Journal of Capital Medical University ›› 2021, Vol. 42 ›› Issue (4): 511-520.doi: 10.3969/j.issn.1006-7795.2021.04.002

• Menopause, Gynecological Endocrinology and Fertility Preservation • Previous Articles     Next Articles

Evaluation of reliability and validity of the Comprehensive Assessment of Menopausal Symptoms Scale

Zhang Lingyan1, Ruan Xiangyan1*, Li Xingming2, Cui Yamei1, Gu Muqing1, Liu Yulan1, Zhen Jie1   

  1. 1. Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China;
    2. Department of Health Mangement and Policy, School of Public Health, Capital Medical University, Beijing 100069, China
  • Received:2021-05-18 Online:2021-08-21 Published:2021-07-29
  • Contact: * E-mail:ruanxiangyan@ccmu.edu.cn
  • Supported by:
    National Natural Science Foundation of China (81671411), Beijing Municipal Administration of Hospitals' Ascent Plan (DFL20181401), National Menopause Health Care Specialist Construction Unit of China [(2020)30], Beijing Municipal Health Commission [(2017)35].

Abstract: Objective To investigate the reliability and validity of the Comprehensive Assessment Scale for Menopausal Symptoms in Chinese women. Methods The data were collected from 2 487 Chinese women aged 40-83 between 2018 and 2020. The critical ratio method, Cronbach's alpha coefficient method and factor analysis method were used to screen the items of menopausal symptom scale. Results The conceptual framework of the scale was define with 11 dimensions included in the Menopause Symptom Scale: negative emotional and cognitive symptoms, limb dyskinesia, sex-related symptoms, reproductive symptoms, autonomic nervous disorder symptoms, joint swelling and pain, limb paresthesia, energy loss symptoms, urinary symptoms, vasomotor symptoms, and sleep disorders. The pool consisting of 54 entries was constructed. Ten factors were extracted by exploratory factor analysis, and their cumulative variance contribution rate was 61.28%. The total Spearman-Brown correlation coefficient was 0.866, Guttman Split-half was 0.852, the correlation coefficient was 0.763, and the Cronbach's alpha coefficient range was 0.778-0.914. Conclusion The comprehensive assessment scale for menopausal symptoms developed for Chinese women has proved to be an effective and reliable tool with reasonable structure model, good internal consistency and diachronic stability of items, which can measure the related psychological symptoms of Chinese menopausal women more comprehensively and has potential application prospects. Clinicians can use this scale to measure the symptoms of menopausal patients, and then intervene accordingly and evaluate the intervention effect.

Key words: menopausal symptoms, scale, reliability, validity

CLC Number: