Factor structure, internal consistency and distribution of Female Sexual Function Index among Mexican women with early diagnostic of breast cancer / Estructura factorial, consistencia interna y distribución del Índice de Función Sexual Femenina entre mujeres mexicanas con diagnóstico temprano de cáncer de mama

Background: Female Sexual Dysfunction (FSD) occurs frequently in women with breast cancer due to oncologic treatments. It is essential to have a validated instrument to diagnose and quantify FSD in this population accurately. Objective: To validate the Female Sexual Function Index (FSFI). Method: The FSFI was applied to 272 sexually active Mexican women with recent diagnosis of breast cancer who had not initiated systemic cancer treatment. Results: The FSFI six-factor model is valid by confirmatory factor analysis, and the inventory and its factors have adequate internal consistency reliability. Conclusions: This study provides enough evidence about the reliability and factor structure of the FSFI questionnaire in the context of breast cancer clinical practice in Mexico (AU)

Antecedentes: La disfunción sexual femenina (FSD) ocurre con frecuencia en mujeres con cáncer de mama debido a los tratamientos oncológicos. Es fundamental contar con un instrumento validado para diagnosticar y cuantificar la FSD en esta población con precisión. Objetivo Validar el Índice de Función Sexual Femenina (FSFI). Método: El FSFI se aplicó a 272 mujeres mexicanas sexualmente activas con diagnóstico reciente de cáncer de mama que no habían iniciado tratamiento oncológico sistémico. Resultados: El modelo de seis factores de la FSFI se validó por análisis factorial confirmatorio y el inventario y sus factores tienen una fiabilidad de consistencia interna adecuada. Conclusiones: Este estudio proporciona suficiente evidencia sobre la confiabilidad y la estructura factorial del cuestionario FSFI en el contexto de la práctica clínica del cáncer de mama en México (AU)

Prospective Study of Fertility Preservation in Young Women With Breast Cancer in Mexico.

BACKGROUND: Despite the risk of treatment-related infertility, implementation of fertility-preservation (FP) strategies among young patients with breast cancer is often suboptimal in resource-constrained settings such as Mexico. The "Joven & Fuerte: Program for Young Women With Breast Cancer" strives to enhance patient access to supportive care services, including FP measures through alliances with assisted-reproduction units and procurement of coverage of some of these strategies. This study describes patients from Joven & Fuerte who have preserved fertility, and assesses which characteristics were associated with the likelihood of undergoing FP. METHODS: Women aged ≤40 years with recently diagnosed breast cancer were prospectively accrued. Sociodemographic and clinicopathologic data were collected from patient-reported and provider-recorded information at diagnosis and 1-year follow-up. Descriptive statistics, chi-square test, and simple logistic regression were used to compare patients who preserved fertility with those who did not. RESULTS: In total, 447 patients were included, among which 53 (12%) preserved fertility, representing 38% of the 140 women who desired future biologic children. Oocyte/embryo cryopreservation was the most frequently used method for FP (59%), followed by temporary ovarian suppression with gonadotropin-releasing hormone agonists (GnRHa) during chemotherapy (26%), and use of both GnRHa and oocyte/embryo cryopreservation (15%). Younger age, higher educational level, being employed, having private healthcare insurance, and having one or no children were associated with a significantly higher likelihood of preserving fertility. CONCLUSIONS: By facilitating referral and seeking funds and special discounts for underserved patients, supportive care programs for young women with breast cancer can play a crucial role on enhancing access to oncofertility services that would otherwise be prohibitive because of their high costs, particularly in resource-constrained settings. For these efforts to be successful and widely applied in the long term, sustained and extended governmental coverage of FP options for this young group is warranted.

Factors associated with the desire to undergo post-mastectomy breast reconstruction in a Mexican breast cancer center.

