Psychometric properties of the Chinese version of the Mini-Mental Adjustment to Cancer (MINI-MAC) scale
Article first published online: 8 MAY 2003
Copyright © 2003 John Wiley & Sons, Ltd.
Volume 12, Issue 6, pages 547–556, September 2003
How to Cite
Ho, S. M.Y., Kam Fung, W., Chan, C. L.W., Watson, M. and Tsui, Y. K.Y. (2003), Psychometric properties of the Chinese version of the Mini-Mental Adjustment to Cancer (MINI-MAC) scale. Psycho-Oncology, 12: 547–556. doi: 10.1002/pon.672
- Issue published online: 12 AUG 2003
- Article first published online: 8 MAY 2003
- Manuscript Accepted: 17 JUL 2002
- Manuscript Received: 18 SEP 2001
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 α ranged from 0.65 to 0.88) and construct validities in our sample. Factor analysis suggested three factors: (1) Negative Emotion (α=0.91) contained items of the Anxious Preoccupation and the Helpless–Hopeless subscales of the original Mini-MAC, (2) Positive Attitude (α=0.77) combined the Fighting Spirit and the Fatalism subscales of the original version, and (3) Cognitive Avoidance (α=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. Copyright © 2003 John Wiley & Sons, Ltd.