European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2026
Cross-cultural adaptation and psychometric evaluation of the masculinity in chronic disease scale in Chinese patients undergoing radical prostatectomy.
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Wang Feijie, Huang Lijie, Zhang Xiaoli, Jie Wanjing, Chang Xiaoxia, Chu Yinping, Wang Lu
Аннотация
PURPOSE: s:Radical prostatectomy threatens masculine identity, worsening anxiety, depression, and quality of life. No validated Chinese tool exists. This study translates and culturally adapts the Masculinity in Chronic Disease Scale and evaluates its psychometric properties in Chinese prostate cancer patients.
METHODS: Following Brislin's translation model, the MCD-I was translated, back-translated, and culturally adapted to develop a Chinese version. A convenience sample of 372 prostate cancer patients was recruited from four hospitals in Henan Province between January 2024 and August 2025. Psychometric evaluation included internal consistency, test-retest reliability, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA).
RESULTS: The Chinese version of the MCD-I demonstrated strong internal consistency (Cronbach's α = 0.903). Subscale α coefficients were 0.894, 0.815, 0.844, 0.649, and 0.872. Test-retest reliability was high, with a significant intraclass correlation coefficient ICC = 0.956 (95% CI: 0.924-0.975). EFA extracted five factors, accounting for 75.10% of the variance. CFA confirmed acceptable model fit (RMSEA = 0.070, CMIN/DF = 1.915, CFI = 0.910, GFI = 0.861, IFI = 0.911). Spousal accompaniment, educational attainment, medical insurance type, perceived stress, self-esteem, and perceived social support were all significantly associated with masculinity (P < 0.001).
CONCLUSION: The Chinese version of the MCD-I shows satisfactory reliability and validity, and represents a reliable tool for assessing masculinity. Identifying the factors influencing masculinity in patients after radical prostatectomy can provide a theoretical basis for developing gender-sensitive psychosocial services and programs for men with prostate cancer.
METHODS: Following Brislin's translation model, the MCD-I was translated, back-translated, and culturally adapted to develop a Chinese version. A convenience sample of 372 prostate cancer patients was recruited from four hospitals in Henan Province between January 2024 and August 2025. Psychometric evaluation included internal consistency, test-retest reliability, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA).
RESULTS: The Chinese version of the MCD-I demonstrated strong internal consistency (Cronbach's α = 0.903). Subscale α coefficients were 0.894, 0.815, 0.844, 0.649, and 0.872. Test-retest reliability was high, with a significant intraclass correlation coefficient ICC = 0.956 (95% CI: 0.924-0.975). EFA extracted five factors, accounting for 75.10% of the variance. CFA confirmed acceptable model fit (RMSEA = 0.070, CMIN/DF = 1.915, CFI = 0.910, GFI = 0.861, IFI = 0.911). Spousal accompaniment, educational attainment, medical insurance type, perceived stress, self-esteem, and perceived social support were all significantly associated with masculinity (P < 0.001).
CONCLUSION: The Chinese version of the MCD-I shows satisfactory reliability and validity, and represents a reliable tool for assessing masculinity. Identifying the factors influencing masculinity in patients after radical prostatectomy can provide a theoretical basis for developing gender-sensitive psychosocial services and programs for men with prostate cancer.