Hou Jie, Wang Diya, Su Jing
From the Department of Quality Control, Yuebei People's Hospital, Shantou University Medical College, Shaoguan, China.
Menopause. 2025 Jan 1;32(1):64-71. doi: 10.1097/GME.0000000000002458.
The aim of this study was to modify the Chinese version of the Menopause Symptom Assessment Scale (MSAS) and evaluate its validity and reliability.
An expert panel from the gynecology and nursing domain determined items that should remain or be revised, and 30 participants were selected for the pilot study. A total of 255 women who met the criteria for inclusion were enrolled in the investigation. SPSS 25.0 and AMOS 25.0 were used to analyze data. The internal and external reliability of the scale was evaluated using Cronbach's α coefficient, split-half reliability, and test-retest reliability, respectively. Expert review, exploratory factor analysis, and confirmatory factor analysis were used to evaluate the scale's validity, which encompasses both its content validity and structural validity.
The Chinese version of the MSAS contains 43 items with 5 dimensions, including sexual function, psychological status, interpersonal anxiety, autonomic balance, and other subjective symptoms. The correlation coefficient (r value) between individual items and the total scale ranged from 0.49 to 0.67 (P < 0.05); the Item-Content Validity Index range from 0.80 to 1.00, and Scale-Content Validity Index was 0.91; the Cronbach's α coefficient was 0.85, and the test-retest reliability was 0.93; exploratory factor analysis revealed a cumulative variance contribution of 76.98%; the fitting index of the scale structure model was good.
The updated Chinese version of the MSAS presented good reliability and validity and could be applied in assessing menopausal symptoms in Chinese women.
本研究旨在修订中文版更年期症状评估量表（MSAS）并评估其效度和信度。
来自妇科和护理领域的专家小组确定应保留或修订的条目，并选取30名参与者进行预试验。共有255名符合纳入标准的女性纳入研究。使用SPSS 25.0和AMOS 25.0进行数据分析。分别采用Cronbach's α系数、分半信度和重测信度评估量表的内部和外部信度。采用专家评审、探索性因子分析和验证性因子分析评估量表的效度，包括内容效度和结构效度。
中文版MSAS包含43个条目，分为5个维度，包括性功能、心理状态、人际焦虑、自主神经平衡和其他主观症状。各条目与总量表的相关系数（r值）在0.49至0.67之间（P<0.05）；条目内容效度指数范围为0.80至1.00，量表内容效度指数为0.91；Cronbach's α系数为0.85，重测信度为0.93；探索性因子分析显示累积方差贡献率为76.98%；量表结构模型的拟合指数良好。
更新后的中文版MSAS具有良好的信度和效度，可用于评估中国女性的更年期症状。