PURPOSE: To assess the proportion of breast cancer patients treated with total mastectomy who are interested in undergoing breast reconstruction, the factors associated with their desire to undergo this procedure, and the motives stated for their decision. METHODS: Women with stage I-III breast cancer, public health insurance, and history of total mastectomy treated at a center in Monterrey, Mexico, were invited to answer a series of questionnaires regarding their clinical and demographic characteristics, information received about breast reconstruction, body image, and relationship satisfaction. RESULTS: A total of 100 patients were interviewed, of which 68% desired to undergo breast reconstruction. Only 35% recalled talking about this procedure with a physician and 85% claimed not to have enough information to make an informed decision. Those who desired breast reconstruction were younger (p < 0.001), more likely to be in a relationship (p = 0.025), and had a higher probability of having talked to a physician about the procedure (p = 0.019). Furthermore, they felt less sexually attractive (p < 0.001), more deformed (p = 0.006), and less feminine (p = 0.005) since the mastectomy. The main motives to undergo this procedure were to have breast symmetry and greater freedom on which clothes to wear, while the main deterrent was the high economical cost. CONCLUSIONS: Insufficient information about the procedure and high economical cost were identified as potential barriers to undergo breast reconstruction. The findings of this study emphasize the pressing need to optimize patient care by providing information in a standardized manner and improving access to breast reconstruction within the Mexican public healthcare system.

Propiedades Psicométricas del Cuestionario de Motivos a Favor y en Contra de la Reconstrucción Mamaria / Psychometric Properties of the Questionnaire of Motives for and against Breast Reconstruction

Antecedentes: Aunque la reconstrucción mamaria (RM) tras la mastectomía es una opción estética con buenos resultados, se realiza poco en México. Para estudiar sus razones se creó el Cuestionario de Motivos a favor y en contra de la Reconstrucción Mamaria (CMRM). La de validez de contenido del CMRM ha sido comprobada, pero no otras propiedades psicométricas. Objetivos: determinar su estructura factorial y comprobar su fiabilidad y validez de constructo concurrente. Método: Este estudio instrumental con diseño no experimental de corte transversal usó un muestreo intencional. Se aplicó el CMRM integrado por dos escalas, un cuestionario de imagen corporal y preguntas sobre datos sociodemográficos, clínicos y conducta sexual a 110 mujeres mexicanas mastectomizadas. Resultados: La escala de motivos a favor de la RM del CMRM presentó una estructura unidimensional, consistencia interna excelente y validez convergente. La escala de motivos en contra de la RM presentó una estructura de tres factores: miedos/preocupaciones/costos, aceptación/satisfacción con el estado actual y falta de información. Sus tres factores presentaron consistencia interna y validez convergente y discriminante. La correlación entre ambas escalas fue pequeña, pero la consistencia interna del CMRM fue excelente. La fuerza de asociación del CMRM fue muy fuerte con deseo de RM, media con edad e imagen corporal y pequeña con deseo de conservar la mama, frecuencias de relaciones sexuales antes del diagnóstico, búsqueda de información sobre RM y percepción del estado económico. Fue independiente de escolaridad, etapa del cáncer, tipo de mastectomía y estado civil. Conclusión: el cuestionario es fiable y válido

Backgrounds: Although breast reconstruction (BR) after mastectomy is an aesthetic option with good results, it is done little in Mexico. To study its reasons, the Questionnaire of Motives for and against Breast Reconstruction (QMBR) was created. The content validity of the QMBR has been tested, but not other psychometric properties. The objectives of the study were to determine its factor structure, and to test its reliability and concurrent construct validity. This instrumental research with non-experimental cross-sectional design used an intentional sampling. The QMBR consisting of two scales,a body image questionnaire, and questions about sociodemographic, clinical and sexual behavior data were applied to 110 Mexican mastectomized women. The QMBR scale of motives for BR presented a one-factor structure, excellent internal consistency, and convergent validity. The QMBR scale of motives against BR presented a structure of three factors: fears/concerns/cost, acceptance/satisfaction with the current state, and lack of information. Its three factors showed internal consistency and convergent validity and discriminant. The correlation between both scales was small, but the internal consistency of QMBR was excellent. The strength of association of QMBR was very strong with desire for BR; medium with age and body image; and small with desire to preserve the breast, frequencies of sexual relations before diagnosis, search for information on BR, and perception of economic status. The QMBR was independent of levels of education, stage of cancer, type of mastectomy, and marital status.It is concluded that the questionnaire is reliable and valid

