title: Psychometric properties of the Chinese version of the Mini-Mental Adjustment to Cancer (MINI-MAC) scale.
abstract: The psychometric properties of a Chinese version of the Mini-Mental Adjustment to Cancer scale (Mini-MAC) were examined among 115 Chinese cancer patients in Hong Kong. The five subscales from the original Mini-MAC (Anxious Preoccupation, Helpless-Hopeless, Fighting Spirit, Fatalism, Cognitive Avoidance) had acceptable internal reliabilities (Cronbach's alpha ranged from 0.65 to 0.88) and construct validities in our sample. Factor analysis suggested three factors: (1) Negative Emotion (alpha=0.91) contained items of the Anxious Preoccupation and the Helpless-Hopeless subscales of the original Mini-MAC, (2) Positive Attitude (alpha=0.77) combined the Fighting Spirit and the Fatalism subscales of the original version, and (3) Cognitive Avoidance (alpha=0.65) which was identical to the Cognitive Avoidance subscale of the original Mini-MAC. Construct validities of the novel factors were shown by their correlations with HADS Anxiety and Depression scores in the predicted directions. It was concluded that both the 5-factor model from the original Mini-MAC and the 3-factor model from the present study were valid in Hong Kong Chinese cancer patients. The results were discussed in terms of the meaning of the original Mini-MAC factors and cultural differences in coping functions between Chinese and UK cancer patients.
authors.affiliation: Department of Psychology, University of Hong Kong, Hong Kong. munyin@hkucc.hku.hk
authors.forename: Samuel M Y
authors.initials: SM
authors.lastname: Ho
authors.forename: Wong Kam
authors.initials: WK
authors.lastname: Fung
authors.forename: Cecilia L W
authors.initials: CL
authors.lastname: Chan
authors.forename: Maggie
authors.initials: M
authors.lastname: Watson
authors.forename: Yenny K Y
authors.initials: YK
authors.lastname: Tsui
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D001519:Behavior; D002681:China / Q000208:ethnology; D004644:Emotions; D005260:Female; D006723:Hong Kong; D006801:Humans; D008607:Intellectual Disability; D008297:Male; D008609:Mental Status Schedule; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D011594:Psychometrics; D011795:Surveys and Questionnaires