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The Psychometric Properties of Taiwanese Version of the Memorial Anxiety Scale for Prostate Cancer
Authors:Mi-Chun Chou  Ching-Hui Chien  Hsiao-Jen Chung  Cheng-Keng Chuang  Chun-Te Wu  See-Tong Pang  Kuan-Lin Liu  Ying-Hsu Chang
Affiliation:1. Department of Nursing, Chang Gung Memorial Hospital at Chia-Yi, Chia-Yi County, Taiwan;2. College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan;3. Department of Urology, Taipei Veterans General Hospital, Taipei City, Taiwan;4. Department of Urology, School of Medicine, Shu-Tien Urological Institute, National Yang-Ming University, Taipei City, Taiwan;5. Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Tao-Yuan City, Taiwan;6. College of Medicine, Chang Gung University, Tao-Yuan City, Taiwan;7. Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Keelung, Kee-Lung City, Taiwan;8. Department of Urology, New Taipei City Municipal Tucheng Hospital, New Taipei City, Taiwan;1. Department of Psychology and Neuroscience, Dalhousie University, Halifax, Nova Scotia, Canada;2. Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children''s Hospital, Columbus, Ohio, USA;3. Division of Palliative Medicine, Nationwide Children''s Hospital, Columbus, Ohio, USA;4. Department of Pediatrics, The Ohio State University, Columbus, Ohio, USA;1. Yale University School of Nursing, West Haven, Connecticut, USA;2. VA Connecticut Healthcare System, West Haven, Connecticut, USA;3. Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA;4. University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA;5. Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA;6. Yale University School of Medicine, New Haven, Connecticut, USA;1. Optum Hospice Pharmacy Services, Westerville, Ohio, USA;2. The Ohio State University Wexner Medical Center, Columbus, Ohio, USA;1. Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, Department of Medicine, The University of Pittsburgh, Pittsburgh, Pennsylvania, USA;2. Program on Ethics and Decision Making in Critical Illness, Department of Critical Care Medicine, The University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Abstract:ContextThe Memorial Anxiety Scale for Prostate Cancer (MAX-PC) has been used in different countries to assess the specific anxiety of patients with prostate cancer.ObjectivesThis research aims to test the reliability and validity of the Taiwanese version of the MAX-PC (MAX-PC-T).MethodsPatients with prostate cancer in the urology clinics of three hospitals are recruited via a convenience sampling. Patients completed the MAX-PC-T, Positive and Negative Affect Schedule (PANAS), and the Short Form (SF)-12 Health Survey. The internal consistency is tested to determine the reliability of the MAX-PC-T. The correlation among the MAX-PC-T, PANAS, and SF-12 is used to test concurrent and discriminant validity. Confirmatory factor analysis is performed to determine the convergent and discriminant validity of the scale.ResultsThe MAX-PC-T conforms to the three structures of the original MAX-PC, which includes the prostate cancer anxiety subscale, prostate-specific antigen anxiety subscale, and fear of recurrence subscale. The factor loading of the items in each subscale is >0.50. The MAX-PC-T was significantly negatively correlated with the positive affect subscale of the PANAS and the mental component summary of the SF-12 and significantly positively correlated with the negative affect subscale of the PANAS. Cronbach's α value of internal consistency is 0.94 in the MAX-PC-T.ConclusionThe MAX-PC-T demonstrates appropriate reliability and validity. It can be used with patients with prostate cancer to assess their specific anxiety.
Keywords:Prostate cancer  reliability  validity  anxiety  cancer-specific anxiety  psychometric properties
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