Mini-mental adjustment to cancer scale: construct validation in Spanish breast cancer patients
Abstract
Objective The Mini-Mental Adjustment to Cancer Scale (MiniMAC) is widely used to evaluate cancer patients' psychological responses to diagnosis and treatment. Validation studies of the scale have shown inconsistency in the obtained factor structures. The aim of this study was to explore the factor structure, using Confirmatory Factor Analysis (CFA), and other psychometric properties of the MiniMAC in Spanish breast cancer patients.Methods A sample of 368 women with breast cancer completed the MiniMAC and the 18 items version of the Brief Symptom Inventory (BSI-18).Results The original pentafactorial model and three additional models derived from the empirical research -two first-order structures with four and three factors, and a second-order bifactorial structure- were tested. The five-factor model showed the best model fit and largely replicated the original MiniMAC's subscales. Five factors had acceptable reliability and showed modest correlations with emotional distress in the expected direction.Conclusions The Spanish version of the MiniMAC has a satisfactory overall performance and serves as a brief, reliable and valid tool measuring cognitive appraisals and ensuing reactions to cancer.
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The Spanish version of the MINI-MAC showed good psychometric properties for all subscales.
“The Spanish version of the MINIMAC (48) showed good psychometric properties for all the subscales (fighting spirit α =0.60, helplessness-hopelessness α =0.82, anxious preoccupation α =0.90, fatalism α =0.70, and cognitive avoidance α =0.80).”
From Spanish Adaptation of Meaning-Centered Psychotherapy for Participants With Cancer: Study Protocol of a Randomized Control Trial (2022) · cites this paper as [48]
Cites
Hu, L., & Bentler, P. M. (1999) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705519909540118 · Cited by 108,788 · see citing works
EQS : structural equations program manual
Bentler, P. M. (1989) · Medical Entomology and Zoology · Cited by 9,669 · see citing works
Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., & Meader, N. (2011) · The Lancet Oncology · doi:10.1016/s1470-2045(11)70002-x · Cited by 2,449 · see citing works
Carver, C. S., & Connor-Smith, J. (2010) · Annual Review of Psychology · doi:10.1146/annurev.psych.093008.100352 · Cited by 2,424 · see citing works
Reporting practices in confirmatory factor analysis: an overview and some recommendations
Jackson, D. L., Gillaspy, J. A., & Purc-Stephenson, R. (2009) · Psychological Methods · doi:10.1037/a0014694 · Cited by 2,242 · see citing works
PSYCHOLOGICAL RESPONSE TO BREAST CANCER: EFFECT ON OUTCOME
Greer, S., Morris, T., & Pettingale, K. W. (1979) · The Lancet · doi:10.1016/s0140-6736(79)92127-5 · Cited by 774 · see citing works
Development of a questionnaire measure of adjustment to cancer: the MAC scale
Watson, M., Greer, S., Young, J., Inayat, Q., Burgess, C., & Robertson, B. (1988) · Psychological Medicine · doi:10.1017/s0033291700002026 · Cited by 666 · see citing works
Cole, D. A., & Preacher, K. J. (2013) · Psychological Methods · doi:10.1037/a0033805 · Cited by 469 · see citing works
Watson, M., Law, M. G., dos Santos, M., Greer, S., Baruch, J., & Bliss, J. M. (1994) · Journal of Psychosocial Oncology · doi:10.1300/j077v12n03_03 · Cited by 383 · see citing works
(2014) · Springer eBooks · doi:10.1007/978-94-007-0753-5_100334 · Cited by 378 · see citing works
Coping styles associated with psychological adjustment to advanced breast cancer.
Classen, C. C., Koopman, C., Angell, K. L., & Spiegel, D. (1996) · Health Psychology · doi:10.1037//0278-6133.15.6.434 · Cited by 236 · see citing works
Mental adjustment to cancer: its measurement and prognostic importance.
Greer, S., & Watson, M. (1987) · PubMed · Cited by 193 · see citing works
Coping styles associated with psychological adjustment to advanced breast cancer.
Classen, C. C., Koopman, C., Angell, K. L., et al. (1996) · Health Psychology · doi:10.1037/0278-6133.15.6.434 · Cited by 178 · see citing works
Measurement invariance via multigroup SEM: Issues and solutions with chi-square-difference tests.
