Development of a scale to assess psychological adjustment in survivors of women's cancers: Reliability and validity

抄録

Objective: The present study aims to develop the psychological adjustment in survivors of women's cancers (PASWC) scale and examine its validity and reliability. Methods: A draft scale comprising 32 items was prepared based on a pilot study. The participants for analysis were 304 survivors of women's cancers. A PASWC model was created, and the goodness of fit was evaluated based on the covariance structure for a confirmatory factor analysis. Results: Five subscales comprising 20 items were extracted as a result of the factor analysis. The statistical model fit the actual data: goodness of fit index, 0.903; adjusted goodness of fit index, 0.872; comparative fit index, 0.920; and root mean square error of approximation, 0.060. The subscales were as follows: "connecting with others," "being a charming me," "being myself," "overcoming pessimism," and "living more independently as a woman." The scale reliability was confirmed based on Cronbach's α for an internal consistency of 0.87 for the 20 items. The criterion-related validity was almost satisfactory for all areas. Conclusions: We confirmed this scale's reliability and validity; hence, it can become a useful tool for measuring the psychological adjustment of female cancer survivors in clinical settings.