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The Spanish version of the Body Image Scale (S-BIS): psychometric properties in a sample of breast and gynaecological cancer patients

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Abstract

Purpose

The aim of this study is to develop a Spanish version of the Body Image Scale (Hopwood et al. Eur J Cancer 37(2):189–197, 2001) and to analyze its psychometric properties in a sample of women with breast or gynaecological cancer.

Methods

The Spanish version of the Body Image Scale was developed using a forward and backward translation technique . A total sample of 100 women who had undergone radical surgery for breast (n = 50) or gynaecological cancer (n = 50) completed the scale.

Results

Factor analysis resulted in a single-factor solution, both in the total sample and in the two subgroups, accounting for >76 % variance. Internal consistency (Cronbach’s alpha) was 0.960. The Spanish version of the Body Image Scale correlated negatively with self-esteem (r = −0.733), quality of life (r = −0.632) and age (r = −0.643) and positively with depression (r = 0.832) and anxiety (r = 0.564); all p values <0.01.

Conclusions

To our knowledge, this is the first study that provides a Spanish version of the Body Image Scale. Our results show a stable factorial structure between samples with a single-factor solution and good psychometric properties, suggesting that it is a suitable tool for measuring body image concerns among Spanish-speaking cancer patients. Its brevity and comprehensibility allow a quick assessment both in clinical and research settings.

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References

  1. Rumsey N, Harcourt D (2004) Body image and disfigurement: issues and interventions. Body Image 1(1):83–97

    Article  PubMed  Google Scholar 

  2. Dizon DS (2009) Quality of life after breast cancer: survivorship and sexuality. Breast J 15(5):500–504

    Article  PubMed  Google Scholar 

  3. Hopwood P, Fletcher I, Lee A, Al Ghazal S (2001) A body image scale for use with cancer patients. Eur J Cancer 37(2):189–197

    Article  CAS  PubMed  Google Scholar 

  4. Gómez-Campelo P, Bragado-Álvarez C, Hernández-Lloreda MJ (2014) Psychological distress in women with breast and gynecological cancertreated with radical surgery. Psycho-Oncology 23(4):459–466

    Article  Google Scholar 

  5. Helms RL, O’Hea EL, Corso M (2008) Body image issues in women with breast cancer. Psychol Health Med 13(3):313–325

    Article  PubMed  Google Scholar 

  6. Hopwood P (1993) The assessment of body image in cancer patients. Eur J Cancer 13(2):276–281

    Article  Google Scholar 

  7. Sebastián J, Manos D, Bueno MJ, Mateos N (2007) Imagen corporal y autoestima en mujeres con cáncer de mama participantes en un programa de intervención psicosocial. Clín Salud 18(2):137–161

    Google Scholar 

  8. Annunziata MA, Giovannini L, Muzzatti B (2012) Assessing the body image: relevance, application and instruments for oncological settings. Support Care Cancer 20(5):901–907

    Article  PubMed  Google Scholar 

  9. Baxter NN, Goodwin PJ, Mcleod RS, Dion R, Devins G, Bombardier C (2006) Reliability and validity of the body image after Breast Cancer Questionnaire. Breast J 12(3):221–232

    Article  PubMed  Google Scholar 

  10. Hormes JM, Lytle LA, Gross CR, Ahmed RL, Troxel AB, Schmitz KH (2008) The body image and relationships scale: development and validation of a measure of body image in female breast cancer survivors. J Clin Oncol 26(8):1269–1274

    Article  PubMed  Google Scholar 

  11. Dalton EJ, Rasmussen VN, Classen CC, Grumann M, Palesh OG, Zarcone J et al (2009) Sexual adjustment and body image scale (SABIS): a new measure for breast cancer patients. Breast J 15(3):287–290

    Article  PubMed  Google Scholar 

  12. Lasry JM, Margolese RG, Poisson R, Shibata H, Fleischer D, Lafleur D et al (1987) Depression and body image following mastectomy and lumpectomy. J Chronic Dis 40(6):529–534

    Article  CAS  PubMed  Google Scholar 

  13. Dunker MS, Bemelman WA, Slors JF, van Duijvendijk P, Gouma DJ (2001) Functional outcome, quality of life, body image, and cosmesis in patients after laparoscopic-assisted and conventional restorative proctocolectomy: a comparative study. Dis Colon Rectum 44(12):1800–1807

    Article  CAS  PubMed  Google Scholar 

  14. Aguilar Cordero MJ, Neri Sánchez M, Mur Villar N, Gómez Valverde E (2013) Influence of the social context on the body image perception of women undergoing breast cancer surgery. Nutr Hosp 28(5):1453–1457

    CAS  PubMed  Google Scholar 

  15. Hopwood P, Haviland J, Mills J, Sumo G, Bliss JM, START Trial Management Group (2007) The impact of age and clinical factors on quality of life in early breast cancer: an analysis of 2208 women recruited to the UK START Trial (Standardisation of Breast Radiotherapy Trial). Breast 16(3):241–251

    Article  PubMed  Google Scholar 

  16. Fingeret MC, Vidrine DJ, Reece GP, Gillenwater AM, Gritz ER (2010) Multidimensional analysis of body image concerns among newly diagnosed patients with oral cavity cancer. Head Neck 32(3):301–309

    PubMed Central  PubMed  Google Scholar 

  17. Fadaei S, Janighorban M, Mehrabi T, Ahmadi SA, Mokaryan F, Gukizade A (2011) Effects of cognitive behavioral counseling on body Image following mastectomy. J Res Med Sci 16(8):1047–1054

    PubMed Central  PubMed  Google Scholar 

  18. McDermott E, Moloney J, Rafter N, Keegan D, Byrne K, Doherty GA et al (2014) The body image scale: a simple and valid tool for assessing body image dissatisfaction in inflammatory bowel disease. Inflamm Bowel Dis 20(2):286–290

    Article  PubMed  Google Scholar 

  19. Moreira H, Silva S, Marques A, Canavarro C (2010) The Portuguese version of the Body Image Scale (BIS)—psychometric properties in a sample of breast cancer patients. Eur J Oncol Nurs 14(2):111–118

    Article  PubMed  Google Scholar 

  20. Khang D, Rim HD, Woo J (2013) The Korean version of the body image scale-reliability and validity in a sample of breast cancer patients. Psychiatry Investig 10(1):26–33

    Article  PubMed Central  PubMed  Google Scholar 

  21. Narváez A, Rubiños C, Cortés-Funes F, Gómez R, García A (2008) Valoración de la eficacia de una terapia grupal cognitivo conductual en la imagen corporal, autoestima, sexualidad y malestar emocional (ansiedad y depresión) en pacientes de cáncer de mama. Psicooncología 5(1):93–102

    Google Scholar 

  22. Cull A, Sprangers M, Bjordal K, Aaronson N (2002) EORTC Quality of Life Study Group translation procedure. EORTC Quality of Life Study Group. EORTC, Brussels

    Google Scholar 

  23. Rosenberg M (1965) Society and the adolescent self-image. Princeton University, Princeton

    Google Scholar 

  24. Echeburúa E (1995) Evaluación y tratamiento de la fobia social. Martínez Roca, Barcelona

    Google Scholar 

  25. Beck AT, Steer RA, Garbin MG (1988) Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clin Psychol Rev 8(1):77–100

    Article  Google Scholar 

  26. Beck AT, Steer RA (1993) Beck Depression Inventory manual. The Psychological Corporation, San Antonio

    Google Scholar 

  27. Vázquez C, Sanz J (1997) Fiabilidad y valores normativos de la versión española del inventario para la depresión de Beck de 1978. Clín Salud 8(3):403–422

    Google Scholar 

  28. Beck AT, Epstein N, Brown G, Steer RA (1988) An inventory for measuring anxiety: psychometric properties. J Consult Clin Psychol 56(6):893–897

    Article  CAS  PubMed  Google Scholar 

  29. Sanz J, Navarro ME (2003) Propiedades psicométricas de una versión española del Inventario de Ansiedad de Beck (BAI) en estudiantes universitarios. Ansiedad Estrés 9(1):59–84

    Google Scholar 

  30. Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ et al (1993) The European Organization for Research and Treatment of Cancer QLQ-C30: a quality of life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 85(5):365–376

    Article  CAS  PubMed  Google Scholar 

  31. Fayers PM, Aaronson NK, Bjordal K, Groenvold M, Curran D, Bottomley A et al (2001) The EORTC QLQ-C30 scoring manual, 3rd edn. European Organisation for Research and Treatment of Cancer, Brussels

    Google Scholar 

  32. MacCallum RC, Widman KF, Zhang S, Hong S (1999) Sample size in factor analysis. Psychol Methods 4:84–99

    Article  Google Scholar 

  33. Lorenzo-Seva U, Ferrando PJ (2006) FACTOR: a computer program to fit the exploratory factor analysis model. Behav Res Methods 38(1):88–91