Yuan, K., & Chan, W. (2016) · Psychological Methods · doi:10.1037/met0000080 · Cited by 175 · see citing works
Using Exploratory Factor Analysis to Determine the Dimensionality of Discrete Responses
Barendse, M. T., Oort, F. J., & Timmerman, M. E. (2014) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705511.2014.934850 · Cited by 168 · see citing works
A longitudinal study of psychosocial distress in breast cancer: Prevalence and risk factors
Andreu, Y., Galdón, M. J., Durá, E., Martínez, P., Pérez, S., & Murgui, S. (2012) · Psychology & Health · doi:10.1080/08870446.2010.542814 · Cited by 129 · see citing works
Grassi, L. G., Travado, L., Gil, F., Sabato, S., & Rossi, E. G. (2004) · Journal of Affective Disorders · doi:10.1016/j.jad.2004.07.004 · Cited by 117 · see citing works
Grassi, L. G., Buda, P., Cavana, L., Annunziata, M. A., Torta, R., & Varetto, A. (2004) · Psycho-Oncology · doi:10.1002/pon.826 · Cited by 115 · see citing works
Johansson, M., Rydén, A., & Finizia, C. (2011) · BMC Cancer · doi:10.1186/1471-2407-11-283 · Cited by 110 · see citing works
Ho, S. M. Y., Fung, W. K., Chan, C., Watson, M., & Tsui, Y. K. Y. (2003) · Psycho-Oncology · doi:10.1002/pon.672 · Cited by 108 · see citing works
Mood disturbance in community cancer support groups
Cordova, M. J., Giese‐Davis, J., Golant, M., Kronenwetter, C., Chang, V. Y., McFarlin, S., & Spiegel, D. (2003) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00510-5 · Cited by 95 · see citing works
Psychometric properties of the Brief Symptom Inventory-18 in a Spanish breast cancer sample
Garrido, M. J. G., Ferrandis, E. D., Andreu, Y., Ferrando, M., Murgui, S., Pérez, S., & Ibañez, E. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2008.05.009 · Cited by 95 · see citing works
Grassi, L. G., Berardi, M. A., Ruffilli, F., Meggiolaro, E., Andritsch, E., Sirgo, A., Caruso, R., Linares, E. J., Bellé, M., Massarenti, S., et al. (2015) · Psychotherapy and Psychosomatics · doi:10.1159/000431256 · Cited by 89 · see citing works
Kestenbaum, A. R., Shields, M., James, J. E., Hocker, W., Morgan, S. B., Karve, S., Rabow, M. W., & Dunn, L. B. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2017.07.027 · Cited by 75 · see citing works
Kang, J. I., Chung, H. C., Kim, S. J., Choi, H. J., Ahn, J. B., Jeung, H., & Namkoong, K. (2007) · Psycho-Oncology · doi:10.1002/pon.1277 · Cited by 71 · see citing works
Anagnostopoulos, F., Kolokotroni, P., Spanea, E., & Chryssochoou, M. (2005) · Psycho-Oncology · doi:10.1002/pon.924 · Cited by 68 · see citing works
Lazenby, M. (2014) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2014.0023 · Cited by 48 · see citing works
Pérez, S., Garrido, M. J. G., Andreu, Y., Ibáñez, E., Ferrandis, E. D., Peiró, A. C., & Cardeña, E. (2014) · Journal of Traumatic Stress · doi:10.1002/jts.21901 · Cited by 45 · see citing works
Relationship between Negative Mental Adjustment to Cancer and Distress in Thyroid Cancer Patients
Seok, J., Choi, W.-J., Lee, Y. S., Park, C. S., Oh, Y. J., Kim, J.-S., & Chang, H. (2013) · Yonsei Medical Journal · doi:10.3349/ymj.2013.54.3.658 · Cited by 36 · see citing works
Bredal, I. S. (2009) · Psycho-Oncology · doi:10.1002/pon.1564 · Cited by 35 · see citing works
Wang, W., Tu, P., Liu, T., Yeh, D., & Hsu, W. (2012) · Psycho-Oncology · doi:10.1002/pon.3065 · Cited by 34 · see citing works
Sowa, M., Głowacka‐Mrotek, I., Monastyrska, E., Nowikiewicz, T., Mackiewicz−Milewska, M., Hagner, W., & Zegarski, W. (2018) · Współczesna Onkologia · doi:10.5114/wo.2018.74389 · Cited by 33 · see citing works
Kulpa, M., Kosowicz, M., Stypuła-Ciuba, B. J., & Kazalska, D. (2014) · Gastroenterology Review · doi:10.5114/pg.2014.47895 · Cited by 28 · see citing works
Czerw, A. I., Religioni, U., Deptała, A., & Walewska‐Zielecka, B. (2015) · Gastroenterology Review · doi:10.5114/pg.2015.52561 · Cited by 28 · see citing works
Hulbert-Williams, N., Hulbert‐Williams, L., Morrison, V. L., Neal, R. D., & Wilkinson, C. (2011) · Psycho-Oncology · doi:10.1002/pon.1994 · Cited by 26 · see citing works
López, P. M., Ferrandis, E. D., Vaíllo, Y. A., Garrido, M. J. G., Murgui, S., & Guerra, E. I. (2012) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 25 · see citing works
Acute stress trajectories 1 year after a breast cancer diagnosis
Pérez, S., Peiró, A. C., Andreu, Y., Garrido, M. J. G., Cardeña, E., Ibáñez, E., & Ferrandis, E. D. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-015-2960-x · Cited by 23 · see citing works
Use of the mini-MAC scale in the evaluation of mental adjustment to cancer
Czerw, A. I., Marek, E. M., & Deptała, A. (2015) · Współczesna Onkologia · doi:10.5114/wo.2015.54900 · Cited by 23 · see citing works
