Kang Namgu, Yun Hae-Yeon, Kim Young Ae, Park Hye Yoon, Kim Jong-Heun, Kim Sun Mi, Yu Eun-Seung
Department of Psychology, Korea University, Seoul, Republic of Korea.
Research and Business Foundation, The Cyber University of Korea, Seoul, Republic of Korea.
Psychiatry Investig. 2025 Mar;22(3):258-266. doi: 10.30773/pi.2024.0236. Epub 2025 Mar 18.
This study aims to understand the structure of meaning in life among patients with cancer through the validation of the Meaning in Life Scale among Korean patients (K-MiLS) with cancer.
From August 2021 to November 2022, participants were recruited from multiple sites in South Korea. Participants completed related questionnaires, including the MiLS, on the web or mobile. Test-retest reliability was assessed between 2 and 4 weeks after the initial assessment. Exploratory and confirmatory factor analyses and Pearson's correlations were used to evaluate the reliability and validity of the MiLS. A multiple regression analysis was conducted to examine the sociodemographic and disease-related variables correlated with the MiLS. Regarding concurrent validity, a hierarchical regression analysis was performed.
The results (n=345) indicated that the K-MiLS has a four-factor structure: Harmony and Peace; Life Perspective, Purpose, and Goals; Confusion and Lessened Meaning; and Benefits of Spirituality. Regarding convergent and discriminant validity, K-MiLS was negatively correlated with Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and Fear of Cancer Recurrence Inventory while showing a significantly positive correlation with the Posttraumatic Growth Inventory, Self-Compassion Scale, Functional Assessment of Cancer Therapy-General, and Functional Social Support Questionnaire. Hierarchical regression analysis revealed that the demographic variable influencing MiLS was religious affiliation.
The K-MiLS had a multidimensional four-factor structure similar to that of the original version. It is also a reliable and valid measure for assessing cancer survivors' meaning in life after a cancer diagnosis.
本研究旨在通过对韩国癌症患者生命意义量表（K-MiLS）的验证，了解癌症患者生命意义的结构。
2021年8月至2022年11月，从韩国多个地点招募参与者。参与者通过网络或移动设备完成相关问卷，包括生命意义量表。在初次评估后2至4周评估重测信度。采用探索性和验证性因素分析以及Pearson相关性分析来评估生命意义量表的信度和效度。进行多元回归分析以检验与生命意义量表相关的社会人口学和疾病相关变量。关于同时效度，进行了分层回归分析。
结果（n = 345）表明，K-MiLS具有四因素结构：和谐与安宁；生命视角、目的和目标；困惑与意义缺失；以及精神性的益处。关于聚合效度和区分效度，K-MiLS与患者健康问卷-9、广泛性焦虑障碍-7和癌症复发恐惧量表呈负相关，而与创伤后成长量表、自我同情量表、癌症治疗功能评估-一般版和功能性社会支持问卷呈显著正相关。分层回归分析显示，影响生命意义量表的人口统计学变量是宗教信仰。
K-MiLS具有与原始版本相似的多维四因素结构。它也是评估癌症幸存者在癌症诊断后生命意义的可靠且有效的测量工具。