    Article  PubMed  Google Scholar 

  34. Cash T, Melnyk S, Hrabosky J (2004) The assessment of body image investment: an extensive revision of the Appearance Schemas Inventory. Int J Eat Disord 35(3):305–316

    Article  PubMed  Google Scholar 

  35. Ahn SH, Park BW, Noh DY, Nam SJ, Lee ES, Lee MK et al (2007) Health-related quality of life in disease-free survivors of breast cancer with the general population. Ann Oncol 18(1):173–182

    Article  CAS  PubMed  Google Scholar 

  36. Fobair P, Stewart SL, Chang S, D’Onofrio C, Banks PJ, Bloom JR (2006) Body image and sexual problems in young women with breast cancer. Psychooncology 15(7):579–594

    Article  PubMed  Google Scholar 

  37. Rumsey N, Clarke A, Musa M (2002) Altered body image: the psychosocial needs of patients. Br J Community Nurs 7(11):563–566

    Article  PubMed  Google Scholar 

  38. Miller SJ, Schnur JB, Weinberger-Litman SL, Montgomery GH (2013) The relationship between body image, age, and distress in women facing breast cancer surgery. Palliat Support Care 14:1–5

    Google Scholar 

  39. Romanek K, McCaul K, Sandgren A (2005) Age differences in treatment decision making for breast cancer in a sample of healthy women: the effects of body image and risk framing. Oncol Nurs Forum 32(4):799–806

    Article  PubMed  Google Scholar 

  40. Hartl K, Janni W, Kastner R, Sommer H, Strobl B, Rack B et al (2003) Impact of medical and demographic factors on long-term quality of life and body image of breast cancer patients. Ann Oncol 14(7):1064–1071

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported by a public grant from “Agencia Lain Entralgo” (Ministry of Health; Madrid, Spain). The authors thank Maria Die-Trill (University General Hospital ‘Gregorio Marañón’, Madrid, Spain) for her assistance during the data collection process. The authors also thank Dr. Penelope Hopwood for her permission to use the Body Image Scale.

Conflict of interest

No conflicts of interest exist for any of the authors of this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paloma Gómez-Campelo.

Appendices

Appendices

Appendix 1 Escala de Imagen Corporal-BIS

Versión original: P. Hopwood, I. Fletcher, A. Lee and S. Al Ghazal (2001)

Versión española (S-BIS): P. Gómez-Campelo y C. Bragado-Álvarez (2007)

En este cuestionario se le preguntará sobre cómo se siente acerca de su aspecto físico y de los cambios que puedan haberle ocurrido como consecuencia de la enfermedad o del tratamiento recibido.

Por favor, lea cuidadosamente cada ítem y marque la respuesta que mejor se ajuste a cómo se ha sentido durante la pasada semana.

 

En absoluto

Un poco

Bastante

Mucho

1. ¿Se ha sentido avergonzada(o) o cohibida(o) por su aspecto físico?

0

1

2

3

2. ¿Se ha sentido físicamente menos atractiva(o) a consecuencia de la enfermedad o de su tratamiento?

0

1

2

3

3. ¿Se ha sentido descontenta(o) con su aspecto cuando está vestida(o)?

0

1

2

3

4. ¿Se ha sentido menos femenina/masculino como consecuencia de su enfermedad o tratamiento?

0

1

2

3

5. ¿Le resulta difícil mirarse cuando está desnuda(o)?

0

1

2

3

6. ¿Se ha sentido menos atractiva(o) sexualmente a consecuencia de su enfermedad o tratamiento?

0

1

2

3

7. ¿Ha evitado a alguien debido al modo en que se sentía en relación a su aspecto?

0

1

2

3

8. ¿Ha sentido que el tratamiento ha dejado su cuerpo “menos completo”?

0

1

2

3

9. ¿Se ha sentido insatisfecha(o) con su cuerpo?

0

1

2

3

10. ¿Se ha sentido insatisfecha(o) con el aspecto de su cicatriz?

0

1

2

3

Appendix 2

Table 4 Comparative data from the original and translated Body Image Scale

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Gómez-Campelo, P., Bragado-Álvarez, C., Hernández-Lloreda, M.J. et al. The Spanish version of the Body Image Scale (S-BIS): psychometric properties in a sample of breast and gynaecological cancer patients. Support Care Cancer 23, 473–481 (2015). https://doi.org/10.1007/s00520-014-2383-0

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  • DOI: https://doi.org/10.1007/s00520-014-2383-0

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