Fase cualitativa del desarrollo de una Escala de Motivos a favor y en contra de la Reconstrucción Mamaria (EMRM) / Qualitative phase of the development of a Scale of Motives for and against Breast Reconstruction (SMBR)

Objetivo: Aunque en la clínica e investigación del cáncer de mama se considera las razones para hacerse la reconstrucción mamaria, no existe una escala validada para su evaluación. El objetivo del estudio fue crear una escala para medir los motivos a favor y en contra de la reconstrucción mamaria. Método: A través de la técnica de las redes semánticas naturales, se obtuvieron los ítems de la escala, y a través de un juicio de expertos estos fueron modificados. La técnica de las redes semánticas se aplicó a 65 mujeres mexicanas con cáncer de mama. El grupo de expertos quedó formado por 12 especialistas en cáncer de mama. Resultados: El núcleo central de los motivos para hacerse la reconstrucción mamaria se compuso de 16 motivos, los cuales se pueden agrupar en estéticos/imagen corporal, funcionales, emocionales/psicológicos y de relación con los hijos y la pareja. El núcleo central de los motivos en contra de hacerse la reconstrucción mamaria se compuso de 11 motivos, los cuales se pueden agrupar en miedos, aceptación/comodidad con la situación presente, costos y salud. Desde estos contenidos se redactaron 16 ítems sobre motivos para hacerse la reconstrucción y 11 en contra. Esta escala de 27 ítems fue evaluada en adecuación y comprensibilidad por el grupo de 12 expertos. Se conservaron los 27 ítems, pero siete ítems fueron modificados. Finalmente, se añadieron dos ítems sobre la falta de información señalada en estudios en México. Conclusiones: Se sugiere estudiar la confiabilidad, validez y distribución de la escala de 29 ítems

Objective: Although the reasons for breast reconstruction are considered in clinics and research on breast cancer, there is not any validated scale for its evaluation. The objective of the study was to create a scale to measure the reasons for and against breast reconstruction. Method: Through the technique of natural semantic networks, the items of the scale were obtained, and through an expert judgment these were modified. The technique of semantic networks was applied to 65 Mexican women with breast cancer. The group of experts was formed by 12 specialists in breast cancer. Results: The central core of the reasons in favor of breast reconstruction was composed of 16 reasons, which can be grouped into esthetic/body image, functional, emotional/psychological and relationship with children and the couple. The core of the motives against breast reconstruction was composed of 11 motives, which can be grouped into fears, acceptance/comfort with the present situation, costs and health. Based on these contents, 16 items were written about reasons for reconstruction and 11 against reconstruction. This 27-item scale was evaluated in adequacy and comprehensibility by the group of 12 experts. The 27 items were conserved, but seven items were modified. Finally, two items on the lack of information were added, which was marked in Mexican studies. Conclusions: It is suggested to study the reliability, validity and distribution of the 29 item scale

Validación del Inventario Breve de Síntomas (BSI-18) en mujeres mexicanas diagnosticadas con cáncer de mamaValidación del Inventario Breve de Síntomas (BSI-18) en mujeres mexicanas diagnosticadas con cáncer de mama / Validation of the Brief Inventory of Symptoms (BSI-18) among mexican women diagnosed with breast cancer

