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  • Title: Trial development of the Cognitive Appraisal Scale for Infertility (CASI) (version 1).
    Author: Saito Y, Matsuo H.
    Journal: Fertil Steril; 2009 Jun; 91(6):2596-601. PubMed ID: 18555240.
    Abstract:
    OBJECTIVE: To develop the Cognitive Appraisal Scale for Infertility (CASI) and assess it for reliability and validity. DESIGN: Cross-sectional and longitudinal study. SETTING: A private fertility institute in Japan. PATIENT(S): 223 infertile women being treated at the institute. INTERVENTION(S): Administration of questionnaire at initial consultation and 6 months later. MAIN OUTCOME MEASURE(S): A self-rating questionnaire of perceptions and feelings about infertility on a four-point Likert scale, the State-Trait Anxiety Inventory (STAI), and the Self-rating Depression Scale (SDS). Internal consistency (Cronbach's alpha), test-retest reliability coefficients, and concurrent validity correlations. RESULT(S): Factor analysis identified eight factors with 35 items: difficulty accepting infertility, decrease in self-esteem, acceptance/coming to terms with new self-identity, despair, loss of libido and erosion of marital relationship, guilt, denial, and self-imposed isolation. Internal consistency for factors 1 and 2 was 0.88 and 0.82, for factors 3 to 8 was from 0.68 to 0.58. Test-retest reliability coefficients were 0.90 to 0.72. Concurrent validity correlations between CASI and STAI, and SDS ranged from 0.54 to 0.29. CONCLUSION(S): The CASI, a new and potentially useful scale to assess emotional responses to infertility, is still in development. Further refined CASI and standardized scores of each subscale could be efficient for clinical practice.
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