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臨床心理學刊
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| 篇名 | Mental Adjustment at Different Phases in Breast Cancer Trajectory: Re-examination of Factor Structure of the Mini-MAC and Its Correlation with Distress |
|---|---|
| 卷期 | 6:1 |
| 作者 | Wang, Wei-ting 、 Tu, Pei-chiung 、 Liu, Tse-jia 、 Yeh, Dah-cherng 、 Hsu, Wen-yau |
| 頁次 | 060-060 |
| 出刊日期 | 201206 |
中文摘要
英文摘要
Objective: The aim of this study is twofold. First, it aims to determine the factor structure of the Mini-MAC by using confirmatory factor analysis (CFA) to compare 3-, 4-, and 5-factor structures among 340 Taiwanese breast cancer patients. Second, it aims to test the difference of the correlations of coping strategies and the outcome measures between two populations: 1-month newly diagnosed and 5-year long-term survival patients.
Method: Two samples were recruited, composed of 142 newly diagnosed and198 long-term survival breast cancer patients. Cancerspecific coping and distress were assessed via the Mini-Mental Adjustment to Cancer (mini-MAC) Scale and the Hospital Anxiety and Depression Scale (HADS), respectively.
Results: CFA confirmed Watson's original 5-factor structure fit the data best. Correlation difference between the two samples lies in 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.
Conclusion: The 5-factor structure represents a more psychometrically-sound measure of psychological adjustment in the current dataset. 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. Due to 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.