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Standardization of the Korean version of Mini‐Mental Adjustment to Cancer (K‐Mini‐MAC) scale: factor structure, reliability and validity
Author(s) -
Kang Jee In,
Chung Hyun Cheol,
Kim Se Joo,
Choi Hye Jin,
Ahn Joong Bae,
Jeung HeiCheul,
Namkoong Kee
Publication year - 2008
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.1277
Subject(s) - cronbach's alpha , clinical psychology , varimax rotation , psychology , anxiety , hospital anxiety and depression scale , fatalism , psychiatry , psychometrics , theology , philosophy
Mental adjustment and coping affect the physical outcome and survival as well as quality of life in cancer patients. The Mini‐Mental Adjustment to Cancer (Mini‐MAC) scale is a new refined, economical and reliable self‐rating instrument measuring cognitive and behavioral responses to cancer. The aim of this study was to evaluate the psychometric properties of the Mini‐MAC in Korean cancer patients. A total of 208 cancer patients recruited from the Yonsei Cancer Center were assessed with the Mini‐MAC and the Hospital Anxiety and Depression Scale (HADS). Principal component analysis with varimax rotation for the Korean version of Mini‐MAC (K‐Mini‐MAC) confirmed four factors. Three had psychometric properties similar to Helpless–Hopeless (HH), Anxious Preoccupation (AP) and Cognitive Avoidance (CA) of the original Mini‐MAC. A novel factor, named Positive Attitude, included items of both Fatalism (FA) and Fighting Spirit (FS) from the original version. The five subscales from the original version (AP, HH, FS, FA and CA) and Positive Attitude had acceptable internal reliabilities in our sample (Cronbach's alpha coefficient 0.50–0.86; correlation coefficient of test–retest 0.68–0.88). For the validity, significant interscale correlation was observed in the original five subscales and Positive Attitude. Each subscale including Positive Attitude was also significantly related to Depression and Anxiety of HADS. As a whole, the K‐Mini‐MAC was a reliable, valid and acceptable tool for Korean cancer patients. These findings can provide information about the cross‐cultural validity of Mini‐MAC scale's factor structure. Cultural differences were also discussed. Copyright © 2007 John Wiley & Sons, Ltd.