El distrés es una experiencia emocional desagradable que puede afectar al afrontamiento y curso de una enfermedad oncológica. El Inventario Breve de Síntomas (BSI-18) es usado frecuentemente en pacientes oncológicos para medir distrés. No obstante, su estructura factorial no está bien establecida, y sus propiedades métricas no han sido estudiadas con muestras mexicanas. La presente investigación tiene como objetivos estudiar la distribución, discriminabilidad y homogeneidad de los ítems del BSI-18, estimar la consistencia interna del BSI-18, determinar su estructura factorial y calcular la validez convergente, discriminante y consistencia interna de sus factores. Se recolectó una muestra intencional de 203 mujeres con cáncer de mama en tratamiento oncológico. Todas ellas eran adultas tratadas en la ciudad de Monterrey, México. Todos los ítems del BSI-18 resultaron discriminativos y consistentes. Sus distribuciones mostraron mayor concentración en valores bajos. La consistencia interna de la escala fue alta (α de Cronbach=0,888). El modelo de un factor general de distrés con tres factores jerarquizados (depresión, síntomas simpáticos de ansiedad y síntomas vasovagales de ansiedad) mostró las mejores propiedades de bondad de ajuste. También sus factores tuvieron las mejores propiedades de validez convergente y consistencia interna. Además, este modelo permitió superar los problemas de validez discriminante entre los factores. Se concluye que, en la población estudiada de mujeres diagnosticadas con cáncer, se pueden retener todos los ítems del BSI-18, y la escala resultó consistente y válida desde un modelo jerarquizado de tres factores (AU)

Distress is an unpleasant emotional experience that can affect the coping and course of an oncological disease. The Brief Inventory of Symptoms (BSI-18) is frequently used in cancer patients to measure distress. However, its factorial structure is not well established, and its metric properties have not been studied with Mexican samples. The present research aims to study the distribution, discriminability and homogeneity of BSI-18 items, estimate the internal consistency of the BSI-18, determine its factorial structure, and calculate the convergent, discriminant validity and internal consistency of its factors. An intentional sample of 203 women with breast cancer on oncological treatment was collected. All of them were adults treated in the city of Monterrey, Mexico. All BSI-18 items were discriminative and consistent. Their distributions showed higher concentration in low values. The internal consistency of the scale was high (Cronbach’s α = .888). The model of a general distress factor with three hierarchical factors (depression, sympathetic anxiety symptoms and vasovagal anxiety symptoms) showed the best goodness-of-fit properties. Also, its factors had the best properties of convergent validity and internal consistency. In addition, this model allowed to overcome the problems of discriminant validity between the factors. We concluded that, in the studied population of women diagnosed with cancer, all items of the BSI-18 can be retained, and scale was consistent and valid from a hierarchical model of three factors (AU)

Propiedades psicométricas del cuestionario de afrontamiento al estrés para pacientes oncológicos (CAEPO) / Psychometric properties of the coping to stress questionnaire for oncologic patients

Los objetivos del estudio fueron: 1) analizar la estructura factorial de la escala CAEPO mediante análisis factorial exploratorio y confirmatorio; 2) estimar la consistencia interna de los factores; 3) describir la distribución de los factores; 4) analizar las diferencias de medias de las estrategias de afrontamiento entre hombres y mujeres. El Cuestionario de Afrontamiento al Estrés para Pacientes Oncológicos (CAEPO) de González (2004) fue aplicado a 148 pacientes oncológicos. Se sugiere reducir la escala a 35 ítems. Se encontró una estructura de cuatro factores correlacionados con consistencias internas de adecuadas a altas. La distribución de los factores se ajustó a una curva normal y no se encontraron diferencias significativas entre hombre y mujeres. En futuras investigaciones, se sugiere su empleo en muestras clínicas de España y otros países hispanoparlantes

