Objective To develop a psychosocial adaptation scale for female patients with urinary incontinence, and to test its reliability and validity. Methods Based on Roy Adaptation Model, an item pool was developed through conceptual analysis and qualitative research, and the initial scale was generated after Delphi expert consultation and pilot survey, which was then used to investigate 536 female patients with urinary incontinence to analyze its reliability and validity. Results The final scale contained 17 items factored into 3 dimensions, namely self-concept, role function and social support. I-CVI of the scale ranged from 0.863 to 1.000, and S-CVIs/Ave was 0.995. The cumulative variance contribution rate of three common factors was 65.200%. Confirmatory factor analysis results were:χ2/df=3.183 (P<0.001), RMSEA=0.090, GFI=0.850, NFI=0.900, IFI=0.928, CFI=0.928, indicated that the model basically fitted. The Cronbach′s α coefficient of the scale was 0.893, and the Cronbach′s α coefficient of each dimension was 0.910, 0.885, 0.835, respectively.The split-half reliability of the scale was 0.868, and its test-retest reliability was 0.803. Conclusion The Psychosocial Adaptation Scale for Female Patients with Urinary Incontinence has good reliability and validity, which can be used as an effective tool to evaluate psychosocial adaptation level of this population.