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Latent structure and reliability analysis of the measure of body apperception: cross-validation for head and neck cancer Patients

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Abstract

Purpose

Cancer and its treatments are associated with psychological distress that can negatively impact self-perception, psychosocial functioning, and quality of life. Patients with head and neck cancers (HNC) are particularly susceptible to psychological distress. This study involved a cross-validation of the Measure of Body Apperception (MBA) for HNC patients.

Methods

One hundred and twenty-two English-fluent HNC patients between 20 and 88 years of age completed the MBA on a Likert scale ranging from “1 = disagree” to “4 = agree.” We assessed the latent structure and internal consistency reliability of the MBA using Principal Components Analysis (PCA) and Cronbach's coefficient alpha (α), respectively. We determined convergent and divergent validities of the MBA using correlations with the Hospital Anxiety and Depression Scale (HADS), observer disfigurement rating, and patients' clinical and demographic variables.

Results

The PCA revealed a coherent set of items that explained 38 % of the variance. The Kaiser–Meyer–Olkin measure of sampling adequacy was 0.73 and the Bartlett's test of sphericity was statistically significant (χ 2 (28) = 253.64; p < 0.001), confirming the suitability of the data for dimension reduction analysis. The MBA had good internal consistency reliability (α = 0.77) and demonstrated adequate convergent and divergent validities based on statistically significant moderate correlations with the HADS (p < 0.01) and observer rating of disfigurement (p < 0.026) and nonstatistically significant correlations with patients' clinical and demographic variables: tumor location, age at diagnosis, and birth place (all p s  > 0.05).

Conclusions

The MBA is a valid and reliable screening measure of body apperception for HNC patients.

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Authors and Affiliations

  1. Department of Radiation Oncology, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, 1475 NW 12th Avenue, Suite 1500 (D-31), Miami, 33136-1002, FL, USA

    Pascal Jean-Pierre

  2. Department of Otolaryngology–Head and Neck Surgery, University of Miami Miller School of Medicine, Miami, FL, USA

    Christopher Fundakowski, Enrique Perez & Zoukaa Sargi

  3. Department of Psychiatry, University of Miami Miller School of Medicine, Miami, FL, USA

    Angelica B. Melillo & Rachel Libby

  4. Saint Joseph’s College, Rensselaer, IN, USA

    Shadae E. Jean-Pierre

  5. Gulliver Preparatory School, Miami, FL, USA

    Ashley R. Jean-Pierre

  6. Sylvester Comprehensive Cancer Center, Miami, FL, USA

    Pascal Jean-Pierre & Zoukaa Sargi

Authors
  1. Pascal Jean-Pierre
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  2. Christopher Fundakowski
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  3. Enrique Perez
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  4. Shadae E. Jean-Pierre
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  5. Ashley R. Jean-Pierre
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  6. Angelica B. Melillo
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  7. Rachel Libby
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  8. Zoukaa Sargi
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Correspondence to Pascal Jean-Pierre.

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Jean-Pierre, P., Fundakowski, C., Perez, E. et al. Latent structure and reliability analysis of the measure of body apperception: cross-validation for head and neck cancer Patients. Support Care Cancer 21, 591–598 (2013). https://doi.org/10.1007/s00520-012-1561-1

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  • DOI: https://doi.org/10.1007/s00520-012-1561-1

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