Calderon Caterina, Lorenzo-Seva Urbano, Ferrando Pere Joan, Gómez-Sánchez David, Ferreira Estrella, Ciria-Suarez Laura, Oporto-Alonso Marta, Fernández-Andujar Marina, Jiménez-Fonseca Paula
Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Barcelona, Spain.
University of Basque Country, Spain.
Int J Clin Health Psychol. 2021 Jan-Apr;21(1):100185. doi: 10.1016/j.ijchp.2020.06.001. Epub 2020 Jul 2.
BACKGROUND/OBJECTIVE: The aim of the study was to examine the factor structure and psychometric properties of the Spanish version of the Mini-Mental Adjustment to Cancer Scale (Mini-MAC) in a large sample of patients with non-metastatic, resected cancer.
Prospective, observational, multicenter study for which 914 patients were recruited from 15 Spanish hospitals. Exploratory and confirmatory factor analyses, validity and reliability analyses were conducted.
Factor-analytic results indicated a 4-factor structure of the Spanish version of the Mini-MAC. Three subscales have psychometric properties similar to those of Helplessness, Anxious preoccupation, and Cognitive avoidance of the original the Mini-MAC. The Fighting spirit and the Fatalism subscales were combined on the Positive attitude scale. The four factor-derived scale scores exhibited acceptable accuracy for individual measurement purposes, as well as stability over time in test-retest assessments at 6 months. Validity assessments found meaningful relations between the derived scale scores, and Brief Symptom Inventory depression and anxiety scores and Functional Assessment of Chronic Illness Therapy spiritual well-being scores.
The Spanish version of the Mini-MAC provides reliable and valid measures for patients with non-metastatic, resected cancer, and results corroborate the instrument's cross-cultural validity.
背景/目的：本研究旨在对大量非转移性、已切除癌症患者样本，检验西班牙文版简易癌症心理适应量表（Mini-MAC）的因子结构和心理测量特性。
一项前瞻性、观察性、多中心研究，从15家西班牙医院招募了914名患者。进行了探索性和验证性因子分析、效度和信度分析。
因子分析结果表明西班牙文版Mini-MAC具有四因子结构。三个分量表的心理测量特性与原版Mini-MAC的无助、焦虑关注和认知回避分量表相似。斗志和宿命论分量表合并为积极态度量表。四个因子衍生量表分数在个体测量目的方面表现出可接受的准确性，并且在6个月的重测评估中随时间保持稳定。效度评估发现衍生量表分数与简明症状量表抑郁和焦虑分数以及慢性病治疗功能评估精神幸福感分数之间存在有意义的关系。
西班牙文版Mini-MAC为非转移性、已切除癌症患者提供了可靠且有效的测量工具，研究结果证实了该工具的跨文化效度。
