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http://dx.doi.org/10.4040/jkan.2017.47.1.121

Reliability and Validity of the Korean Version of the Cancer Stigma Scale  

So, Hyang Sook (College of Nursing, Chonnam Research Institute of Nursing Science, Chonnam National University)
Chae, Myeong Jeong (Department of Nursing, Kwangju Women's University)
Kim, Hye Young (College of Nursing.Research Institute of Nursing Science, Chonbuk National University)
Publication Information
Journal of Korean Academy of Nursing / v.47, no.1, 2017 , pp. 121-132 More about this Journal
Abstract
Purpose: In this study the reliability and validity of the Korean version of the Cancer Stigma Scale (KCSS) was evaluated. Methods: The KCSS was formed through translation and modification of Cataldo Lung Cancer Stigma Scale. The KCSS, Psychological Symptom Inventory (PSI), and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC QLQ-C30) were administered to 247 men and women diagnosed with one of the five major cancers. Construct validity, item convergent and discriminant validity, concurrent validity, known-group validity, and internal consistency reliability of the KCSS were evaluated. Results: Exploratory factor analysis supported the construct validity with a six-factor solution; that explained 65.7% of the total variance. The six-factor model was validated by confirmatory factor analysis (Q (${\chi}^2/df$)= 2.28, GFI=.84, AGFI=.81, NFI=.80, TLI=.86, RMR=.03, and RMSEA=.07). Concurrent validity was demonstrated with the QLQ-C30 (global: r=-.44; functional: r=-.19; symptom: r=.42). The KCSS had known-group validity. Cronbach's alpha coefficient for the 24 items was .89. Conclusion: The results of this study suggest that the 24-item KCSS has relatively acceptable reliability and validity and can be used in clinical research to assess cancer stigma and its impacts on health-related quality of life in Korean cancer patients.
Keywords
Social stigma; Neoplasms; Validity and reliability;
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1 Kaiser G. Phase-space approach to relativistic quantum mechanics. III. Quantization, relativity, localization and gauge freedom. Journal of Mathematical Physics. 2016;22(4):705. http://dx.doi.org/10.1063/1.524962   DOI
2 Ware JE, Jr., Gandek B. Methods for testing data quality, scaling assumptions, and reliability: The IQOLA project approach. International quality of life assessment. Journal of Clinical Epidemiology. 1998;51(11):945-952. http://dx.doi.org/10.1016/S0895-4356(98)00085-7   DOI
3 Nunnally JC, Bernstein IH. Psychometric theory. 3rd ed. New York, NY: McGraw-Hill; 1994. p. 248-278.
4 Park HA. Problems and issues in developing measurement scales in nursing. Journal of Nursing Query. 2005;14(1):46-72.
5 Cho J, Choi EK, Kim SY, Shin DW, Cho BL, Kim CH, et al. Association between cancer stigma and depression among cancer survivors: A nationwide survey in Korea. Psycho-Oncology. 2013;22(10):2372-2378. http://dx.doi.org/10.1002/pon.3302   DOI
6 Phelan SM, Griffin JM, Jackson GL, Zafar SY, Hellerstedt W, Stahre M, et al. Stigma, perceived blame, self-blame, and depressive symptoms in men with colorectal cancer. Psycho-Oncology. 2013;22(1):65-73. http://dx.doi.org/10.1002/pon.2048   DOI
7 Van Brakel WH. Measuring health-related stigma; A literature review. Psychology, Health & Medicine. 2006;11(3):307-334. http://dx.doi.org/10.1080/13548500600595160   DOI
8 Pineles SL, Street AE, Koenen KC. The differential relationships of shame-proneness and guilt-proneness to psychological and somatization symptoms. Journal of Social and Clinical Psychology. 2006;25(6):688-704. http://dx.doi.org/10.1521/jscp.2006.25.6.688   DOI
9 Lee I, Lee E. Concept analysis of stigma. The Journal of the Korean Rheumatism Association. 2006;13(1):53-66.
10 Lee JL, Kim KS. The relationships between stigma, distress, and quality of life in patients with lung cancer. Journal of Korean Oncology Nursing. 2011;11(3):237-246. http://dx.doi.org/10.5388/jkon.2011.11.3.237   DOI
11 Major B, O'Brien LT. The social psychology of stigma. Annual Review of Psychology. 2005;56:393-421. http://dx.doi.org/10.1146/annurev.psych.56.091103.070137   DOI
12 Ministry of Health & Welfare, Korea Central Cancer Registry, National Cancer Center. Annual report of cancer statistics in Korea in 2013. Seoul: Ministry of Health & Welfare; 2015.
