarianism, and performance. Journal of Personality, 74, 575–598. https://doi.org/10.1111/j.1467-6494.2006.00385.x.

Maddi, S. R., & Kobasa, S. C. (1984). The hardy executive: Health under stress. Homewood, IL: Dow JonesIrwin.

May, K. M., Sowa, C. J., & Niles, S. G. (1993). Family environments as predictors of personality hardiness and self-efficacy. The Family Journal, 1, 131– 135. https://doi.org/10.1177/1066480793012003.

Newton, S. E. (1999). Relationship of hardiness and sense of coherence to post-liver transplant return to work. Holistic Nursing Practice, 13, 71–79.

Ogińska-Bulik, N., & Juczyński, Z. (2008). Skala Pomiaru Prężności (SPP-25) [The Resiliency Assessment Scale (SPP-25)]. Nowiny Psychologiczne, 3, 39–56.

Oman, R. F., & Duncan, T. E. (1995). Women and exercise: an investigation of the roles of social support, self-efficacy, and hardiness. Medicine, Exercise, Nutrition & Health, 4, 306–315.

Pasikowski, T. (2001). Kwestionariusz Poczucia Koherencji dla dorosłych (SOC-29) [The Sense of Coherence Questionnaire for adults (SOC-29)]. In H. Sęk & T. Pasikowski (Eds.), Zdrowie – stres – zasoby. O znaczeniu poczucia koherencji dla zdrowia [Health – stress – resources. The importance of the sense of coherence for health] (pp. 71–86). Poznań: Wydawnictwo Humaniora.

Pollock, S. E. (1984). Adaptation to stress. Texas Nursing, 58, 12–13. Pollock, S. E. (1986). Human responses to chronic illness: Physiologic and psychosocial adaptation. Nursing Research, 35, 90–95.

Pollock, S. E. (1989). The hardiness characteristic: a motivating factor in adaptation. Advances in Nursing Science, 11, 53–62. https://doi.org/10.1097/00012272-198901000-00009.

Pollock, S. E. (1993). Adaptation to chronic illness: a program of research for testing nursing theory. Nursing Science Quarterly, 6, 86–92. https://doi.org/ 10.1177/089431849300600208.

Pollock, S. E. (1999) Health-related hardiness with different ethnic populations. Holistic Nursing Practice, 13, 1–10. https://doi.org/10.1097/00004650-199 904000-00003.

Pollock, S. E., & Duffy, M. E. (1990). The Health-Related Hardiness Scale: Development and psychometric analysis. Nursing Research, 39, 218–222. https:// doi.org/10.1097/00006199-199007000-00008.

Schreiber, J. B., Nora, A., Stage, F. K., Barlow, E. A., & King, J. (2006). Reporting structural equation modeling and confirmatory factor analysis results: a review. The Journal of Educational Research, 99, 323–338. https://doi.org/10.3200/JOER.99.6.323-338.

Skirka, N. (2000). The relationship of hardiness, sense of coherence, sports participation, and gender to perceived stress and psychological symptoms among college students. The Journal of Sports Medicine and Physical Fitness, 40, 63–70.

Sullivan, G. C. (1989). Evaluating Antonovsky’s Salutogenic Model for its adaptability to nursing. Journal of Advanced Nursing, 14, 336–342. https:// doi.org/10.1111/j.1365-2648.1989.tb03421.x.

Tartasky, D. S. (1993). Hardiness: Conceptual and methodological issues. Journal of Nursing Scholarship, 25, 225–229. https://doi.org/10.1111/j.1547- 5069.1993.tb00786.x.

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Published

2020-07-27

How to Cite

Dymecka, J. ., Bidzan-Bluma, I., Bidzan, M., Borucka-Kotwica, A., Atroszko, P., & Bidzan, M. (2020). Validity and reliability of the Polish adaptation of the Health-Related Hardiness Scale – the first confirmatory factor analysis results for a commonly used scale. Health Psychology Report, 8(3), 248–262. https://doi.org/10.5114/hpr.2020.95746

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