Adjustment to Life with Lung Cancer
Czerw, A. I., Religioni, U., & Deptała, A. (2016) · Advances in Clinical and Experimental Medicine · doi:10.17219/acem/61014 · Cited by 19 · see citing works
Pereira, F., & Santos, C. (2014) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2014.04.004 · Cited by 17 · see citing works
Murgui, S., García, C., García, Á. F., & Pérez, J. F. G. (2012) · Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) · Cited by 16 · see citing works
Pereira, M. G., Baía, V. P., & Machado, J. C. (2016) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2016.1196807 · Cited by 16 · see citing works
Dieperink, K. B., Johansen, C., Hansen, S., Wagner, L., Andersen, K. K., Minet, L. R., & Hansen, O. (2017) · Acta Oncologica · doi:10.1080/0284186x.2016.1267395 · Cited by 15 · see citing works
Patoo, M., Allahyari, A. A., Moradi, A., & Payandeh, M. (2015) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2015.1082169 · Cited by 13 · see citing works
Fong, T. C. T., & Ho, R. (2014) · Supportive Care in Cancer · doi:10.1007/s00520-014-2367-0 · Cited by 10 · see citing works
Laskowska, A. (2015) · Psychiatria Polska · doi:10.12740/pp/27107 · Cited by 3 · see citing works
(2014) · Psycho-Oncology · doi:10.1111/j.1099-1611.2014.3691 · Cited by 1 · see citing works
Flagged first, then by citations
1 of the 48 references couldn’t be matched to a known paper.
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Velasco-Durántez, V., Cruz‐Castellanos, P., Hernández, R., González, A. R., Montés, A. F., Gallego, A., Manzano, A., Sorribes, E., Zafra, M., Carmona‐Bayonas, A., et al. (2024) · Scientific Reports · doi:10.1038/s41598-024-53212-y · Cited by 32 · see citing works
Steves, S. L., & Scafide, K. N. (2021) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2021.101981 · Cited by 37 · see citing works
Psychometric properties of Spanish version of the Mini-Mental Adjustment to Cancer Scale
Calderón, C., Lorenzo‐Seva, U., Ferrando, P. J., Gómez, D., Ferreira, E., Ciria‐Suarez, L., Alonso, M. O., Fernández‐Andújar, M., & Jiménez‐Fonseca, P. (2020) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2020.06.001 · Cited by 27 · see citing works
Hicks, A., McKenzie, P. J., Bronstein, J., Hyldegård, J. S., Ruthven, I. G., & Widén, G. (2024) · Journal of the Association for Information Science and Technology · doi:10.1002/asi.24968 · Cited by 24 · see citing works
Jankowska‐Polańska, B., Polański, J., Chabowski, M., Rosińćzuk, J., & Mazur, G. J. (2019) · Advances in experimental medicine and biology · doi:10.1007/5584_2019_448 · Cited by 22 · see citing works
Tapia, J. L., Taberner-Bonastre, M. T., Collado-Martínez, D., Pouptsis, A., Abad, M. N., & Duñabeitia, J. A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20064953 · Cited by 15 · see citing works
Park, H., Kim, K.-E., Moon, E., & Kang, T. (2023) · Psychiatry Investigation · doi:10.30773/pi.2022.0316 · Cited by 13 · see citing works
Self-Esteem as a Predictor of Mental Adjustment in Patients with Breast Cancer
Tsai, P.-L., Kuo, T.-T., Ku, C., Liao, G., Lin, C., & Pan, H.-H. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182312588 · Cited by 13 · see citing works
Stoic attitude in patients with cancer from the NEOcoping study: Cross-sectional study
Gómez, D., Carmona‐Bayonas, A., Hernández, R., Higuera, O., Rogado, J., Pacheco-Barcía, V., Valero, M., Gil-Raga, M., Muñoz-Sánchez, M. M., Galindo, R. C., et al. (2022) · PLoS ONE · doi:10.1371/journal.pone.0269712 · Cited by 12 · see citing works
Coping, Anxiety, and Pain Intensity in Patients Requiring Thoracic Surgery
Hasan, E. M., Calma, C. L., Tudor, A., Oancea, C. I., Tudorache, V., Petrache, I. A., Tudorache, E., & Papavă, I. (2021) · Journal of Personalized Medicine · doi:10.3390/jpm11111221 · Cited by 10 · see citing works
Velasco-Durántez, V., Jiménez‐Fonseca, P., Martín-Abreu, C. M., Ghanem, I., González-Moya, M., Asensio, E., Corral, M. J., González, A. R., Gil-Raga, M., Carmona‐Bayonas, A., et al. (2022) · Cancer Investigation · doi:10.1080/07357907.2022.2067864 · Cited by 9 · see citing works
Jianlin Liu: 2019 EAPM Elsevier young investigator award recipient
Fiedorowicz, J. G. (2019) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2019.109789 · Cited by 7 · see citing works
Marco, J. H., Llombart, P., Guillén, V., Baños, R. M., Romero, R., Garcia-Conde, A., & Pérez Rodríguez, S. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.892573 · Cited by 7 · see citing works
“The Spanish version of the MINIMAC (48) showed good psychometric properties for all the subscales (fighting spirit α =0.”
