Women's Health Institute, San Carlos Clinic Hospital, IdISSC, Complutense University, Madrid, Spain.
Faculty of Psychology, Autonoma University of Madrid, Madrid, Spain.
Menopause. 2021 May 10;28(8):935-942. doi: 10.1097/GME.0000000000001790.
To determine the predictive and criterion-based validity of the Cervantes-SF scale that measures the impact of menopause on Health-Related Quality of Life.
We recruited a noninstitutionalized sample of peri/postmenopausal women aged 40 to 65 years, who had their last menstrual cycle 12+ months prior to inclusion in the study of the psychometric validity of the Cervantes-SF scale. Predictive validity of the scale was confirmed for various health outcome measures administered concomitantly (years of disability-free life expectancy, work productivity and impact on daily activities, economic impact arising from loss of work productivity, hours of undisturbed sleep each day, and the utilization of healthcare facilities), whilst criterion validity was determined by the likelihood of identifying a moderate-to-severe vasomotor or genital syndrome requiring specific treatment.
A sample of 308 peri/postmenopausal women with a mean age of 55.7 years (SD: 5.3 y) was analyzed in this study. A score >25 points on the dimension of vasomotor problems (or menopausal health) showed values of sensitivity and specificity > 80% for identifying women with moderate-severe vasomotor syndrome requiring pharmacological treatment. Predictive validity was confirmed for menopause-related health outcomes. A change of 6.7 points in the scale score, equivalent to the value of its minimal difference, is indicative of a significant increase in the degree of disability regarding work/day-to-day activities, greater economic loss due to decreased work productivity, fewer years of life expectancy without disability, fewer hours of undisturbed sleep, and more visits to the physician per year due to menopausal symptoms.
These results confirm the criterion and predictive validity of the Cervantes-SF scale in peri/postmenopausal women.
评估 Cervantes-SF 量表评估绝经对健康相关生活质量影响的预测性和基于标准的有效性。
我们招募了一个非机构化的、年龄在 40 至 65 岁之间的绝经后妇女样本，这些妇女在纳入 Cervantes-SF 量表的心理测量有效性研究前的 12 个月以上经历了最后一次月经周期。该量表的预测有效性通过同时进行的各种健康结果测量得到证实（无残疾预期寿命年限、工作生产力和对日常活动的影响、因工作生产力丧失而导致的经济影响、每天无干扰的睡眠时间以及医疗保健设施的利用），而标准有效性则通过确定中度至重度血管舒缩或生殖综合征需要特定治疗的可能性来确定。
这项研究分析了 308 名平均年龄为 55.7 岁（标准差：5.3 岁）的绝经后妇女样本。在血管舒缩问题（或绝经健康）维度上得分＞25 分表明，识别需要药物治疗的中度至重度血管舒缩综合征妇女的敏感性和特异性＞80%。预测性有效性得到了确认，与绝经相关的健康结果。量表评分变化 6.7 分，相当于其最小差异值，表明与工作/日常活动相关的残疾程度显著增加，由于工作生产力下降导致的经济损失更大，无残疾预期寿命减少，无干扰睡眠时间减少，以及因绝经症状而每年看医生的次数增加。
这些结果证实了 Cervantes-SF 量表在绝经后妇女中的标准和预测有效性。
