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Standardization of the Korean version of Mini-Mental Adjustment to Cancer (K-Mini-MAC) scale: factor structure, reliability and validity

 Jee In Kang  ;  Hyun Cheol Chung  ;  Se Joo Kim  ;  Hye Jin Choi  ;  Joong Bae Ahn  ;  Hei-Cheul Jeung  ;  Kee Namkoong 
 PSYCHO-ONCOLOGY, Vol.17(6) : 592-597, 2008 
Journal Title
Issue Date
Activities of Daily Living/psychology ; Adaptation, Psychological* ; Adult ; Aged ; Anxiety/diagnosis ; Anxiety/psychology ; Avoidance Learning ; Breast Neoplasms/psychology ; Colorectal Neoplasms/psychology ; Cross-Cultural Comparison* ; Culture ; Defense Mechanisms ; Female ; Helplessness, Learned ; Humans ; Korea ; Male ; Middle Aged ; Neoplasms/psychology* ; Personality Inventory/statistics & numerical data* ; Psychometrics/statistics & numerical data ; Reproducibility of Results ; Sick Role* ; Surveys and Questionnaires ; Translating
Mini-MAC ; mental adjustment ; cancer ; coping ; reliability ; validity
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.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Jee In(강지인) ORCID logo https://orcid.org/0000-0002-2818-7183
Kim, Se Joo(김세주) ORCID logo https://orcid.org/0000-0002-5438-8210
Namkoong, Kee(남궁기) ORCID logo https://orcid.org/0000-0003-1400-8057
Ahn, Joong Bae(안중배) ORCID logo https://orcid.org/0000-0001-6787-1503
Chung, Hyun Cheol(정현철) ORCID logo https://orcid.org/0000-0002-0920-9471
Jeung, Hei Cheul(정희철) ORCID logo https://orcid.org/0000-0003-0952-3679
Choi, Hye Jin(최혜진) ORCID logo https://orcid.org/0000-0001-5917-1400
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