Psychometric Properties of the Psychological Capital Questionnaire: Cancer Patients’ Version

Document Type : Original Article

Authors

1 Associate Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, Payam Noor University, Tehran, Iran. Faculty of Psychology, Payam Noor University

2 Assistant Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, Payam Noor University, Tehran, Iran.

10.48308/apsy.2025.239995.1826

Abstract

Aim: The results of various studies have shown that positive psychological construct affect the mental health of cancer patients. However, most of the tools used to measure qualities such as optimism, hope, self-efficacy and resilience have been developed in general samples. This research was conducted with the aim of psychometric analysis of psychological capital questionnaire for patients with cancer.
Method: In this descriptive survey research, the number of 250 patients with cancer who were selected through the available sampling method from a number of hospitals in Tehran, responded to the Psychological Capital Questionnaire for patients with Cancer (PCQ-C), and the Satisfaction With Life Scale (SWLS) and the Depression, Anxiety and Stress Scale (DASS).
Results: The results of the confirmatory factor analysis showed that the PCQ-C Cancer had good factorial validity with a four-factor structure consisting of self-efficacy, resilience, hope and pessimism. In addition, the results related to the correlation between the dimensions of patients' psychological capital with life satisfaction and aspects of psychological disturbance in them supported the criterion validity of the Persian version of the PCQ-C.
Conclusion: The results showed that the psychological capital questionnaire for patients with cancer, due to the sound of the underlying conceptual origin of its measurement model, in terms of psychometric characteristics, had sufficient technical adequacy to measure psychological resources in cancer patients

