Keywords
Positive affect
Negative affect
Instrumental study Bienestar subjetivo
Afecto positivo
Afecto negativo
Estudio instrumental
How to Cite
Abstract
Background: Breast cancer (BC) has a substantial impact on women’s emotional well-being. This study examined the psychometric properties of the Negative and Positive Affect Scales (NAPAS) to provide validity evidence for their use in women with BC. Method: We evaluated validity evidence based on internal structure and on relationships with other variables (general health, life satisfaction, self-esteem and resilience), as well as item analysis, reliability of scale scores and measurement invariance across age groups (N = 202). Results: Confirmatory factor analysis supported a two-correlated factor structure, negative affect (NA) and positive affect (PA), χ²(53) = 137.807, CFI = .994, NNFI = .993, RMSEA = 0.089, SRMR = .067. This structure was invariant between age groups (≤ 50 vs. > 50 years). The homogeneity indices and the reliability of the scores were adequate. PA was positively associated with life satisfaction, self-esteem and resilience, and negatively associated with general health and its dimensions. NA showed the opposite pattern of associations. Conclusions: The findings support the use of the NAPAS as a measure of affective well-being in women with BC. Given its strong associations with mental health indicators, the scale may be useful in clinical settings for assessment and intervention planning.
References
Alarcón, R., Cerezo, M. V., Hevilla, S. & Blanca, M. J. (2020). Psychometric properties of the Connor-Davidson Resilience Scale in women with breast cancer. International Journal of Clinical and Health Psychology, 20(1), 81–89. https://doi.org/10.1016/j.ijchp.2019.11.001
American Educational Research Association, American Psychological Association & National Council on Measurement in Education. (2014). The standards for educational and psychological testing. AERA Publications.
Atienza, F., Moreno, Y. & Balaguer, I. (2000). Análisis de la dimensionalidad de la Escala de Autoestima de Rosenberg en una muestra de adolescentes valencianos [Analysis of the dimensionality of the Rosenberg Self-Esteem Scale in a sample of Valencian adolescents]. Revista de Psicología, Universitas Tarraconensis, 22, 29-42.
Badham, L., Oliveri, M. E., & Sireci, S. G. (2025). Navigating multi-language assessments: Best practices for test development, linking, and evaluation. Psicothema, 37(3), 1-11. https://doi.org/10.70478/psicothema.2025.37.19
Browne, M. W. & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological Methods & Research, 21(2), 230-258. https://doi.org/10.1177/0049124192021002005
Campbell-Sills, L. & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor–Davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20(6), 1019-1028. https://doi.org/10.1002/jts.20271
Cantril, H. (1965). Discovering people’s aspirations: The method used. In H. Cantril (ed.) The pattern of human concerns (pp. 21-29). Rutgers University Press.
Cardenal, V., Cerezo, M. V., Martínez, J., Ortiz-Tallo, M. & Blanca, M. J. (2012). Personality, emotions and coping styles: Predictive value for the evolution of cancer patients. The Spanish Journal of Psychology, 15(2), 756–767. https://doi.org/10.5209/rev_SJOP.2012.v15.n2.38887
Cerezo, M. V., Álvarez-Olmo, A. & Rueda, P. (2022). General health and resilience of breast cancer patients: The mediator role of affective well-being. International Journal of Environmental Research and Public Health, 19(9). Article 5398 https://doi.org/10.3390/ijerph19095398
Cerezo, M. V., Blanca, M. J. & Ferragut, M. (2020). Personality profiles and psychological adjustment in breast cancer patients. International Journal of Environmental Research and Public Health, 17(24), 9452. https://doi.org/10.3390/ijerph17249452
Cerezo, M. V., Ortiz-Tallo, M., Cardenal, V. & De La Torre-Luque, A. (2014). Positive psychology group intervention for breast cancer patients: A randomised trial. Psychological Reports, 115(1), 44–64. https://doi.org/10.2466/15.20.PR0.115c17z7
