Skip to main content

Advertisement

SpringerLink
Log in

Validation of the Menopause Rating Scale in Serbian language

  • Gynecologic Endocrinology and Reproductive Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

The study aim was to translate the Menopause Rating Scale (MRS) to Serbian language and assess its validity and reliability in the population of Serbian menopausal women.

Methods

The study included 200 peri- and postmenopausal women from two Community Health Centers (city center and outskirts) in the Serbian capital—Belgrade. Women filled out general questionnaire (socio-demographics, habits, medical history), the MRS, Short Form-36 questionnaire (SF-36) and Beck’s Depression Inventory (BDI). The MRS was translated according to recommended methodology and its psychometric properties (internal consistency, factor analysis, discriminant, construct and criterion validity) were assessed.

Results

The Cronbach’s alpha coefficient for the whole scale was 0.884 (psychological α = 0.902, somato-vegetative α = 0.761, urogenital α = 0.734). Values of the CI-TC coefficient for Serbian MRS were adequate for 10 items, proving their suitability in the scale. On factor analysis, we obtained the same 3 factors as in the original scale (73.1 % of variance). Communalities of all items were appropriate (>0.4). There was no common method bias. The MRS total score was correlated positively with BDI score (p = 0.001) and negatively with all SF-36 domains (p = 0.001) except General Health. Based on ROC analysis, MRS scores were more consistent for post- than perimenopausal Serbian women. Similar results of two raters (p > 0.05) implied on adequate translation and reliability of MRS.

Conclusion

Serbian version of MRS demonstrated excellent reliability and validity. The MRS in Serbian language can be used in daily clinical work with menopausal women for assessing their symptoms and quality of life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Heinemann K, Assmann A, Möhner S, Schneider HPG, Heinemann LAJ (2002) Reliabilität der Menopause-Rating-Skala (MRS). Untersuchung für die Deutsche Bevölkerung. Zentralbl Gynakol 124:161–163

    Article  CAS  PubMed  Google Scholar 

  2. Heinemann K, Ruebig A, Potthoff P, Schneider HPG, Strelow F, Heinemann LAJ, Do Minh T (2004) The Menopause Rating Scale (MRS) scale: a methodological review. Health Qual Life Outcomes 2:45

    Article  PubMed Central  PubMed  Google Scholar 

  3. Heinemann LAJ, Potthoff P, Schneider HPG (2003) International versions of the Menopause Rating Scale (MRS). Health Qual Life Outcomes 1:28

    Article  PubMed Central  PubMed  Google Scholar 

  4. Schneider HPG, Heinemann LAJ, Rosemeier HP, Potthoff P, Behre HM (2000) The Menopause Rating Scale (MRS): reliability of scores of menopausal complaints. Climacteric 3:59–64

    Article  CAS  PubMed  Google Scholar 

  5. Heinemann LAJ, Thai DM, Strehlow F, Gerbsch S, Schnitker J, Schneider HPG (2004) Validity of the Menopause Rating Scale as outcome measure. A clinical outcome study. Health Qual Life Outcomes 2:67

    Article  PubMed Central  PubMed  Google Scholar 

  6. Terzic M, Micic J, Dotlic J, Maricic S, Mihailovic T, Knezevic N (2012) Impact of phytoestrogens on serum lipids in postmenopausal women. Geburtsh Frauenheilk 72:527–531

    Article  PubMed Central  PubMed  Google Scholar 

  7. Statistical Office of the Republic of Serbia (2014). Available at http://webrzs.stat.gov.rs/WebSite/. Accessed on 10 Jun 2014

  8. Jankovic J, Simic S, Marinkovic J (2010) Inequalities that hurt: demographic, socio-economic and health status inequalities in the utilization of health services in Serbia. Eur J Public Health 20:389–396

    Article  PubMed  Google Scholar 

  9. WHO Regional Office for Europe (2010) Evaluation of the organization and provision of primary care in Serbia. Primary care in the WHO European Region. Available at http://www.euro.who.int/__data/assets/pdf_file/0005/128849/e94554.pdf

  10. Chedraui P, Aguirre W, Hidalgo L, Fayad L (2007) Assessing menopausal symptoms among healthy middle aged women with the Menopause Rating Scale. Maturitas 57:271–278

    Article  PubMed  Google Scholar 

  11. Ware JE, Snow KK, Kosinski M, Gandek B (1993) The SF-36 health survey manual and interpretation guide. Nimrod Press, Boston

    Google Scholar 

  12. Beck AT, Beck RW (1972) Screening depressed patients in family practice: a rapid technique. Postgrad Med 52:81–85

    CAS  PubMed  Google Scholar 

  13. PROQOLID patient-reported outcome and quality of life instruments database SF-36 Health Survey Serbian version. Available at http://www.proqolid.org/. Accessed on 10 Jan 2014