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Main Subjects


Abedini, M., Akbari, B., Sadeghi, A., & Asadi Majare, S. (2021).  The Relationship between Resilience and Mindfulness with Emotional Well-Being with the Mediating Role of Emotion Regulation in Cancer Patients. Quarterly Journal of Health Psychology, 10 (39), 67-84. [In Persian]. [link]
Arbuckle, J. L., & Wothke, W. (1999). Amos 4.0 user’s guide: SPSS. (240-260). Chicago: Small Waters Corporation.
Atinafu, B. T., Tarekegn, F. N., & Kebede, W. M. (2023). Assessment of the level of social support and associated factors among cancer patients in the comprehensive cancer center at Ethiopia: Ordinal logistic regression analysis level of social support and associated factors among cancer patients Heliyon, 9, e15688.[link]
Azami, Y., Khanjani, M., & Sadr, M. M. (2017). Confirmatory factor structure of Depression, Anxiety and Stress Scale in students. Journal of Mazandaran University Medicine Sciences, 27 (154), 94-106. [In Persian].[link]
Bekui, B. A. A., Aziato, L., Ohene, L. A., & Richter, M. S. (2020). Psychological and spiritual wellbeing of family caregivers of children with cancer at a teaching hospital in Ghana. International Journal of Africa Nursing Sciences, 13, 100231.[link]
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76–82.[link]
Cui, C. Y., Wang, Y., Zhang, Y., Chen, S., Jiang, N., & Wang, L. (2021). The development and validation of the psychological capital questionnaire for patients with Cancer the psychological capital questionnaire. BMC Cancer, 21, 1194-1202.[link]
Diener, E., R. A. Emmons, R. J. Larsen, and S. Griffin (1985). The Satisfaction With Life Scale. Journal of Personality Assessment, 49(1), 71-75.[link]
El Kheir, D. Y. M., Alghamdi, A. Z., Alaali, A. M., Alswiket, H. M., AlSaffar, H. F., & Alalwiat, F. M. (2024). Are we well prepared for public health emergencies? COVID-19 pandemic effect on cancer care in Saudi Arabia: A qualitative study. Journal of Infection and Public Health, 17, 412–416.[link]
Fang, H., Zeng, Y., Liu, Y., & Zhu, C. (2023). The effect of the PERMA model-based positive psychological intervention on the quality of life of patients with breast cancer. Heliyon, 9, e17251.[link]
Gong, J., Chen, M., Cao, Q., Lin, Y., Loke, A. Y., & Li, O. (2023). A qualitative study about colorectal cancer patients and spousal caregivers’ experience and needs during COVID-19: implications for self-efficacy intervention. Asia-Pacific Journal of Oncology Nursing, 10, 100179.[link]
Guo, J., Zhang, Y., Liu, X., & Wang, L. (2025). The chain mediating effects of psychological capital and illness perception on the association between social support and acceptance of illness among Chinese breast cancer patients. European Journal of Oncology Nursing, 43(2), 248–264.[link]
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7th ed., pp. 125–857). Upper Saddle River, NJ: Pearson Prentice Hall. [link]
Karata, T., Ayaz-Alkaya, S., & Ozdemir, N. (2023). Fear, anxiety, and coping self-efficacy of individuals with cancer during COVID-19 and predictive risk factors: A descriptive and correlational study. Seminars in Oncology Nursing, 39, 151420.[link]
Kline, R. B. (2023). Principles and practices of Structural Equation Modeling (15nd Eds.). New York: Guilford. [link]
Legge, H., Toohey, K., Kavanagh, P. S., & Paterson, C. (2023). Exploring experiences among people diagnosed with cancer during the COVID-19 pandemic: A qualitative descriptive study. Seminars in Oncology Nursing, 39, 151508.[link]
Liu, Y., Sundquist, J., Jan. Sundquist, K., Zheng, D., & Ji, J. (2023). Mental health outcomes in parents of children with a cancer diagnosis in Sweden: a nationwide cohort study. E Clinical Medicine, 55, 101734.[link]
Lovibond, S.H. & Lovibond, P.f. (1995). Manual for the Depression anxiety Stress Scales. (2nd Ed) Sydney: Psychology Foundation.[link]
Luthans, F., & Broad, J. D. (2022). Positive psychological capital to help combat the mental health fallout from the pandemic and VUCA environment. Organizational Dynamics, 51, 1—13.[link]
Luthans, F., Avolio, B. J., Avey, J. B., & Norman, S. M. (2007). Positive psychological capital: Measurement and relationship with performance and satisfaction. Personnel Psychology, 60, 541-572.[link]
Luthans, F., Youssef-Morgan, C., & Avolio, B. J. (2015). Psychological capital and beyond. New York, NY: Oxford University Press.[link]
Mahmoodi, H. (2023). Investigating the relationship between family resilience and symptom burden with the mediating role of functional exercise adherence in women with breast cancer. Quarterly Journal of Health Psychology, 12(4), 1-14. [In Persian].[link]
Meyers, L. S., Gamest. G., & Goarin, A. J. (2016). Applied multivariate research, design and interpretation. Thousand oaks. London. New Deihi, Sage publication.[link]
Mohsenpouria, H., Motlabi, Z., Mosavinasab, N., Sangani, A., Roy, N., & Mamun, M. A. (2025). Subjective well-being among Iranian breast cancer patients: Exploring the role of psychological capital. Journal of Psychosocial Oncology, 43(2), 248–264. https://doi.org/10.1080/07347332.2024.2381546 [In Persian].[link]
Niu, N., Huang, R., Zhao, J., & Zeng, Y. (2023). Health benefits of yoga for cancer survivors: An updated systematic review and meta-analysis, Asia-Pacific Journal of Oncology Nursing, 11(3), 100316. [link]
Raoufi Adegani, N., Sajjadian, I., & Reisi Dehkordi., N. (2023). Effectiveness of compassion-focused therapy on the self-care and compassion fatigue in mothers with cancer child. Quarterly Journal of Health Psychology, 11 (44), 137-152. [In Persian].[link]
Redlich-Amirav, D., Ansell, L. J., Harrison, M., Norrena, K. L., & Armijo-Olivo, S. (2018). Psychometric properties of Hope scales: A systematic review. International Journal of Clinical Practice, 72(7), e13213.[link]
Sheikhi, M., Houman, H. A., Ahadi, H., & Sepah Mansour, M. (2010). Psychometric properties of the Satisfaction with Life Scale (SWLS). Journal of Modern Industrial/Organization Psychology, 1 (4), 17-25. [In Persian].[link]
Silfverschiöld, M., Jarl, J., Hafström, A., Greiff, L., & Sjövall, J. (2024). Cost of illness of head and neck cancer in Sweden. Value in Health, 27(4), 425-432.[link]
Snyder, C. R., Harris, C., Anderson, J. R., Holleran, S. A., Irving, L. M., Sigmon, S. T., et al. (1991). The will and the ways: development and validation of an individual differences measure of hope. Journal of Personality and Social Psychology, 60(4), 570–85. [link]
Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics. (p.934), Boston, MA: Allyn & Bacon.[link]
Wang, Y., Song, Z., Wei, L., Liu, Y., Bian, J., Wang, C., & Wang, S. (2023). The mediating role of psychological capital between post-traumatic growth and uncertainty in illness among patients with Parkinson's disease. Geriatric Nursing, 50, 194-202.[link]
Xin, Y.-Y., & Zhao, D. (2024). Impact of web-based positive psychological intervention on emotions, psychological capital, and quality of life in gastric cancer patients on chemotherapy. World Journal of Clinical Cases, 12(26), 5877–5884. [link]
Zhu, M., Zhang, Y., He, H., Chen, L., Chen, J., & Zhang, M. (2023). Social participation and acceptance of disability in young and middle-aged breast cancer patients after surgery: A 6-month follow-up study. Asia-Pacific Journal of Oncology Nursing, 10(8), 100266.[link]