Cerezo, M. V., Soria-Reyes, L. M., Alarcón, R. & Blanca, M. J. (2022). The Satisfaction with Life Scale in breast cancer patients: Psychometric properties. International Journal of Clinical and Health Psychology, 22(1). Article 100274. https://doi.org/10.1016/j.ijchp.2021.100274
Cerezo, M. V., Soria-Reyes, L. M., Alarcón, R., & Blanca, M. J. (2024). The Flourishing Scale: Psychometric properties in breast cancer patients. Integrative cancer therapies, 23, 15347354241249935. https://doi.org/10.1177/15347354241249935
Chan, M. H. M., Gerhardt, M. & Feng, X. (2020). Measurement invariance across age groups and over 20 years’ time of the Negative and Positive Affect Scale (NAPAS). European Journal of Psychological Assessment, 36(4), 537–544. https://doi.org/10.1027/1015-5759/a000529
Chen, F. F. (2007). Sensitivity of Goodness of Fit Indexes to Lack of Measurement Invariance. Structural Equation Modeling, 14, 464-504. https://doi.org/10.1080/10705510701301834
Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 9(2), 233–255. https://doi.org/10.1207/S15328007SEM0902_5
Cieciuch, J. & Davidov, E. (2015). Establishing measurement invariance across online and offline samples. A tutorial with the software packages Amos and Mplus. Studia Psychologica, 15, 83–99. https://doi.org/10.21697/sp.2015.14.2.06
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
Davis, R. C., Arce, M. A., Tobin, K. E., et al. (2022). Testing measurement invariance of the Positive and Negative Affect Schedule (PANAS) in American and Arab university students. International Journal of Mental Health and Addiction, 20(2), 874–887. https://doi.org/10.1007/s11469-020-00411-z
De Vaus, D. (2002). Analyzing Social Science Data: 50 Key Problems in Data Analysis. Sage.
Diener, E., Emmons, R. A., Larsen, R. J. & Griffin, S. (1985). The Satisfaction With Life Scale. Journal of Personality Assessment, 49(1), 71–75. https://doi.org/10.1207/s15327752jpa4901_13
Diener, E., Suh, E. M., Lucas, R. E. & Smith, H. L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125(2), 276-302. http://doi.org/10.1037/0033-2909.125.2.276
Diener, E., Wirtz, D., Tov, W. et al. (2010). New well-being measures: Short scales to assess flourishing and positive and negative feelings. Social Indicators Research, 97(2), 143–156. https://doi.org/10.1007/s11205-009-9493-y
Ferrando, P. J., Morales-Vives, F., Casas, J. M., & Muñiz, J. (2025). Likert scales: A practical guide to design, construction and use. Psicothema, 37(4), 1-15. https://doi.org/10.70478/psicothema.2025.37.24
Forero, C. G., Maydeu-Olivares, A., & Gallardo-Pujol, D. (2009). Factor analysis with ordinal indicators: A Monte Carlo study comparing DWLS and ULS estimation. Structural Equation Modeling, 16(4), 625–641. https://doi.org/10.1080/10705510903203573
Gallagher, M. W., Long, L. J., Richardson, A. & D’Souza, J. M. (2019). Resilience and coping in cancer survivors: The unique effects of optimism and mastery. Cognitive Therapy and Research, 43(1), 32–44. https://doi.org/10.1007/s10608-018-9975-9
Gao, Q., Tang, W., Yang, Y. & Fu, E. (2023). Children’s emotional intelligence and aggressive behavior: The mediating roles of positive affect and negative affect. Heliyon, 9(10). Article e20366. https://doi.org/10.1016/j.heliyon.2023.e20366
Goldberg, D. P. & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9(1), 139-145. https://doi.org/10.1017/S0033291700021644
González-Herero, V. & Extremera, N. (2010). Daily life activities as mediators of the relationship between personality variables and subjective well-being among older people. Personality and Individual Differences, 49, 124-129. https://doi.org/10.1016/j.paid.2010.03.019
Haas, B. W., Hoeft, F. & Omura, K. (2021). The role of culture on the link between worldviews on nature and psychological health during the COVID-19 pandemic. Personality and Individual Differences, 170. Article 110336. https://doi.org/10.1016/j.paid.2020.110336
Hadžić, A. & Kantar, D. (2021). The relationships between attachment dimensions and affect in adulthood: The mediating effects of psychological flexibility. Primenjena Psihologija, 14(2), 173–188. https://doi.org/10.19090/PP.2021.2.173-188
Howitt, D., & Cramer, D. (2020). Research methods in psychology (6th ed.). Pearson.
