Department of Personality, Evaluation, and Psychological Treatment, University of Valencia, Spain.
Department of Social Psychology, University of Valencia, Spain.
J Psychosom Res. 2018 Nov;114:38-44. doi: 10.1016/j.jpsychores.2018.09.004. Epub 2018 Sep 15.
The Mini-Mental Adjustment to Cancer Scale (MiniMAC) is widely used to evaluate cancer patients' psychological responses to diagnosis and treatment. Validation studies of the scale have shown inconsistency in the obtained factor structures. The aim of this study was to explore the factor structure, using Confirmatory Factor Analysis (CFA), and other psychometric properties of the MiniMAC in Spanish breast cancer patients.
A sample of 368 women with breast cancer completed the MiniMAC and the 18 items version of the Brief Symptom Inventory (BSI-18).
The original pentafactorial model and three additional models derived from the empirical research -two first-order structures with four and three factors, and a second-order bifactorial structure- were tested. The five-factor model showed the best model fit and largely replicated the original MiniMAC's subscales. Five factors had acceptable reliability and showed modest correlations with emotional distress in the expected direction.
The Spanish version of the MiniMAC has a satisfactory overall performance and serves as a brief, reliable and valid tool measuring cognitive appraisals and ensuing reactions to cancer.
Mini-Mental Adjustment to Cancer Scale（MiniMAC）被广泛用于评估癌症患者对诊断和治疗的心理反应。该量表的验证研究表明，所得因子结构不一致。本研究旨在使用验证性因子分析（CFA）探索 MiniMAC 在西班牙乳腺癌患者中的因子结构和其他心理测量特性。
368 名乳腺癌女性完成了 MiniMAC 和 18 项Brief Symptom Inventory（BSI-18）。
对原始五因子模型和三种基于实证研究的附加模型进行了检验，即具有四个和三个因子的两个一阶结构，以及二阶双因子结构。五因子模型具有最佳的模型拟合度，并在很大程度上复制了原始 MiniMAC 的子量表。五个因素具有可接受的信度，与预期方向的情绪困扰呈适度相关。
MiniMAC 的西班牙语版本具有令人满意的整体表现，是一种简短、可靠和有效的工具，用于测量对癌症的认知评估和随之而来的反应。
