Development and preliminary application of the TCM scale of depression after breast cancer

Objective:To develop the TCM scale of depression after breast cancer,which is corresponding to China ,s national conditions and with TCM connotation.Methods:Establishing item pool through the literature research,expert advice,pre-testing and study groups,discussion.Clinical trial using on 50 breast cancer patients with surgery(100 depressive disorders and 50 non-depressive disorders)were used to build the item Selection and scale evaluation.Results:The thick table constitutes of 76 items by literature investigation.The pre-survey TCM scale of depression after breast cancer includes three fields and 57 items formed by pre-testing,consulting experts.After the item selection in the clinical trial,the amendmentsed scale includes three dimensions,36 items.The evaluation results of the scale:feasibility is 100%;test-retest reliability is 0.949;Cronbach'a coefficient is 0.717;with HAMD gold standard criterion validity is 0.502,factor analysis of construct validity and scale structure consistent with the basic theoretical concepts.The scale scoring of psychologicao dimension,functional dimensions,body dimensions and total score differences is significant in depression in breast cancer and nondepression(P0.01).After the TCM group emotional therapy intervention,the total and the dimensions before treatment is significantly lower(P0.01).Conclusions:The TCM scale of depression after breast cancer has good reliability,validity and the responsiveness,which is one of the effective tools for evaluating TCM clinical treatment effectiveness in the future.