Okuyama Toru, Wang Xin Shelley, Akechi Tatsuo, Mendoza Tito R, Hosaka Takashi, Cleeland Charles S, Uchitomi Yosuke
Department of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
J Pain Symptom Manage. 2003 Dec;26(6):1093-104. doi: 10.1016/j.jpainsymman.2003.05.003.
Cancer patients frequently suffer from a myriad of symptoms. The development and application of comprehensive assessment tools is essential to the effective management of these symptoms. The M.D. Anderson Symptom Inventory (MDASI), developed in English, is a brief, self-rating multiple symptom assessment scale that consists of 13 symptom items and 6 interference items. We examined the validity and reliability of the Japanese version of this scale (MDASI-J) by evaluating 252 randomly selected cancer patients. They were asked to self-administer the MDASI-J and the European Organization for Research and Treatment of Cancer QLQ-C 30. Construct, criterion, convergent and discriminant validity, and reliability of the MDASI-J were evaluated and compared with corresponding data obtained in the previous study conducted in the United States. The results indicated that the MDASI-J is a valid and practical measure for assessing multiple symptoms in Japanese cancer patients. Both factor analysis and cluster analysis showed the consistency of the statistical structure of the English and Japanese versions, indicating the cross-cultural validity of the scale.
癌症患者经常遭受各种各样的症状困扰。综合评估工具的开发和应用对于有效管理这些症状至关重要。以英文开发的MD安德森症状量表（MDASI）是一种简短的自评多症状评估量表，由13个症状项目和6个干扰项目组成。我们通过评估252名随机选择的癌症患者，检验了该量表日文版（MDASI-J）的有效性和可靠性。他们被要求自行填写MDASI-J和欧洲癌症研究与治疗组织QLQ-C 30。评估了MDASI-J的结构效度、效标效度、收敛效度和区分效度以及可靠性，并与之前在美国进行的研究中获得的相应数据进行了比较。结果表明，MDASI-J是评估日本癌症患者多种症状的有效且实用的测量工具。因子分析和聚类分析均显示英文和日文版统计结构的一致性，表明该量表具有跨文化效度。
