International Journal of Colorectal Disease

, Volume 25, Issue 3, pp 369–374

Assessment of body image in patients undergoing surgery for colorectal cancer

Authors

    • Department of Social MedicineUniversity of Bristol
    • Division of Surgery, Head and NeckUniversity Hospital Bristol NHS Foundation Trust
  • Rebecca Gilbert
    • Department of Social MedicineUniversity of Bristol
  • Peter Fayers
    • Division of Applied Health SciencesUniversity of Aberdeen
    • Department of Cancer Research and Molecular MedicineNorwegian University of Technology and Science
  • Robert J. Longman
    • Colorectal Unit, Division of Surgery Head and NeckUniversity Hospitals Bristol NHS Foundation Trust
  • Anne Pullyblank
    • Department of General SurgeryNorth Bristol Trust
  • Michael Thomas
    • Colorectal Unit, Division of Surgery Head and NeckUniversity Hospitals Bristol NHS Foundation Trust
  • Jane M. Blazeby
    • Department of Social MedicineUniversity of Bristol
    • Division of Surgery, Head and NeckUniversity Hospital Bristol NHS Foundation Trust
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