The goals of the study are: 1) to analyze the factorial structure of the Coping to Stress Questionnaire for Oncologic Patients instrument by the use of a factorial exploratory and confirmatory analysis; 2) to estímate the internal reliability of the factors; 3) to describe the distribution of the factors; 4) to analyze the mean differences of the coping strategies between men and women. The Coping to Stress Questionnaire for Oncologic Patients (González, 2004) was used for 148 oncologic patients. It is given suggestions to reduce the questionnaire to 35 items, It was found four correlationated factors estructure with internal reliability from adecuated to high. The factors distribution was adjusted to the normal curve and it was not found significative differences between men and women. In future investigation, it is suggested to use this questionnaire un clinic samples from Spain and others Spanish speaking countries

Contraste empírico del modelo de cinco fases de duelo de Kübler-Ross en mujeres con cáncer / Empirical Contrast of the Kubler-Ross Model of the Five Stages of Grief among Women with Cancer / Contraste empírico do modelo de cinco fases do luto de Kübler-Ross em mulheres com câncer

Objetivos. (a) Definir cinco escalas unidimensionales que permitan evaluar las cinco fases de duelo del modelo de Kübler-Ross y (b) contrastar el modelo secuencial de cinco fases de duelo de Kübler-Ross. Método. Se aplicó la escala de las fases de duelo a una muestra no probabilística de 120 mujeres mexicanas con cáncer. Se usó análisis factorial y de senderos para analizar los datos. Resultados. Se definieron cinco modelos unidimensionales de medida para cada fase de duelo con consistencia interna alta, ajuste a los datos y validez de contenido. El modelo secuencial de cinco fases de duelo presentó un ajuste pobre a los datos. Las fases de duelo fueron independientes del tiempo transcurrido desde el diagnóstico de cáncer. Un modelo no secuencial tuvo buen ajuste a los datos. En este modelo, la negación predijo ira, negociación con un ser superior y depresión; por su parte, la ira predijo depresión; negociación con un ser superior predijo aceptación; y depresión predijo menor aceptación. Conclusión. En estas mujeres mexicanas con cáncer, más que una secuencia de fases en el proceso de duelo, se observaron seis respuestas psicológicas que se interrelacionan entre sí y con la pérdida de la salud. Los 39 ítems seleccionados pueden emplearse como una escala de seis factores y dos dimensiones correlacionadas, afecto positivo (promesas/pacto, fe/esperanza y aceptación) y afecto negativo (negación, depresión e ira).

Objective. (a) To define five one-factor scales for assessing the five stages of the Kubler-Ross grief model, and (b) to contrast the sequential model of the five stages of grief proposed by Kubler-Ross. Method. The Phases of Grief Scale was applied to a non-probability sample of 120 Mexican women with cancer. Factor analysis and path analysis were used to analyze the data. Results. One-factor models were defined for each phase of grief with high internal consistency, fit to the data, and content validity. The sequential model of five stages of grief showed a poor fit to the data. The stages of grief were independent of time from the moment of diagnosis of cancer. A non-sequential model had a good fit to the data. In this model, denial predicted anger, negotiation with a superior being and depression; for its part, anger predicted depression; negotiation with a superior being predicted acceptance; and depression predicted less acceptance. Conclusion. Six interrelated psychological responses due to loss of health were observed among these Mexican women with cancer, rather than a sequence of stages during the grieving process. From the 39 selected items, a scale of six factors and two correlated dimensions: positive affect (promises/covenant, faith/hope, and acceptance) and negative affect (denial, depression, and anger) can be defined.

