Concerns about cancer recurrence in Mexican women breast cancer survivors. Psychometric properties of the CARS scale

Mónica Ramírez-Orozco; Mario Enrique Rojas-Russell; Oscar Galindo-Vázquez; Rebeca Robles-García; Rosario Costas-Muñíz; Juan Enrique Bargallo-Rocha; Abelardo Meneses-García

doi:10.22235/cp.v17i1.2777

Authors

Mónica Ramírez-Orozco Instituto Nacional de Cancerología México https://orcid.org/0000-0001-9616-8200
Mario Enrique Rojas-Russell Universidad Nacional Autónoma de México https://orcid.org/0000-0001-6644-1384
Oscar Galindo-Vázquez Instituto Nacional de Cancerología México https://orcid.org/0000-0001-9395-2921
Rebeca Robles-García Instituto Nacional de Psiquiatría https://orcid.org/0000-0001-5958-7393
Rosario Costas-Muñíz Memorial Sloan-Kettering Cancer Center. Department of Psychiatry & Behavioral Sciences. Immigrant Health & Cancer Disparities, New York, NY. https://orcid.org/0000-0003-0942-5657
Juan Enrique Bargallo-Rocha Instituto Nacional de Cancerología México https://orcid.org/0000-0003-2867-0332
Abelardo Meneses-García Instituto Nacional de Cancerología México https://orcid.org/0000-0003-4032-4598

DOI:

https://doi.org/10.22235/cp.v17i1.2777

Keywords:

Survival, Breast Cancer, Fear of recurrence, Mexico, Anxiety

Abstract

Fear of recurrence is one of the main affectations of cancer survivors. In Latin-American exist a lack of evidence on the subject and of valid instruments to measure it. The objective of this study was to determine the psychometric properties of the Concerns About Recurrence Scale in Mexican breast cancer survivors. An instrumental study was carried out with 200 women breast cancer survivors with a mean age of 53 years old and a mean survival of 52.5 months. A confirmatory factor analysis of the original version of the scale identified four factors that explained 77 % of the variance and satisfactory goodness of fit indicators: CFI = .967, TLI = .957, SRMR = .035, RMSEA = .071 as well as high internal consistency α = .945. Significant associations were also identified between general fear subscale, anxiety subscale of the HADS and total HADS score (r = .638 and r = .607; p = .01). The CARS presented adequate validity, reliability and factorial structure. It is recommended for usage in clinical care and research with Mexican breast cancer survivors.

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