International Journal of Colorectal Disease

, Volume 25, Issue 3, pp 369–374

Assessment of body image in patients undergoing surgery for colorectal cancer

  • Robert N. Whistance
  • Rebecca Gilbert
  • Peter Fayers
  • Robert J. Longman
  • Anne Pullyblank
  • Michael Thomas
  • Jane M. Blazeby
Original Article

DOI: 10.1007/s00384-009-0851-7

Cite this article as:
Whistance, R.N., Gilbert, R., Fayers, P. et al. Int J Colorectal Dis (2010) 25: 369. doi:10.1007/s00384-009-0851-7

Abstract

Purpose

This study tested the scale properties and validity of the ten-item body image scale (BIS) in patients undergoing surgery for colorectal cancer (CRC).

Methods

Patients completed the BIS and a validated measure of health-related quality of life (European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30) after open or laparoscopic resection. A sample of the patients had also previously completed questionnaires before and after surgery. Multi-trait scaling and factor analysis were used to examine the questionnaire scaling, and tests of reliability, clinical and construct validity were performed.

Results

Eighty-two patients (48 male, 59 open, 23 laparoscopic) participated. Scaling analyses suggested a nine-item scale and one single item. This revised scale structure demonstrated good test-retest reliability (r = 0.94) and no overlap with the key domains of the EORTC QLQ-C30 (r < 0.40). Patients with a stoma reported significantly poorer BIS scores than those undergoing simple resection (p = 0.005).

Conclusions

This study provides psychometric and clinical evidence for a revised scale structure for the BIS in CRC, and the questionnaire is suitable to assess body image in CRC clinical trials.

Keywords

Body imageQuality of lifeColorectal neoplasmsQuestionnairesPsychometrics

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Robert N. Whistance
    • 1
    • 2
    • 7
  • Rebecca Gilbert
    • 1
  • Peter Fayers
    • 3
    • 4
  • Robert J. Longman
    • 5
  • Anne Pullyblank
    • 6
  • Michael Thomas
    • 5
  • Jane M. Blazeby
    • 1
    • 2
  1. 1.Department of Social MedicineUniversity of BristolBristolUK
  2. 2.Division of Surgery, Head and NeckUniversity Hospital Bristol NHS Foundation TrustBristolUK
  3. 3.Division of Applied Health SciencesUniversity of AberdeenAberdeenUK
  4. 4.Department of Cancer Research and Molecular MedicineNorwegian University of Technology and ScienceTrondheimNorway
  5. 5.Colorectal Unit, Division of Surgery Head and NeckUniversity Hospitals Bristol NHS Foundation TrustBristolUK
  6. 6.Department of General SurgeryNorth Bristol TrustBristolUK
  7. 7.SouthamptonUK