Escopo. a) Definir cinco escalas unidimensionais que permitam avaliar as cinco fases de luto de modelo de Kübler-Ross e b) contrastar o modelo sequencial de cinco fases de luto Kübler-Ross. Metodologia. Foi aplicada a escada das Fases de luto a uma amostra não probabilística de 120 mulheres mexicanas com câncer. Foi usada uma análise fatorial e de sendeiros para analisar os dados. Resultados. Foram definidos cinco modelos unidimensionais de medida para cada fase de luto com consistência interna alta, ajuste aos dados e validez de conteúdo. o modelo sequencial de cinco fases de luto apresentou um ajuste pobre aos dados. As fases de luto foram independentes do tempo transcorrido desde o diagnóstico de câncer. Um modelo não sequencial teve um bom ajuste aos dados. Neste modelo, a negação previu ira, negociação com um ser superior e depressão: por sua parte, a ira previu depressão; negociação com um ser superior previu aceitação; e depressão previu menor aceitação. Conclusão. Nestas mulheres mexicanas com câncer, mais que uma sequência de fases no processo de luto, foram observadas seis respostas psicológicas que estão inter-relacionadas e com a perda da saúde. Os 39 itens selecionados podem ser empregados como uma escada de seis fatores e duas dimensões correlacionadas, afeto positivo (promessas/pacto, fé/esperança e aceitação) e afeto negativo (negação, depressão e ira).

Desarrollo y Validación de la escala de respuestas psicológicas de duelo ante la pérdida de la Salud (RPD-PS-38) / Development and validation of the scale of psychological responses of grief before the loss of health (rpd-ps-38)

Antecedentes: Un estudio cualitativo propuso una escala para evaluar las 5 fases del duelo ante la pérdida de la salud, la escala FD-66. Otro estudio cuantitativo contrastó el modelo de Kübler-Ross en el que se basa la escala FD-66; definió cada fase como escalas unidimensionales, empleando 39 ítems de la escala FD-66, refutó el modelo secuencial y propuso contratar un modelo de 6 factores correlacionados, incluyendo 4 ítems ignorados en el análisis. Objetivos: 1) determinar la estructura factorial de la escala FD-66 reducida a 43 ítems, 2) calcular la consistencia interna de los factores, 3) describir la forma de la distribución de los factores, 4) describir la frecuencia de expresión de las respuestas de duelo, y 5) calcular y comparar los promedios de los factores. Método: Se aplicó la escala FD-66 a una muestra no probabilística de 120 mujeres mexicanas con cáncer. Resultados: La escala quedó reducida a 38 ítems, presentó una estructura de seis factores de primer orden correlacionados (negación, ira, promesas/negociación, fe/esperanza, depresión y aceptación), y dos factores de segundo orden independientes (reacción de afecto negativo y actitud positiva ante la enfermedad), conforme con la hipótesis. Las consistencias internas de los factores fueron altas y sus distribuciones no se ajustaron a una curva normal. Las respuestas psicológicas más frecuentes fueron fe/esperanza y aceptación; las menos frecuentes ira, depresión y negación; e intermedia promesas/negociación. Conclusiones: La escala de Respuestas Psicológicas de Duelo ante la Pérdida de la Salud (RPD-PDS-38) es fiable y válida. Se recomienda su uso y estudio

Background: A qualitative study proposed a scale to assess the 5 phases of grief before the loss of health, the FD-66 scale. Another quantitative study contrasted the Kübler-Ross model in which the FD-66 scale is based. This quantitative study defined each phase of grief by means of one-factor scales, using 39 of 66 items composing the FD-66 scale, refuted the Kübler-Ross sequential model, and suggested contrasting a correlated 6-factors model (including 4 items ignored in the analysis). Objectives: 1) to determine the factor structure of the FD-66 scale reduced to 43 items, 2) calculate the internal consistency of the factors, 3) describe the shape of the distribution of the factors, 4) describe the frequency of expression of grief responses, and 5) calculate and compare the means of the factors. Method: The FD-66 scale was applied to a non-probability sample of 120 Mexican women with cancer. Results: The scale was reduced to 38 items, presented a structure of correlated six first-order factors (denial, anger, promises/negotiation, faith/hope, depression, and acceptance), and independent two second-order factors (negative affect reaction, and positive attitude toward disease). These factor models were consistent with the hypothesis. The internal consistency of the factors was high and its distributions were not adjusted to normal curve. The most frequent psychological responses were faith/hope and acceptance; lest frequent responses were anger, depression and denial; and intermediate one was promises/ negotiation. Conclusions: The scale of Psychological Responses of Grief before Loss of Health (RPDPDS- 38) is reliable and valid. Use and study is recommended