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Pérez‐Segura, P., Francés, S. E., Martel, I. J., Escutia, M. Á. P., Agudo, E. H., León, L., Corradi, G. B., Olivera, H., Escamilla, F. S., López, M. B., et al. (2021) · Psycho-Oncology · doi:10.1002/pon.5761 · Cited by 6 · see citing works
Teng, F., Hu, D., Zhou, Y., Liu, Y., Han, Y., Xu, K., Yu, T., Tan, R., & Ding, X. (2022) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-021-09779-z · Cited by 5 · see citing works
Chang, L., Lin, C., Wu, L., Ho, C., Lu, Y.-L., & Pan, H.-H. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18094926 · Cited by 2 · see citing works
Baník, G., Dědová, M., & Vargová, L. (2022) · doi:10.31234/osf.io/5shrd · Cited by 2 · see citing works
Validation of Mini-Mental Adjustment to Cancer Scale in A Moroccan Sample of Breast Cancer WomenPreprint
Ragala, M. E. A., Hilaly, J. E., AMAADOUR, L., Omari, M., Asri, A. E., Atassi, M., Benbrahim, Z., Mellas, N., Rhazi, K. E., Halim, K., et al. (2020) · doi:10.21203/rs.3.rs-111382/v1 · Cited by 2 · see citing works
Demateis, M., Llull, D. M., & Castañeiras, C. E. (2024) · Revista de Psicopatología y Psicología Clínica · doi:10.5944/rppc.37453 · Cited by 1 · see citing works
(2022) · Emerald Group Publishing Limited eBooks · doi:10.1108/978-1-80382-047-720221013 · Cited by 1 · see citing works
Adewuyi, H. O., & Dwarika, V. M. (2024) · E-Journal of Humanities Arts and Social Sciences · doi:10.38159/ehass.20245311
Moghaddam-Tabrizi, F., Noori, S., & Sharafkhani, R. (2024) · Indian Journal of Gynecologic Oncology · doi:10.1007/s40944-024-00803-2
Implementation of multimedia search & management system based on remote education
Ahn, B. (2024) · Computer Science and Information Systems · doi:10.2298/csis220509007a
Evaluación de un modelo de intervención psicooncológica en el peridiagnóstico de pacientes adultos
Demateis, M., Castañeiras, C. E., & Llull, D. M. (2024) · Psicooncología · doi:10.5209/psic.98169
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Ruthven, I. G., Hicks, A., McKenzie, P. J., Bronstein, J., Hyldegård, J. S., & Widén, G. (2025) · Information Research · doi:10.47989/ir30colis51916
- Authors
- Andreu Vaillo, Y., Murgui Pérez, S., Martínez López, P., & Romero Retes, R.
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2018-11
- Volume
- 114
- Pages
- 38-44
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2889839018
- Cited by
- 28
- References
- 48
- Citations by year
- 2025: 1 · 2024: 8 · 2023: 2 · 2022: 6 · 2021: 6 · 2020: 3 · 2019: 2
- FWCI
- 1.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Economy and Competitiveness, Government of Spain (PSI2013-45905-R)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- breast cancer, psychological adjustment to cancer, coping, factor structure, bifactor model, cognitive appraisal, emotional distress, Spanish adaptation, psychometric validation
- MeSH terms
- Adaptation, Psychological, Adult, Breast Neoplasms, Female, Humans, Middle Aged, Psychometrics, Surveys and Questionnaires, Spain, Reproducibility of Results
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