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Peer-reviewedCC BY 4.0Frontiers in Psychiatry

Clinimetric properties of the Chinese version of the subjective incompetence scale: an extended paradigm

  • Boheng Zhu1
  • Yanping Duan1
  • John M. de Figueiredo2
  • Danilo Carrozzino3
  • Jiaojiao Hu1
  • Tao Li1
  • Jing Wei1
  1. 1Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
  2. 2Department of Psychiatry, Yale University School of Medicine
  3. 3Department of Psychology “Renzo Canestrari”, Alma Mater Studiorum University of Bologna
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Abstract

Objectives: This is the first validation study to evaluate the measurement properties (i.e., construct, concurrent, incremental, and relative validity) and determine the clinical utility of the Chinese version of the 12-item subjective incompetence scale (SIS-12) based on the science of clinimetrics.

Methods: Consecutive general hospital inpatients (n= 232) in the Departments of Neurology and Obstetrics & Gynecology were assessed for SIS-12, along with measures of anxiety, depression, stress levels, and demographic information. Mokken analysis was employed to evaluate construct validity, while relative validity was assessed through relative weight analysis.

Results: Mokken analysis indicated inadequate construct validity for items 1, 4, 8, and 10, leading to the development of an 8-item version of the scale (SIS-8), which was found to have optimal scalability. The SIS-8 also entailed the clinimetric properties of concurrent validity, incremental validity, and relative validity.

Conclusion: The findings of the present clinimetric validation indicate that the SIS-8 can potentially be used both as a screening measure for the early detection of individuals at increased risk for demoralization and as a dimensional measure to assess the severity of feelings of subjective incompetence. This dual utility suggests its relevance in both clinical research and practice, particularly in managing inpatients suffering from psychological distress.

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Cite

BibTeXRIS
BibTeX
@article{zhu2026clinimetric,
  title = {{Clinimetric properties of the Chinese version of the subjective incompetence scale: an extended paradigm}},
  author = {Boheng Zhu and Yanping Duan and John M. de Figueiredo and Danilo Carrozzino and Jiaojiao Hu and Tao Li and Jing Wei},
  journal = {Frontiers in Psychiatry},
  year = {2026},
  month = oct,
  doi = {10.3389/fpsyt.2026.1825824},
  url = {https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1825824/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Clinimetric properties of the Chinese version of the subjective incompetence scale: an extended paradigm
AU  - Boheng Zhu
AU  - Yanping Duan
AU  - John M. de Figueiredo
AU  - Danilo Carrozzino
AU  - Jiaojiao Hu
AU  - Tao Li
AU  - Jing Wei
PY  - 2026
DA  - 2026/10/29
JO  - Frontiers in Psychiatry
DO  - 10.3389/fpsyt.2026.1825824
UR  - https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1825824/full
AB  - Objectives: This is the first validation study to evaluate the measurement properties (i.e., construct, concurrent, incremental, and relative validity) and determine the clinical utility of the Chinese version of the 12-item subjective incompetence scale (SIS-12) based on the science of clinimetrics.  Methods: Consecutive general hospital inpatients (n= 232) in the Departments of Neurology and Obstetrics & Gynecology were assessed for SIS-12, along with measures of anxiety, depression, stress levels, and demographic information. Mokken analysis was employed to evaluate construct validity, while relative validity was assessed through relative weight analysis.  Results: Mokken analysis indicated inadequate construct validity for items 1, 4, 8, and 10, leading to the development of an 8-item version of the scale (SIS-8), which was found to have optimal scalability. The SIS-8 also entailed the clinimetric properties of concurrent validity, incremental validity, and relative validity.  Conclusion: The findings of the present clinimetric validation indicate that the SIS-8 can potentially be used both as a screening measure for the early detection of individuals at increased risk for demoralization and as a dimensional measure to assess the severity of feelings of subjective incompetence. This dual utility suggests its relevance in both clinical research and practice, particularly in managing inpatients suffering from psychological distress.
SN  - 1664-0640
ER  -