Determining the optimal cut-off scores for the Chinese version of the Memorial Anxiety Scale for Prostate Cancer (MAX-PC)
Abstract Purpose Anxiety is a common emotion experienced by patients with prostate cancer (PCa), and can be exacerbated by testing the prostate-specific antigen (PSA) index. The Memorial Anxiety Scale for Prostate Cancer (MAX-PC) was developed to assess the cancer-specific anxiety of these patients,...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | Health and Quality of Life Outcomes |
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| Online Access: | https://doi.org/10.1186/s12955-023-02210-1 |
| _version_ | 1797413948292595712 |
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| author | Qingmei Huang Ping Jiang Yuanqi Ding Yaning Zheng Li Zheng Jie Luo Yun Dai Fulei Wu Wei Wang |
| author_facet | Qingmei Huang Ping Jiang Yuanqi Ding Yaning Zheng Li Zheng Jie Luo Yun Dai Fulei Wu Wei Wang |
| author_sort | Qingmei Huang |
| collection | DOAJ |
| description | Abstract Purpose Anxiety is a common emotion experienced by patients with prostate cancer (PCa), and can be exacerbated by testing the prostate-specific antigen (PSA) index. The Memorial Anxiety Scale for Prostate Cancer (MAX-PC) was developed to assess the cancer-specific anxiety of these patients, but lack of appropriate thresholds for this scale limits its use. This study aimed to utilize ROC curve analysis to identify the best cut-off values for the Chinese version of the MAX-PC scale. Methods A cross-sectional survey was conducted using the Chinese version of the MAX-PC scale and the Generalized Anxiety Disorder Scale (GAD). ROC curve analysis, Youden index, Kappa consistency test and McNemar test were used for the optimal cutoff points for screening mild, moderate, and severe cancer-specific anxiety levels in patients with PCa, on the Chinese version of the MAX-PC scale. Results Two hundred eighty-seven patients with PCa completed the survey. The appropriate cut-off values for the MAX-PC scale for screening patients with PCa for cancer-specific anxiety were 20, 28, and 38 for mild, moderate, and severe anxiety, respectively with the highest Youden indices. The Kappa and McNemar’s test showed the best level of consistency with values of 0.627, 0.580, and 0.606 for screening mild, moderate, and severe anxiety, respectively. Conclusions The scores 20, 28, and 38 are the best cut-off values for the Chinese version of the MAX-PC scale. This scale should be used for screening cancer-specific anxiety for patients with PCa to assess and evaluate their anxiety levels and provide targeted interventions. |
| first_indexed | 2024-03-09T05:25:27Z |
| format | Article |
| id | doaj.art-93d0cfda6f4244d7bd6f9489be1b2324 |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-03-09T05:25:27Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-93d0cfda6f4244d7bd6f9489be1b23242023-12-03T12:37:05ZengBMCHealth and Quality of Life Outcomes1477-75252023-12-012111910.1186/s12955-023-02210-1Determining the optimal cut-off scores for the Chinese version of the Memorial Anxiety Scale for Prostate Cancer (MAX-PC)Qingmei Huang0Ping Jiang1Yuanqi Ding2Yaning Zheng3Li Zheng4Jie Luo5Yun Dai6Fulei Wu7Wei Wang8School of Nursing, Fudan UniversityThe International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong UniversitySchool of Nursing, Fudan UniversityDepartment of Nursing, Nanjing Drum Tower hospitalDepartment of Nursing, First Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Urology, First Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Urology, First Affiliated Hospital, School of Medicine, Zhejiang UniversitySchool of Nursing, Fudan UniversityDepartment of Nursing, First Affiliated Hospital, School of Medicine, Zhejiang UniversityAbstract Purpose Anxiety is a common emotion experienced by patients with prostate cancer (PCa), and can be exacerbated by testing the prostate-specific antigen (PSA) index. The Memorial Anxiety Scale for Prostate Cancer (MAX-PC) was developed to assess the cancer-specific anxiety of these patients, but lack of appropriate thresholds for this scale limits its use. This study aimed to utilize ROC curve analysis to identify the best cut-off values for the Chinese version of the MAX-PC scale. Methods A cross-sectional survey was conducted using the Chinese version of the MAX-PC scale and the Generalized Anxiety Disorder Scale (GAD). ROC curve analysis, Youden index, Kappa consistency test and McNemar test were used for the optimal cutoff points for screening mild, moderate, and severe cancer-specific anxiety levels in patients with PCa, on the Chinese version of the MAX-PC scale. Results Two hundred eighty-seven patients with PCa completed the survey. The appropriate cut-off values for the MAX-PC scale for screening patients with PCa for cancer-specific anxiety were 20, 28, and 38 for mild, moderate, and severe anxiety, respectively with the highest Youden indices. The Kappa and McNemar’s test showed the best level of consistency with values of 0.627, 0.580, and 0.606 for screening mild, moderate, and severe anxiety, respectively. Conclusions The scores 20, 28, and 38 are the best cut-off values for the Chinese version of the MAX-PC scale. This scale should be used for screening cancer-specific anxiety for patients with PCa to assess and evaluate their anxiety levels and provide targeted interventions.https://doi.org/10.1186/s12955-023-02210-1Prostate cancerMemorial anxiety scaleCut-off scoreReceiver operating characteristic curve |
| spellingShingle | Qingmei Huang Ping Jiang Yuanqi Ding Yaning Zheng Li Zheng Jie Luo Yun Dai Fulei Wu Wei Wang Determining the optimal cut-off scores for the Chinese version of the Memorial Anxiety Scale for Prostate Cancer (MAX-PC) Health and Quality of Life Outcomes Prostate cancer Memorial anxiety scale Cut-off score Receiver operating characteristic curve |
| title | Determining the optimal cut-off scores for the Chinese version of the Memorial Anxiety Scale for Prostate Cancer (MAX-PC) |
| title_full | Determining the optimal cut-off scores for the Chinese version of the Memorial Anxiety Scale for Prostate Cancer (MAX-PC) |
| title_fullStr | Determining the optimal cut-off scores for the Chinese version of the Memorial Anxiety Scale for Prostate Cancer (MAX-PC) |
| title_full_unstemmed | Determining the optimal cut-off scores for the Chinese version of the Memorial Anxiety Scale for Prostate Cancer (MAX-PC) |
| title_short | Determining the optimal cut-off scores for the Chinese version of the Memorial Anxiety Scale for Prostate Cancer (MAX-PC) |
| title_sort | determining the optimal cut off scores for the chinese version of the memorial anxiety scale for prostate cancer max pc |
| topic | Prostate cancer Memorial anxiety scale Cut-off score Receiver operating characteristic curve |
| url | https://doi.org/10.1186/s12955-023-02210-1 |
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