  14. Novovic Z, Mihic LJ, Tovilovic S, Jovanovic V, Biro M (2011) Psychometric characteristics of the Beck Depression Inventory on a Serbian student sample. Psihologija 44:225–243

    Article  Google Scholar 

  15. Miranda JS, Ferreira Mde L, Corrente JE (2014) Quality of life of postmenopausal women attended at Primary Health Care. Rev Bras Enferm 67:803–809

    Article  PubMed  Google Scholar 

  16. Jung SJ, Shin A, Kang D (2015) Hormone-related factors and post-menopausal onset depression: results from KNHANES (2010–2012). J Affect Disord 175C:176–183

    Article  Google Scholar 

  17. Guillemin F (1995) Cross-cultural adaptation and validation of health status measures. Scand J Rheumatol 24:61–63

    Article  CAS  PubMed  Google Scholar 

  18. Schneider HPG, Heinemann LAJ, Thiele K (2002) The Menopause Rating Scale (MRS): cultural and linguistic translation into English. Life Med Sci Online. doi:10.1072/LO0305326

    Google Scholar 

  19. Kovacic JZ (1994) Multivarijaciona analiza. Ekonomski fakultet Univerziteta u Beogradu, Beograd

    Google Scholar 

  20. Bland JM, Altman DG (1997) Cronbach’s alpha. Br Med J 317:572

    Article  Google Scholar 

  21. Child D (2006) The essentials of factor analysis. Continuum Internatioanl publishing group, London

    Google Scholar 

  22. Moravcova M, Mares J, Jezek S (2014) Menopause Rating Scale—validation Czech version specific instrument for assessing health-related quality of life in postmenopausal women. Osetr porod asist 5:36–45

    Google Scholar 

  23. Metintas S, Arykan I, Kalyoncu C, Ozalp S (2010) Menopause Rating Scale as a screening tool in rural Turkey. Rural Remote Health 10:1230

    PubMed  Google Scholar 

  24. Wang XY, Yang HY, Nie GN, Wen ZH, Wu DR, Zhang CL, Wang L, Jiang HZ, Han LL (2008) Study on the reliability and validity of the Chinese Menopause Rating Scale (CMRS). Zhonghua Liu Xing Bing Xue Za Zhi 29:882–886

    PubMed  Google Scholar 

  25. Chou MF, Wun YT, Pang SM (2014) Menopausal symptoms and the Menopausal Rating Scale among midlife chinese women in Macau, China. Women Health 54:115–126

    Article  PubMed  Google Scholar 

  26. Schneider HPG, Heinemann LAJ, Rosemeier HP, Potthoff P, Behre HM (2000) The Menopause Rating Scale (MRS): comparison with Kupperman Index and Quality of Life Scale SF-36. Climacteric 3:50–58

    Article  CAS  PubMed  Google Scholar 

  27. Waidyasekera H, Wijewardena K, Lindmark G, Naessen T (2009) Menopausal symptoms and quality of life during the menopausal transition in Sri Lankan women. Menopause 16:164–170

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors would like to express their gratitude to the two Community Health Centers in Belgrade (“Palilula” and “Zemun”) for allowing us to conduct this study using their patients and facilities. We would also like to thank all participants for taking interest in our study.

Conflict of interest

Authors declare no conflict of interest.

Author information

Authors and Affiliations

  1. Institute for Epidemiology, Faculty of Medicine, University of Belgrade, Visegradska 26A, 11000, Belgrade, Serbia

    Tatjana Gazibara

  2. Clinic for Obstetrics and Gynecology, Clinical Center of Serbia, Visegradska 26, Belgrade, Serbia

    Jelena Dotlic & Milan Terzic

  3. Faculty of Medicine, University of Belgrade, Dr Subotica 8, Belgrade, Serbia

    Jelena Dotlic, Nikolina Kovacevic, Ilma Kurtagic, Selmina Nurkovic, Biljana Rancic, Sanja Radovanovic & Milan Terzic

Authors
  1. Tatjana Gazibara
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jelena Dotlic
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Nikolina Kovacevic
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ilma Kurtagic
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Selmina Nurkovic
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Biljana Rancic
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Sanja Radovanovic
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Milan Terzic
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Tatjana Gazibara.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gazibara, T., Dotlic, J., Kovacevic, N. et al. Validation of the Menopause Rating Scale in Serbian language. Arch Gynecol Obstet 292, 1379–1386 (2015). https://doi.org/10.1007/s00404-015-3743-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-015-3743-9

Keywords

Search

Navigation