Park So-Young
Ewha Institute for Age Integration Research, Ewha Womans University, Seoul, Korea.
J Prev Med Public Health. 2024 Jul;57(4):319-326. doi: 10.3961/jpmph.24.096. Epub 2024 May 16.
Despite the importance of choosing and using a valid assessment tool for fear of cancer recurrence (FCR) for early detection and interventions, the validity of the FCR inventory has yet to be thoroughly investigated in Korea. This study explored the psychometric properties of the Fear of Cancer Recurrence Inventory-Severity (FCRI-S) subscale and assessed its applicability to cancer survivors in Korea.
The survey involved 93 Korean individuals who had survived cancer. The reliability of the FCRI-S subscale was assessed using Cronbach's α and composite reliability (CR). Confirmatory factor analysis (CFA), along with tests for discriminant and convergent validity, was conducted to evaluate the construct validity of the FCRI-S subscale.
The FCRI-S subscale showed excellent internal consistency (Cronbach's α=0.88; CR=0.89). CFA showed a good factor structure for the FCRI-S subscale, and the correlations of the FCRI-S subscale with FCR-related measures (r=0.69 to 0.80) and other psychosocial measures (r=-0.23 to 0.37) confirmed both the convergent and discriminant validity of the FCRI-S subscale.
This study confirmed the robust psychometric characteristics of the FCRI-S subscale among cancer survivors in Korea. The use of the FCRI-S subscale would be helpful for health professionals to rapidly screen FCR levels in clinical settings.
尽管选择并使用有效的癌症复发恐惧（FCR）评估工具对于早期发现和干预至关重要，但FCR量表在韩国的有效性尚未得到充分研究。本研究探讨了癌症复发恐惧量表-严重程度（FCRI-S）子量表的心理测量特性，并评估了其在韩国癌症幸存者中的适用性。
该调查涉及93名韩国癌症幸存者。使用克朗巴哈α系数和组合信度（CR）评估FCRI-S子量表的信度。进行验证性因素分析（CFA）以及区分效度和聚合效度测试，以评估FCRI-S子量表的结构效度。
FCRI-S子量表显示出出色的内部一致性（克朗巴哈α系数=0.88；CR=0.89）。CFA显示FCRI-S子量表具有良好的因素结构，FCRI-S子量表与FCR相关测量指标（r=0.69至0.80）和其他心理社会测量指标（r=-0.23至0.37）的相关性证实了FCRI-S子量表的聚合效度和区分效度。
本研究证实了FCRI-S子量表在韩国癌症幸存者中具有稳健的心理测量特征。在临床环境中使用FCRI-S子量表将有助于卫生专业人员快速筛查FCR水平。