13 National Cancer Information Center. Recommendations for distress management in cancer patients [Internet]. Seoul: Ministry for Health, Welfare and Family Affairs; 2008 [cited 2012 May 20]. Available from: http://www.cancer.go.kr/ebook/6/PC/6.html.
14 Coates C. The evolution of measuring caring: Moving toward construct validity. In: Watson J, editor. Assessing and measuring caring in nursing and health sciences. 2nd ed. New York, NY: Springer Publishing; 2009. p. 261-265.
15 Shen MJ, Coups EJ, Li Y, Holland JC, Hamann HA, Ostroff JS. The role of posttraumatic growth and timing of quitting smoking as moderators of the relationship between stigma and psychological distress among lung cancer survivors who are former smokers. Psycho-Oncology. 2015;24(6):683-690. http://dx.doi.org/10.1002/pon.3711   DOI
16 Else-Quest NM, LoConte NK, Schiller JH, Hyde JS. Perceived stigma, self-blame, and adjustment among lung, breast and prostate cancer patients. Psychology & Health. 2009;24(8):949-964. http://dx.doi.org/10.1080/08870440802074664   DOI
17 Cataldo JK, Slaughter R, Jahan TM, Pongquan VL, Hwang WJ. Measuring stigma in people with lung cancer: Psychometric testing of the cataldo lung cancer stigma scale. Oncology Nursing Forum. 2011;38(1):E46-E54. http://dx.doi.org/10.1188/11.onf.e46-e54   DOI
18 Chambers SK, Baade P, Youl P, Aitken J, Occhipinti S, Vinod S, et al. Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints. Psycho-Oncology. 2015;24(11):1569-1577. http://dx.doi.org/10.1002/pon.3829   DOI
19 Yang QQ, Liu HX, Yang CL, Ji SY, Li L. Reliability and validity of Chinese version of cataldo lung cancer stigma scale. International Journal of Nursing Sciences. 2014;1(1):23-27. http://dx.doi.org/10.1016/j.ijnss.2014.02.011   DOI
20 American Cancer Society. Cancer facts & figures 2016 [Internet]. Atlanta, GA: Author; 2016 [cited 2016 December 8]. Available from: http://www.cancer.org/acs/groups/content/@research/documents/ document/acspc-047079.pdf.
21 Hair JF, Jr., Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 7th ed. Upper Saddle River, NJ: Pearson Prentice Hall; 2010. p. 578-581.
22 World Health Organization. Process of translation and adaptation of instruments [Internet]. Geneva, CH: Author; 2012 [cited 2012 May 20]. Available from: http://www.who.int/substance_abuse/research_tools/translation/en/.
23 Lynn MR. Determination and quantification of content validity. Nursing Research. 1986;35(6):382-385.
24 Yun YH, Park YS, Lee ES, Bang SM, Heo DS, Park SY, et al. Validation of the Korean version of the EORTC QLQ-C30. Quality of Life Research. 2004;13(4):863-868. http://dx.doi.org/10.1023/b:qure.0000021692.81214.70   DOI
25 Fayers PM, Aaronson NK, Bjordal K, Groenvold M, Curran D, Bottomley A. The EORTC QLQ-C30 scoring manual. 3rd ed. Brussels, BE: European Organisation for Research and Treatment of Cancer; 2001.
26 Kim GS. Analysis structural equation modeling. Seoul: Hannarae Publishing Co.; 2010.
27 Fayers PM, Machin D. Quality of life: The assessment, analysis and reporting of patient-reported outcomes. 3rd ed. Chichester, UK: John Wiley & Sons; 2016. p. 134-136.
28 Steiger JH. Tests for comparing elements of a correlation matrix. Psychological Bulletin. 1980;87(2):245-251. http://dx.doi.org/10.1037/0033-2909.87.2.245   DOI
29 Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology. 2007;60(1):34-42. http://dx.doi.org/10.1016/j.jclinepi.2006.03.012   DOI
30 Kline RB. Principles and practice of structural equation modeling. 3rd ed. New York, NY: Guilford Press; 2010. p. 54-63.