BackgroundAlthough asymptomatic, melasma inflicts significant impact on quality of
life. MELASQoL is the main instrument used to assess quality of life
associated with melasma, it has been validated in several languages, but its
latent dimensional structure and psychometric properties haven´t been fully
explored.ObjectivesTo evaluate psychometric characteristics, information and dimensional
structure of the Brazilian version of MELASQoL.MethodsSurvey with patients with facial melasma through socio-demographic
questionnaire, DLQI-BRA, MASI and MELASQoL-BP, exploratory and confirmatory
factor analysis, internal consistency of MELASQoL and latent dimensions
(Cronbach's alpha). The informativeness of the model and items were
investigated by the Rasch model (ordinal data).ResultsWe evaluated 154 patients, 134 (87%) were female, mean age (± SD) of
39 (± 8) years, the onset of melasma at 27 (± 8) years, median
(p25-p75) of MASI scores , DLQI and MELASQoL 8 (5-15) 2 (1-6) and 30
(17-44). The correlation (rho) of MELASQoL with DLQI and MASI were: 0.70 and
0.36. Exploratory factor analysis identified two latent dimensions: Q1-Q3
and Q4-Q10, which had significantly more adjusted factor structure than the
one-dimensional model: Χ2 / gl = 2.03, CFI = 0.95, AGFI = 0.94, RMSEA
= 0.08. Cronbach's coefficient for the one-dimensional model and the factors
were: 0.95, 0.92 and 0.93. Rasch analysis demonstrated that the use of seven
alternatives per item resulted in no increase in the model
informativeness.ConclusionsMELASQoL-BP showed good psychometric performance and a latent structure of
two dimensions. We also identified an oversizing of item alternatives to
characterize the aggregate information to each dimension.