Mental adjustment at different phases in breast cancer trajectory: re‐examination of factor structure of the Mini‐MAC and its correlation with distress
Copyright policy )Mental adjustment at different phases in breast cancer trajectory: re‐examination of factor structure of the Mini‐MAC and its correlation with distress
AbstractObjectiveThe aim of this study is twofold. First, it aims to determine the factor structure of the Mini‐Mental Adjustment to Cancer (Mini‐MAC) Scale by using confirmatory factor analysis (CFA) to compare the three‐factor, four‐factor, and five‐factor structures among 340 Taiwanese breast cancer patients. Second, it aims to test the difference in the correlations of coping strategies and the outcome measures between two populations: one‐month newly diagnosed and five‐year long‐term survival patients.MethodsTwo samples, composed of 142 newly diagnosed and 198 long‐term survival breast cancer patients, were recruited. Cancer‐specific coping and distress were assessed via the Mini‐MAC Scale and the Hospital Anxiety and Depression Scale (HADS), respectively.ResultsThe CFA confirmed Watson's original five‐factor structure fit the data best. The correlation difference between the two samples lies in the fighting spirit (FS), which correlated negatively with distress among the newly diagnosed sample but had no correlation among the long‐term survivors. Moreover, fatalism (FA) was found to correlate positively with distress.ConclusionsThe five‐factor structure represents a more psychometrically sound measure of psychological adjustment in the current data set. The findings also support the argument that the relationships between coping and distress vary, to some degree, at different phases in the cancer trajectory. FS is only a positive predictor of psychological adjustment among newly diagnosed patients. Because of the exclusion of two items, FA showed a positive correlation with distress, a result that contradicts previous findings. Further theoretical and practical implications for FS and FA are discussed.Copyright © 2012 John Wiley & Sons, Ltd.
- National Chengchi University Taiwan
- Taichung Veterans General Hospital Taiwan
- Wan Fang Hospital Taiwan
Asian Continental Ancestry Group, Questionnaires, Adult, long term survival, Adolescent, distress syndrome, Taiwan, Breast Neoplasms, Anxiety, Stress, Young Adult, breast cancer, Asian People, Surveys and Questionnaires, Adaptation, Psychological, internal consistency, Humans, controlled study, human, mini Mental Adjustment to Cancer Scale, named inventories, Survivors, Adaptation, outcome assessment, Aged, Neoplasm Staging, Psychiatric Status Rating Scales, adult, article, questionnaires and rating scales, Statistical, Middle Aged, major clinical study, aged, Hospital Anxiety and Depression Scale, female, Treatment Outcome, Socioeconomic Factors, Psychological, coping behavior, Female, Factor Analysis, Statistical, Mental Status Schedule, Factor Analysis, Stress, Psychological, Follow-Up Studies
Asian Continental Ancestry Group, Questionnaires, Adult, long term survival, Adolescent, distress syndrome, Taiwan, Breast Neoplasms, Anxiety, Stress, Young Adult, breast cancer, Asian People, Surveys and Questionnaires, Adaptation, Psychological, internal consistency, Humans, controlled study, human, mini Mental Adjustment to Cancer Scale, named inventories, Survivors, Adaptation, outcome assessment, Aged, Neoplasm Staging, Psychiatric Status Rating Scales, adult, article, questionnaires and rating scales, Statistical, Middle Aged, major clinical study, aged, Hospital Anxiety and Depression Scale, female, Treatment Outcome, Socioeconomic Factors, Psychological, coping behavior, Female, Factor Analysis, Statistical, Mental Status Schedule, Factor Analysis, Stress, Psychological, Follow-Up Studies
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