Abstract
The object of the study was to examine the factor structure and the psychometric properties of the Mini-Mental Adjustment to Cancer Scale (Mini-MAC) among a large sample of Norwegian breast cancer patients. A total of 402 patients with breast cancer completed the Mini-MAC. Principal component analysis with varimax rotion confirmed four factors. Three had psychometric properties to the original Mini-MAC Helpless-Hopeless (HH), Anxious Preoccupation (AP) and Cognitive Avoidance (CA) subscales. The fourth, named Positive Attitude (PA) combined the Fighting Spirit (FS) and the Fatalism subscales of the original Mini-MAC. Construct validities were assessed by examining the interscale correlations as well as the correlations between the Mini-MAC subscales and the HADS subscales scores. Internal consistency of the five subscales was satisfactory for the original (HH, AP, CA, FA, coefficients=0.60-0.83), except for the FS subscale (coefficient=21). In view of the low internal reliability for the Norwegian Mini-MAC FS subscale coefficient; it appears to be more appropriate to use the Norwegian Mini-MAC as a four-factor model. If researcher or clinicians in Norway use the five-factor model, they should take great care when interpreting the fighting spirit subscale.
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