Supportive Care in Cancer

, Volume 21, Issue 2, pp 591–598 | Cite as

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

  • Pascal Jean-Pierre
  • Christopher Fundakowski
  • Enrique Perez
  • Shadae E. Jean-Pierre
  • Ashley R. Jean-Pierre
  • Angelica B. Melillo
  • Rachel Libby
  • Zoukaa Sargi
Original Article



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.


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.


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).


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


Head and neck cancer Psychological distress Body apperception Psychometrics Measurement development Cancer control Symptom management Quality of life 


Conflict of interests



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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Pascal Jean-Pierre
    • 1
    • 6
  • Christopher Fundakowski
    • 2
  • Enrique Perez
    • 2
  • Shadae E. Jean-Pierre
    • 4
  • Ashley R. Jean-Pierre
    • 5
  • Angelica B. Melillo
    • 3
  • Rachel Libby
    • 3
  • Zoukaa Sargi
    • 2
    • 6
  1. 1.Department of Radiation Oncology, Sylvester Comprehensive Cancer CenterUniversity of Miami Miller School of MedicineMiamiUSA
  2. 2.Department of Otolaryngology–Head and Neck SurgeryUniversity of Miami Miller School of MedicineMiamiUSA
  3. 3.Department of PsychiatryUniversity of Miami Miller School of MedicineMiamiUSA
  4. 4.Saint Joseph’s CollegeRensselaerUSA
  5. 5.Gulliver Preparatory SchoolMiamiUSA
  6. 6.Sylvester Comprehensive Cancer CenterMiamiUSA

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