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Article: Measuring social impacts of breast carcinoma treatment in Chinese women: The Chinese Social Adjustment Scale

TitleMeasuring social impacts of breast carcinoma treatment in Chinese women: The Chinese Social Adjustment Scale
Authors
Issue Date2004
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/28741
Citation
Cancer, 2004, v. 100 n. 12, p. 2500-2511 How to Cite?
AbstractBACKGROUND. There is no existing instrument that is suitable for measuring the social impact of breast carcinoma (BC) and its treatment among women of Southern Chinese descent. In the current study, the authors assessed the validity of the Chinese Social Adjustment Scale, which was designed to address the need for such an instrument. METHODS. Five dimensions of social concern were identified in a previous study of Cantonese - speaking Chinese women with BC; these dimensions were family and other relationships, intimacy, private self-image, and public self-image. The authors designed 40 items to address perceptions of change in these areas. These items were administered to a group of 226 women who had received treatment for BC, and factor analysis subsequently was performed to determine construct characteristics. The resulting draft instrument then was administered, along with other measures for the assessment of basic psychometric properties, to a second group of 367 women who recently had undergone surgery for BC. RESULTS. Factor analysis optimally identified 5 factors (corresponding to 33 items): 1) Relationships with Family (10 items, accounting for 22% of variance); 2) Self-Image (7 items, accounting for 15% of variance); 3) Relationships with Friends (7 items, accounting for 8% of variance); 4) Social Enjoyment (4 items, accounting for 6% of variance); and 5) Attractiveness & Sexuality (5 items, accounting for 5% of variance). Subscales were reliable (α = 0.63-0.93) and exhibited convergent validity in positive correlations with related measures and divergent validity in appropriate inverse or nonsignificant correlations with other measures. Criterion validity was good, and sensitivity was acceptable. Patterns of change on the scales were consistent with reports in the literature. Self-administration resulted in improved sensitivity. CONCLUSIONS. The 33-item Chinese Social Adjustment Scale validly, reliably, and sensitively measures the social impact of BC on Cantonese - speaking Hong Kong Chinese women. Further development of the scale to increase its sensitivity is underway. © 2004 American Cancer Society.
Persistent Identifierhttp://hdl.handle.net/10722/86590
ISSN
2015 Impact Factor: 5.649
2015 SCImago Journal Rankings: 3.188
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorFielding, Ren_HK
dc.contributor.authorLam, WWTen_HK
dc.date.accessioned2010-09-06T09:18:54Z-
dc.date.available2010-09-06T09:18:54Z-
dc.date.issued2004en_HK
dc.identifier.citationCancer, 2004, v. 100 n. 12, p. 2500-2511en_HK
dc.identifier.issn0008-543Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/86590-
dc.description.abstractBACKGROUND. There is no existing instrument that is suitable for measuring the social impact of breast carcinoma (BC) and its treatment among women of Southern Chinese descent. In the current study, the authors assessed the validity of the Chinese Social Adjustment Scale, which was designed to address the need for such an instrument. METHODS. Five dimensions of social concern were identified in a previous study of Cantonese - speaking Chinese women with BC; these dimensions were family and other relationships, intimacy, private self-image, and public self-image. The authors designed 40 items to address perceptions of change in these areas. These items were administered to a group of 226 women who had received treatment for BC, and factor analysis subsequently was performed to determine construct characteristics. The resulting draft instrument then was administered, along with other measures for the assessment of basic psychometric properties, to a second group of 367 women who recently had undergone surgery for BC. RESULTS. Factor analysis optimally identified 5 factors (corresponding to 33 items): 1) Relationships with Family (10 items, accounting for 22% of variance); 2) Self-Image (7 items, accounting for 15% of variance); 3) Relationships with Friends (7 items, accounting for 8% of variance); 4) Social Enjoyment (4 items, accounting for 6% of variance); and 5) Attractiveness & Sexuality (5 items, accounting for 5% of variance). Subscales were reliable (α = 0.63-0.93) and exhibited convergent validity in positive correlations with related measures and divergent validity in appropriate inverse or nonsignificant correlations with other measures. Criterion validity was good, and sensitivity was acceptable. Patterns of change on the scales were consistent with reports in the literature. Self-administration resulted in improved sensitivity. CONCLUSIONS. The 33-item Chinese Social Adjustment Scale validly, reliably, and sensitively measures the social impact of BC on Cantonese - speaking Hong Kong Chinese women. Further development of the scale to increase its sensitivity is underway. © 2004 American Cancer Society.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/28741en_HK
dc.relation.ispartofCanceren_HK
dc.rightsCancer. Copyright © John Wiley & Sons, Inc.en_HK
dc.subject.meshAdulten_HK
dc.subject.meshAsian Continental Ancestry Groupen_HK
dc.subject.meshBody Imageen_HK
dc.subject.meshBreast Neoplasms - psychologyen_HK
dc.subject.meshCarcinoma - psychologyen_HK
dc.subject.meshChinaen_HK
dc.subject.meshFamilyen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshInterpersonal Relationsen_HK
dc.subject.meshPsychometricsen_HK
dc.subject.meshSocial Adjustmenten_HK
dc.subject.meshSocial Changeen_HK
dc.titleMeasuring social impacts of breast carcinoma treatment in Chinese women: The Chinese Social Adjustment Scaleen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0008-543X&volume=100&spage=2500&epage=2511&date=2004&atitle=Measuring+social+impacts+of+breast+carcinoma+treatment+in+Chinese+women:+The+Chinese+Social+Adjustment+Scaleen_HK
dc.identifier.emailFielding, R:fielding@hku.hken_HK
dc.identifier.emailLam, WWT:wwtlam@hku.hken_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1002/cncr.20303en_HK
dc.identifier.pmid15197791-
dc.identifier.scopuseid_2-s2.0-2642567597en_HK
dc.identifier.hkuros88308en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-2642567597&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume100en_HK
dc.identifier.issue12en_HK
dc.identifier.spage2500en_HK
dc.identifier.epage2511en_HK
dc.identifier.isiWOS:000221854700002-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK
dc.identifier.scopusauthoridLam, WWT=7203022022en_HK

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