title: [Cultural scale adaptation and validation of the Spanish version of the BRCA Self-Concept Scale in women carriers at high risk for hereditary breast and ovarian cancer].
abstract: OBJECTIVE
  Having an inherited predisposition to cancer may have a psychological impact, and one goal of genetic counseling is to promote psychological adjustment to the new situation. Thus, in the genetic context, validated measures of adjustment are required. Given that self-concept is a good indicator of adjustment to the disease or to the risk for it, and a relevant variable in oncology, the goal of the study is to culturally adapt and validate the BRCA Self-Concept Scale.
  
  
  METHODS
  One hundred and sixty-five BRCA carriers' women answered to the questionnaire, previously adapted through a process of forward/back-translation, and to the Cancer Worry Scale (CWS) as a measure of convergent validity. Theoretical structure of BRCA Self-Concept Scale was assessed by expert judges, and submitted to a confirmatory factor analysis (CFA). Cronbach's α was calculated for each subscale (Stigma, Vulnerability and Control), and correlations with CWS were performed.
  
  
  RESULTS
  Expert judges' structure and CFA do not support the original structure of the questionnaire. The respecificity model (with items 10 and 13 loading on Vulnerability factor) show a better fit: comparative fit index 0.973; Tucker-Lewis index 0.968; root mean square error of approximation 0.067. The Cronbach's α is 0.83 for Stigma, 0.84 for Vulnerability, and 0.61 for Control. Evidence of convergent validity with CWS has been obtained (Spearman's rho 0.631 for Stigma, 0.683 for Vulnerability, and -0.363 for Control; P<.001).
  
  
  CONCLUSIONS
  Results support the validity of the modified Spanish BRCA Self-Concept Scale, which is a potentially useful measure for the study of psychological adjustment to high risk for hereditary breast and ovarian cancer.
authors.affiliation: Programa de Cáncer Hereditario Institut d'Investigació Biomèdica de Bellvitge, Unidad de Consejo Genético, Institut Català d'Oncologia-Hospital Duran i Reynals, L'Hospitalet de Llobregat, Barcelona, España; Grupo de Investigación en Estrés y Salud, Departamento de Psicología Básica, Evolutiva y de la Educación, Facultad de Psicología, Universidad Autónoma de Barcelona, Bellaterra, Barcelona, España.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Castejón
authors.affiliation: Grupo de Investigación en Estrés y Salud, Departamento de Psicología Básica, Evolutiva y de la Educación, Facultad de Psicología, Universidad Autónoma de Barcelona, Bellaterra, Barcelona, España.
authors.forename: Tatiana
authors.initials: T
authors.lastname: Rovira
authors.affiliation: Programa de Cáncer Hereditario Institut d'Investigació Biomèdica de Bellvitge, Unidad de Consejo Genético, Institut Català d'Oncologia-Hospital Duran i Reynals, L'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Enric C
authors.initials: EC
authors.lastname: Sumalla
authors.affiliation: Programa de Cáncer Hereditario, Institut Català d'Oncologia-Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta, Unidad de Consejo Genético, Hospital Universitario Dr. Josep Trueta, Girona, España.
authors.forename: Esther
authors.initials: E
authors.lastname: Darder
authors.affiliation: Programa de Cáncer Hereditario Institut d'Investigació Biomèdica de Bellvitge, Unidad de Consejo Genético, Institut Català d'Oncologia-Hospital Duran i Reynals, L'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Silvia
authors.initials: S
authors.lastname: Iglesias
authors.affiliation: Unidad de Psico-Oncología, Hospital Duran i Reynals, L'Hospitalet de Llobregat, Barcelona, España; Departamento de Psiquiatría y Psicobiología Clínica, Universidad de Barcelona, Barcelona, España.
authors.forename: Cristian
authors.initials: C
authors.lastname: Ochoa
authors.affiliation: Programa de Cáncer Hereditario Institut d'Investigació Biomèdica de Bellvitge, Unidad de Consejo Genético, Institut Català d'Oncologia-Hospital Duran i Reynals, L'Hospitalet de Llobregat, Barcelona, España; Programa de Asesoramiento y Genética Clínica, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, España. Electronic address: iblanco.germanstrias@gencat.cat.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Blanco
mesh_terms: D000328:Adult; D065246:Culturally Competent Care; D000066498:Emotional Adjustment; D005163:Factor Analysis, Statistical; D005260:Female; D061325:Hereditary Breast and Ovarian Cancer Syndrome / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D011581:Psychological Tests; D011594:Psychometrics; D015203:Reproducibility of Results; D012649:Self Concept; D014177:Translations
keywords: Adaptación psicológica; Autoconcepto; Cáncer de mama y ovario hereditario; Estudio de validación; Hereditary breast and ovarian cancer syndrome; Psychological adjustment; Self-concept; Validation