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An Improved Stress-Scale Specifically Designed to Measure Stress of Women with Newly Diagnosed Breast Cancer

Author

Listed:
  • Tso-Ying Lee

    (Department of Nursing, Cheng Hsin General Hospital, Taipei 112, Taiwan
    School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan)

  • Shih-Chun Hsing

    (Center for Healthcare Quality Management, Cheng Hsin General Hospital, Taipei 112, Taiwan
    Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan)

  • Chin-Ching Li

    (Department of Nursing, Mackay Medical College, New Taipei City 25245, Taiwan)

Abstract

Most breast cancer patients are middle-aged women actively involved in establishing a family, developing a career, or raising children. With the exception of the Newly Diagnosed Breast Cancer Stress Scale (NDBCSS), few stress scales have been designed for women with breast cancer. This study checked the dimensionality of the NDBCSS by confirmatory factor analysis (CFA) and the results showed a poor fit, indicating an urgent need for improvement. Exploratory factor analysis (EFA) using the varimax rotation method was performed to improve the model, the revised NDBCSS (NDBCSS-R), which showed a good Kaiser-Meyer-Olkin value, Bartlett’s test of sphericity, and internal consistency reliability. The NDBCSS-R showed improved indices compared with NDBCSS, including: chi-square fit statistics/degree of freedom (CMIN/DF), goodness-of-fit index (GFI), adjusted goodness of fit index (AGFI), normed fix index (NFI), relative fit index (RFI), incremental fix index (IFI), Tucker–Lewis index (TLI), comparative fix index (CFI), root mean square error of approximation (RMSEA), root mean square residual (RMR), parsimonious goodness-fit-index (PGFI), and parsimonious normed fit index (PNFI). In conclusion, the improved NDBCSS-R can provide health professionals with an early understanding of the stress levels of women with breast cancer so that they can provide immediate medical intervention to prevent vicious cycles in a timely manner.

Suggested Citation

  • Tso-Ying Lee & Shih-Chun Hsing & Chin-Ching Li, 2021. "An Improved Stress-Scale Specifically Designed to Measure Stress of Women with Newly Diagnosed Breast Cancer," IJERPH, MDPI, vol. 18(5), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2346-:d:507333
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    References listed on IDEAS

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    1. Seong-Woo Choi & So-Yeon Ryu & Mi-ah Han & Jong Park, 2018. "Higher breast cancer prevalence associated with higher socioeconomic status in the South Korean population; Has it resulted from overdiagnosis?," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-13, July.
    2. Tso‐Ying Lee & Hsing‐Hsia Chen & Mei‐Ling Yeh & Hui‐Ling Li & Kuei‐Ru Chou, 2013. "Measuring reliability and validity of a newly developed stress instrument: Newly Diagnosed Breast Cancer Stress Scale," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(17-18), pages 2417-2425, September.
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    1. Nattiya Wonglakorn & Anon Chantaratang & Cherdsak Suksiripattanapong & Karn Na Sritha & Warunee Aunphoklang & Nattida Ninjinda & Wilasinee Keerakittisakul, 2023. "The Development of Service Metrics Indicators of a Public Transportation Service Case Study: Intercity Trains in Nakhon Ratchasima Province, Thailand," Sustainability, MDPI, vol. 15(15), pages 1-12, July.

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