Instituto Polytechnique de Beja, Escola Superior de Educação, Projeto Up Again Senior, Beja, Portugal.
Department of Health Sciences, Faculty of Health Sciences, University of Jaén, Jaén, Spain.
Menopause. 2023 Feb 1;30(2):179-185. doi: 10.1097/GME.0000000000002104. Epub 2022 Nov 7.
The aim of the study is to analyze the reliability and validity of the Portuguese version of the Menopause Rating Scale (MRS) among postmenopausal Portuguese women.
A total of 184 postmenopausal women completed the Portuguese MRS. Internal consistency and test-retest reliability were studied. Construct, convergent, and concurrent validity were assessed. The 10-item Cervantes Scale and the Hospital Anxiety and Depression Scale were used to determine convergent and concurrent validity, respectively. The ability and accuracy of the Portuguese MRS to discriminate between women with and without anxiety and depression cases were evaluated, and a receiver operating characteristic curve analysis was used.
The Portuguese MRS showed an appropriate level of internal consistency (Cronbach α, 0.84 for MRS total score) and test-retest reliability (MRS total score; intraclass correlation coefficient, 0.92; 95% confidence interval, 0.85-0.96). Factor analysis (construct validity) revealed a 3-factor structure (explained variance of 62.08%). The MRS total score and its 3 factors showed good convergent (10-item Cervantes Scale) and concurrent (Hospital Anxiety and Depression Scale anxiety and depression) validity (all P < 0.001). The Portuguese MRS total score was significantly able to discriminate between postmenopausal women with and without anxiety (P < 0.001) and depression (P = 0.001), with a cutoff point of 15.50 (80.00% sensitivity and 63.70% specificity) for detecting depression and a cutoff point of 16.50 (82.35% sensitivity and 78.57% specificity) for identifying anxiety.
The Portuguese MRS has been shown to be a valid and reliable questionnaire for assessing the severity of menopausal symptoms and discriminating among postmenopausal women with and without anxiety and depression.
本研究旨在分析绝经评定量表（MRS）葡萄牙语版本在葡萄牙绝经后女性中的信度和效度。
共 184 名绝经后女性完成了葡萄牙 MRS。研究了内部一致性和重测信度。评估了结构、收敛和同时效度。分别使用 Cervantes 量表和医院焦虑抑郁量表评估收敛和同时效度。评估了葡萄牙 MRS 区分有和无焦虑和抑郁病例的女性的能力和准确性，并进行了接收者操作特征曲线分析。
葡萄牙 MRS 显示出适当的内部一致性水平（MRS 总分的 Cronbach α，0.84）和重测信度（MRS 总分；组内相关系数，0.92；95%置信区间，0.85-0.96）。因子分析（结构效度）显示出 3 因素结构（解释方差 62.08%）。MRS 总分及其 3 个因子显示出良好的收敛（10 项 Cervantes 量表）和同时（医院焦虑抑郁量表焦虑和抑郁）效度（均 P < 0.001）。葡萄牙 MRS 总分能显著区分有和无焦虑的绝经后女性（P < 0.001）和抑郁（P = 0.001），其用于检测抑郁的截断点为 15.50（80.00%敏感性和 63.70%特异性），用于识别焦虑的截断点为 16.50（82.35%敏感性和 78.57%特异性）。
葡萄牙 MRS 已被证明是一种有效和可靠的问卷，用于评估绝经症状的严重程度，并区分有和无焦虑和抑郁的绝经后女性。
