Psychometric Properties of the Japanese Version of the Concerns About Recurrence Scale (CARS-J)
Psychometric Properties of the Japanese Version of the Concerns About Recurrence Scale (CARS-J)
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DOI：
10.1093/jjco/hyu032
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发表时间：
2014-05-01
影响因子：
2.4
通讯作者：
Iwata, Hiroji
中科院分区：
文献类型：
--
作者：
Momino, Kanae;Akechi, Tatuo;Iwata, Hiroji
目的：虽然对复发的恐惧是乳腺癌术后幸存者的一个主要担忧，但在日本还没有工具来评估他们的痛苦。本研究考察了最初在美国编制的重复量表日文版的心理测量学特性。方法：采用正反向翻译法编制重复量表。随机选择门诊女性乳腺癌患者参与本研究。他们被要求完成关于复发的担忧量表和医院焦虑和抑郁量表的日文版。对日文版《担心复发》量表的信度和效度进行统计评价。结果：共获得375例患者资料。发现了一个新的四因素解决方案(健康和死亡担忧、女性担忧、自我价值担忧和角色担忧)，可以解释总方差的59.2%。日文版复发量表各分量表得分与医院焦虑抑郁量表测评的焦虑得分的相关系数在0.39~0.60之间。各分量表内部一致性的Cronbach‘sα系数在0.86~0.94之间。结论：尽管西方和日本乳腺癌患者在因子结构上可能存在跨文化差异，但日本版复发担忧量表是评估日本乳腺癌患者对复发恐惧的可靠和有效的临床研究工具。
Objective: Although the fear of recurrence is a major concern among breast cancer survivors after their surgery, there are no instruments to evaluate their distress in Japan. This study examines the psychometric properties of the Japanese version of the concerns about recurrence scale, which was originally developed in the USA.Methods: The forward and backward translation method was used to develop Concerns About Recurrence Scale. Randomly selected ambulatory female patients with breast cancer participated in this study. They were asked to complete Japanese version of the concerns about recurrence scale and Hospital Anxiety and Depression Scale. The validity and reliability of Japanese version of the concerns about recurrence scale were evaluated statistically.Results: Data were obtained from 375 patients. A novel four-factor solution was found (Health and Death Worries, Womanhood Worries, Self-valued Worries and Role Worries) that accounted for 59.2% of the total variance. Correlation coefficients between the Japanese version of the concerns about recurrence scale subscale scores and the anxiety score measured by Hospital anxiety and depression scale ranged from 0.39 to 0.60. Cronbach's alpha coefficients, which are measures of the internal consistency of the subscales, ranged from 0.86 to 0.94.Conclusions: The results suggest that Japanese version of the concerns about recurrence scale is a reliable and valid clinical research tool to evaluate the fear of recurrence among patients with breast cancer in Japan, although there may be cross-cultural differences regarding factor structures between Western and Japanese breast cancer patients.