Evidence map›Paper›PMID 42183494›Full record

ArticleFrontiers in psychology2026

Adaptation and psychometric evaluation of the revised social constraints scale for partners of adults with cancer.

Shuangshuang Zhang, Yingying Xu, Xin Xu

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Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Shuangshuang ZhangNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Yingying XuDepartment of Gastrointestinal Surgery, Nanjing Drum Tower Hospital the Affiliated Hospital of Nanjing University Medical School, Nanjing, China.
Xin XuNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Partners of adults with cancer often experience social constraints that limit their ability to express cancer-related thoughts, feelings, and concerns to their loved ones. However, no validated instrument is currently available in Simplified Chinese to assess partner-specific social constraints. This study aimed to culturally adapt and evaluate the psychometric properties of the Simplified Chinese version of the Social Constraints Scale for partners of adults with cancer (SC-SCS-P). Methods: The scale was developed using a two-phase approach. In the first phase, items from the existing Simplified Chinese Social Constraints Scale (SCS) were contextually adapted to reflect partners' experiences, with reference to the original scale developed by Lepore. In the second phase, the psychometric properties of the adapted scale were evaluated, including content validity by a Delphi study with five experts, factor structure, convergent validity, and reliability. A convenience sample of 415 partners of adults with cancer was recruited from four hospitals in Hunan and Jiangsu provinces between June and September 2024. Results: Exploratory factor analysis supported a three-factor structure, including alienation, health concern minimization, and emotional concealment. The SC-SCS-P demonstrated good internal consistency and test-retest reliability. Higher levels of perceived social constraints were associated with greater fear of cancer recurrence and communication problems, and with lower psychological resilience, supporting the construct validity of the scale. Conclusion: The 15-item SC-SCS-P is a reliable and valid instrument for assessing partner-specific social constraints among partners of adults with cancer in China. This scale fills an important measurement gap and provides a foundation for future research and the development of communication-focused interventions, with implications for clinical practice and policy.

Indexed as

cancerpartnersscale adaptationsocial constraintsvalidation

Identifiers

PMID42183494
PMCPMC13189945

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