Validity and reliability of the brief form of the normative male alexithymia scale among Chinese patients after radical prostatectomy.

Autor: Wang F; Department of urinary surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, 450003, Henan, China., Zhang X; Department of andrology and energy medicine, Henan Provincial People's Hospital , Zhengzhou University People's Hospital, Zhengzhou, 450003, Henan, China. zxs9818@126.com., Huang L; Department of urinary surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, 450003, Henan, China. 1058924853@zzu.edu.cn., Zhang X; Department of urinary surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, 450003, Henan, China., Jie W; Department of urinary surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, 450003, Henan, China., Chang X; Department of urinary surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, 450003, Henan, China., Chu Y; Department of urinary surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, 450003, Henan, China., Wang L; Department of urinary surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, 450003, Henan, China., Jia W; Department of urinary surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, 450003, Henan, China., Zhang B; Department of urinary surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, 450003, Henan, China.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2025 Jan 03; Vol. 15 (1), pp. 719. Date of Electronic Publication: 2025 Jan 03.
DOI: 10.1038/s41598-024-82958-8
Abstrakt: Alexithymia, a cognitive and emotional deficit characterized by difficulty in expressing emotions and identifying feelings, poses significant challenges in healthcare settings. Developing a reliable and valid tool to measure alexithymia in post-prostatectomy patients would not only aid healthcare professionals in identifying at-risk individuals but also facilitate early intervention and targeted support. This study aimed to translate the Brief Form of the Normative Male Alexithymia Scale (NMAS-BF) into Simplified Chinese, evaluate the reliability and validity of the Chinese version, and explore its influencing factors. The English version of the NMAS-BF was translated into Chinese according to Brislin's translation guidelines. A survey was administered to 430 patients who had undergone radical prostatectomy across four tertiary-grade A hospitals in China. To assess test-retest reliability, 30 patients completed the survey twice. Data analysis was performed using SPSS 26.0 and AMOS 22.0. Exploratory and confirmatory factor analyses were conducted to evaluate the content validity, construct validity, reliability, and concurrent validity of the translated NMAS-BF. Additionally, Pearson's correlation, t-tests, and analysis of variance (ANOVA) were used to identify factors influencing the NMAS-BF. The Cronbach's alpha coefficient for the Chinese version of the NMAS-BF was 0.856. The intra-class correlation coefficient (ICC) for the total scale was 0.938, indicating good stability. Content validity was satisfactory, with exploratory factor analysis revealing a single-factor model that accounted for 58.965% of the variance. Confirmatory factor analysis (χ²/df = 1.371, RMSEA = 0.041) demonstrated acceptable construct validity. Statistically significant differences in alexithymia levels were observed across patients with varying educational levels, family residence, household monthly income, and number of children. Perceived stress, mutuality, social impact, and self-esteem were identified as significant factors influencing alexithymia. This study initially translated the Brief Form of the Normative Male Alexithymia Scale (NMAS-BF) into Chinese and demonstrated its psychometric validity for assessing alexithymia in patients post-radical prostatectomy. By identifying alexithymic patterns and their contributing factors, the research aims to improve emotional expression and enhance the mental well-being of Chinese patients undergoing this procedure. Furthermore, the factors identified in the Chinese version of the NMAS-BF may provide valuable theoretical insights for future intervention studies.
Competing Interests: Declarations. Competing interests: The authors declare no competing interests. Ethical approval: The study followed the guidelines established in the Declaration of Helsinki Declaration and obtained approval from the Ethics Committee (2019 Ethics Review No. 74). All participants involved in this study provided informed consent prior to their inclusion. Participants were thoroughly informed about the purpose, procedures, risks, and benefits of the study. They were also informed of their right to withdraw from the study at any time without penalty. Consent was obtained in in written form and in accordance with the ethical guidelines and regulations set forth by Ethics Committee (2019 Ethics Review No. 74). Participation in the study was voluntary and anonymous for all individuals involved.
(© 2024. The Author(s).)
Databáze: MEDLINE
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