El significado psicológico de las cinco fases del duelo propuestas por Kübler-Ross mediante las redes semánticas naturales / The psychological significance of the five stages of grief proposed by Kübler-Ross through natural semantic networks

Los objetivos del estudio fueron: 1) identificar el significado psicológico de las cinco fases del proceso del duelo propuestas por Kübler-Ross, y 2) diseñar una escala para medir las cinco fases del duelo ante la pérdida de la salud desde los resultados obtenidos. Se aplicó un test de asociación libre de palabras con la técnica de redes semánticas naturales a una muestra no probabilística intencional de 18 pacientes oncológicos y 12 cuidadores primarios. Se encontraron que las asociaciones de palabras eran congruentes con la expectativa teórica. A partir de estas palabras y algunas consideraciones teóricas se redactaron 67 ítems. Al ser sometidos al juicio de 9 expertos, un ítem fue eliminado y 19 corregidos. Se discuten los resultados para aclarar el contenido de las fases. Finalmente se presenta la Escala de la Fases del Duelo de 66 ítems tipo Likert para su posterior estudio psicométrico (AU)

The aims of the study were: 1) to identify the psychological significance of the five stages of the grief process proposed by Kübler-Ross, and 2) to design a scale to measure the five stages of grief at the health loss from the obtained results. A test of free association of words from the natural semantic network technique was applied to a non-probabilistic intentional sample of 18 cancer patients and 12 primary caregivers. It was found that the word associations were consistent with the theoretical expectation. From these words and some theoretical considerations, 67 items were written. The items were subjected to the judgment of 9 experts. One item was removed and 19 were corrected. The results are discussed to clarify the content of the phases. Finally the 66-item Likert type Grief Stages Scale was presented for further psychometric study (AU)

Validación del Cuestionario de Afrontamiento del Estrés en dos muestras de seropositivos y población general / Validation of the Stress Coping Strategies Questionnaire in an HIV-Seropositive and a general population sample

Los objetivos de esta investigación fueron estudiar la consistencia interna, estructura factorial y distribución del Cuestionario de Afrontamiento del Estrés (CAE; Sandín & Chroto, 2003) en dos muestras no probabilísticas, una de personas seropositivas (100 mujeres y 200 hombres) y otra de población general, emparejadas en tamaño (n=300), media de edad (37 años) y proporción de sexos, además contrastar diferencias en estrategias y estilos de afrontamiento entre ambos grupos. La consistencia interna fue alta en cuatro escalas y adecuada en las demás, salvo para Reevaluación positiva que fue baja en su definición reducida a tres indicadores. Se confirmó la estructura de siete factores correlacionados y dos factores de segundo orden, reduciendo la escala a 33 ítems. Los seropositivos informaron utilizar con mayor frecuencia la religión y revaluación positiva que el grupo control. Se sugiere el uso del Cae en estas poblaciones y genera nuevos ítems para la escala de Reevaluación positiva (AU)

The goals of this investigation were to study the internal consistency, factor structure and distribution of the Stress Coping Strategies Questionnaire (SCQ; Sandin & Chorot, 2003) in two non-probability samples; HIV-seropositive persons (100 women and 200 men) and general population, paired in size (n=200), mean age (37 years old) and sex ratio. Another aim was to contrast differences in coping strategies and styles between both groups. The internal consistency was high in four scales and adequate in all others, except the Positive Reappraisal scale, which was low in its definition reduced to three indicators. The structure of seven correlated factors and two second-order factors was confirmed, reducing the scale to 33 items. Seropositive persons reported using religion and positive reappraisal more frequently than the control group. We suggest the use of the SCQ in these population and to generate new items for the Positive Reappraisal Scale (AU)