Medical Education Management ›› 2023, Vol. 9 ›› Issue (3): 404-409.doi: 10.3969/j.issn.2096-045X.2023.03.023

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Chinese adaptation of the HQ-25 and its reliability and validity among medical students in a university in Beijing

Gu Yinan, Jin Guanghui, Lu Xiaoqin*   

  1. School of General Practice and Continuing Education, Capital Medical University,Beijing 100069, China
  • Received:2023-04-04 Online:2023-06-20 Published:2023-07-19

Abstract: Objective To translate the 25-item Hikikomori Questionnaire (HQ-25) into Chinese and test its reliability and validity among medical students in Beijing, so as to provide an applicable screening tool for early detection of social withdrawal among young people.Methods With the consent of the original author, the Chinese version of the questionnaire HQ-25 (HQ-25-C) was obtained after translation, back translation and cultural adaptation. By stratified sampling method, questionnaires were distributed among 574 medical students in a university in Beijing to test its reliability and validity. SPSS26.0 was used to test the internal consistency reliability and split half reliability of HQ-25-C, and AMOS 26.0 was used to conduct confirmatory factor analysis of its factor structure.Results Reliability analysis: Cronbach’s α coefficient of HQ-25-C was 0.928, and Cronbach’s α coefficient of socialization, isolation and emotional support were 0.844, 0.855 and 0.741, respectively. The split-half reliability Spearman-Brown coefffcient was 0.946. Validated factor analysis: χ2/df=2.910, RMSEA=0.058, CFI=0.927, IFI=0.928, TLI=0.911.Conclusion The HQ-25-C has sound reliability and validity, and can be used as a screening tool in young students.

Key words: Hikikomori, social isolation, medical student, mental health, reliability, validity, 25-item Hikikomori Questionnaire

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