Hu, L. T. & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55. https://doi.org/10.1080/10705519909540118
Hu, J. & Gruber, K. J. (2008). Positive and negative affect and health functioning indicators among older adults with chronic illnesses. Issues in Mental Health Nursing, 29(8), 895–911. https://doi.org/10.1080/01612840802182938
International Agency for Research on Cancer. (2023). Number of new cases in 2020, both sexes, all ages. https://gco.iarc.fr/today/data/factsheets/cancers/39-All-cancers-fact-sheet.pdf
Joshanloo, M. (2016). Factor structure of subjective well-being in Iran. Journal of Personality Assessment, 98(4), 435–443. https://doi.org/10.1080/00223891.2015.1117473
Joshanloo, M. (2017). Factor structure and criterion validity of original and short versions of the Negative and Positive Affect Scale (NAPAS). Personality and Individual Differences, 105, 233–237. https://doi.org/10.1016/j.paid.2016.09.060
Joshanloo, M. (2019). Lay conceptions of happiness: Associations with reported well-being, personality traits, and materialism. Frontiers in Psychology, 10, Article: 2377 https://doi.org/10.3389/fpsyg.2019.02377
Joshanloo, M. & Bakhshi, A. (2016). The factor structure and measurement invariance of positive and negative affect a study in Iran and the USA. European Journal of Psychological Assessment, 32(4), 265–272. https://doi.org/10.1027/1015-5759/a000252
Jovanović, V. & Joshanloo, M. (2022). The contribution of positive and negative affect to life satisfaction across age. Applied Research in Quality of Life, 17(2), 511–524. https://doi.org/10.1007/s11482-020-09903-5
Kercher, K. (1992). Assessing subjective well-being in the old-old: The PANAS as a measure of orthogonal dimensions of positive and negative affect. Research on Aging, 14(2), 131-168. https://doi.org/10.1177/0164027592142001
Kjell, O. N. E., Daukantaitė, D., Hefferon, K. & Sikström, S. (2016). The Harmony in Life Scale complements the Satisfaction with Life Scale: Expanding the conceptualization of the cognitive component of subjective well-being. Social Indicators Research, 126(2), 893–919. https://doi.org/10.1007/s11205-015-0903-z
Kretzschmar, A., & Gignac, G. E. (2019). At what sample size do latent variable correlations stabilize? Journal of Research in Personality, 80, 17–22. https://doi.org/10.1016/j.jrp.2019.03.007
Li, C. (2016). The performance of ML, DWLS, and ULS estimation with robust corrections in structural equation models with ordinal variables. Psychological Methods, 21(3), 369–387. https://doi.org/10.1037/met0000093
Lobo, A., Pérez-Echeverría, M. J. & Artal, J. (1986). Validity of the scaled version of the General Health Questionnaire (GHQ-28) in a Spanish population. Psychological Medicine, 16(1), 135-140. https://doi.org/10.1017/S0033291700002579
López-Gómez, I., Hervás, G. & Vázquez, C. (2015). Adaptación de las “Escalas de Afecto Positivo y Negativo” (PANAS) en una muestra general Española [Adaptation of the Positive and Negative Affect Schedule (PANAS) in a general Spanish population]. Behavioral Psychology / Psicología Conductual, 23(3), 529–548.
