Ho Samuel M Y, Fung Wong Kam, Chan Cecilia L W, Watson Maggie, Tsui Yenny K Y
Department of Psychology, University of Hong Kong, Hong Kong.
Psychooncology. 2003 Sep;12(6):547-56. doi: 10.1002/pon.672.
The psychometric properties of a Chinese version of the Mini-Mental Adjustment to Cancer scale (Mini-MAC) were examined among 115 Chinese cancer patients in Hong Kong. The five subscales from the original Mini-MAC (Anxious Preoccupation, Helpless-Hopeless, Fighting Spirit, Fatalism, Cognitive Avoidance) had acceptable internal reliabilities (Cronbach's alpha ranged from 0.65 to 0.88) and construct validities in our sample. Factor analysis suggested three factors: (1) Negative Emotion (alpha=0.91) contained items of the Anxious Preoccupation and the Helpless-Hopeless subscales of the original Mini-MAC, (2) Positive Attitude (alpha=0.77) combined the Fighting Spirit and the Fatalism subscales of the original version, and (3) Cognitive Avoidance (alpha=0.65) which was identical to the Cognitive Avoidance subscale of the original Mini-MAC. Construct validities of the novel factors were shown by their correlations with HADS Anxiety and Depression scores in the predicted directions. It was concluded that both the 5-factor model from the original Mini-MAC and the 3-factor model from the present study were valid in Hong Kong Chinese cancer patients. The results were discussed in terms of the meaning of the original Mini-MAC factors and cultural differences in coping functions between Chinese and UK cancer patients.
在香港的115名中国癌症患者中，对中文版的癌症心理调适简易量表（Mini-MAC）的心理测量特性进行了检验。原始Mini-MAC的五个子量表（焦虑专注、无助-绝望、斗志、宿命论、认知回避）在我们的样本中具有可接受的内部信度（克朗巴哈系数范围为0.65至0.88）和结构效度。因子分析表明存在三个因子：（1）消极情绪（α=0.91）包含原始Mini-MAC的焦虑专注和无助-绝望子量表的项目；（2）积极态度（α=0.77）合并了原始版本的斗志和宿命论子量表；（3）认知回避（α=0.65）与原始Mini-MAC的认知回避子量表相同。新因子的结构效度通过它们与HADS焦虑和抑郁评分在预测方向上的相关性得以体现。得出的结论是，原始Mini-MAC的五因子模型和本研究的三因子模型在香港中国癌症患者中均有效。根据原始Mini-MAC因子的意义以及中国和英国癌症患者应对功能的文化差异对结果进行了讨论。
