目的:恶性间皮瘤(MM)患者的心理痛苦与其他癌症患者的心理痛苦不同,原因是其职业或环境病因及其特殊的症状和预后(即,预后不良,降低了治疗的有效性,剩余寿命质量差,和诊断时的高龄)。因此,已经开发了间皮瘤心理困扰工具患者(MPDT-P)来评估该人群的心理痛苦的具体特征。本文介绍了项目选择,因子分析,和修订后的MPDT-P的心理测量评估
方法:对当前工作的分析旨在确认MPDT-P的第一个版本中发现的阶乘结构。在不适合的情况下,它旨在找到模型中不适合的替代结构和原因。使用贝叶斯方法进行了对阶乘模型拟合的搜索。
结果:仪器第一版中报告的双因素模型不符合数据。验证性贝叶斯分析显示出适合三因素解决方案。根据项目的内容,我们将这些因素标记为功能失调的情绪,正义的要求,和对未来的焦虑。
结论:将MPDT-P纳入临床实践可以帮助临床医生了解与MM相关的具体痛苦,并调查与不同职业和环境暴露背景相关的潜在差异。
OBJECTIVE: Psychological suffering in patients with Malignant Mesothelioma (MM) is different from the one experienced by patients with other cancers due to its occupational or environmental etiology and its peculiar symptomatology and prognosis (i.e., poor prognosis, reduced effectiveness of the therapies, poor quality of residual life, and advanced age at the time of diagnosis). Therefore, the Mesothelioma Psychological Distress Tool-Patients (MPDT-P) has been developed to evaluate the specific profile of psychological suffering in this population. This paper describes the item selection, factor analysis, and
psychometric evaluation of the revised MPDT-P.
METHODS: The analyses of the current work aimed to confirm the factorial structure found in the first version of the MPDT-P. In the case of nonfit, it aimed to find an alternative structure and causes of nonfit in the model. The search for the fit of the factorial model was conducted using a Bayesian approach.
RESULTS: The two-factor model reported in the first version of the instrument did not fit the data. Confirmatory Bayesian analyses showed adequate fit for the three-factor solution. Based on the content of the items, we labeled the factors as dysfunctional emotions, claims for justice, and anxieties about the future.
CONCLUSIONS: Integrating the MPDT-P into clinical practice could help clinicians gain insight into the specific suffering related to MM and investigate potential differences related to different occupational and environmental exposure contexts.