Margolis, S., Schwitzgebel, E., Ozer, D. J. & Lyubomirsky, S. (2019). A new measure of life satisfaction: the Riverside Life Satisfaction Scale. Journal of Personality Assessment, 101, 621-630. https://doi.org/10.1080/00223891.2018.1464457
McNeish, D. (2023). Dynamic fit index cutoffs for factor analysis with Likert, ordinal, or binary responses. American Psychologist, 78(9), 1061–1075. https://doi.org/10.1037/amp0001213
McNeish, D., & Manapat, P. D. (2023). Dynamic fit index cutoffs for hierarchical and second-order factor models. Structural Equation Modeling: A Multidisciplinary Journal, 31(1), 27–47. https://doi.org/10.1080/10705511.2023.2225132
Medvedev, O. N., Roemer, A., Krägeloh, C. U., Sandham, M. H. & Siegert, R. J. (2023). Enhancing the precision of the Positive and Negative Affect Schedule (PANAS) using Rasch analysis. Current Psychology, 42(2), 1554–1563. https://doi.org/10.1007/s12144-021-01556-3
Mroczek, D. K. & Kolarz, C. M. (1998). The effect of age on positive and negative affect: A developmental perspective on happiness. Journal of Personality and Social Psychology, 75(5), 1333–1349. https://doi.org/10.1037/0022-3514.75.5.1333
Notario-Pacheco, B., Solera-Martínez, M., Serrano-Parra, M. D., Bartolomé-Gutiérrez, R., García-Campayo, J. & Martínez-Vizcaíno, V. (2011). Reliability and validity of the Spanish version of the 10-item Connor-Davidson Resilience Scale (10-item CD-RISC) in young adults. Health and Quality of Life Outcomes, 9, 1-6. https://doi.org/10.1186/1477-7525-9-63
Pavot, W. & Diener, E. (2008). The Satisfaction With Life Scale and the emerging construct of life satisfaction. The Journal of Positive Psychology, 3(2), 137–152. https://doi.org/10.1080/17439760701756946
Rosenberg, M. (1965). Society and the adolescent self-image. University Press
Rosenblom, M. F., Reme, S. E., & Jacobsen, H. B. (2025). The role of negative affect and experiential avoidance in postsurgical pain and fatigue among Norwegian women with breast cancer. European Journal of Pain, 29(2), e4788. https://doi.org/10.1002/ejp.4788
Rosseel, Y. (2012). Lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48(2), 1–36. https://doi.org/10.18637/jss.v048.i02
Sirgy, M. J., Lee, D. J., Park, S., Joshanloo, M. & Kim, M. (2020). Work–family spillover and subjective well-being: The moderating role of coping strategies. Journal of Happiness Studies, 21(8), 2909–2929. https://doi.org/10.1007/s10902-019-00205-8
Thompson, E. R. (2007). Development and validation of an internationally reliable short-form of the Positive and Negative Affect Schedule (PANAS). Journal of Cross-Cultural Psychology, 38(2), 227–242. https://doi.org/10.1177/0022022106297301
van Agteren, J., Iasiello, M., Lo, L., et al. (2021). A systematic review and meta-analysis of psychological interventions to improve mental wellbeing. Nature Human Behaviour, 5(5), 631–652. https://doi.org/10.1038/s41562-021-01093-w
Vázquez, C., Duque, A. & Hervás, G. (2013). Satisfaction with Life Scale in a representative sample of Spanish adults: Validation and normative data. The Spanish Journal of Psychology, 16, Article E82. https://doi.org/10.1017/sjp.2013.82
Watson, D. & Tellegen, A. (1985). Toward a consensual structure of mood. Psychological Bulletin, 98(2), 219–235. https://doi.org/10.1037/0033-2909.98.2.219
Watson, D., Clark, L. A. & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. https://doi.org/10.1037/0022-3514.54.6.1063
Zhang, B., Sun, T., Cao, M., & Drasgow, F. (2021). Using bifactor models to examine the predictive validity of hierarchical constructs: Pros, cons, and solutions. Organizational Research Methods, 24(3), 530-571. https://doi.org/10.1177/1094428120915522
Zhao, J., Yang, D. S., Liu, Y. Q., Wu, Y. K., Chen, C., Li, J. T., & Wu, R. G. (2024). Characteristics of positive and negative effects on the quality of life of breast cancer patients. BMC psychiatry, 24(1), 926. https://doi.org/10.1186/s12888-024-06311-z