Abstract
The purpose of the current study was to investigate how post-surgery multifaceted body image predicts negative affect (NA) 6 months post-surgery among women undergoing mastectomy. In total, 310 Chinese women undergoing mastectomy were recruited from a hospital in the Hunan province between 2012 and 2013. Upon enrollment (T1), all women were administered the Chinese version of Body Image after Breast Cancer Questionnaire (BIBCQ) (BIBCQ-C), NA subscale of Positive and Negative Affect Schedule (PANAS), Multidimensional Scale of Perceived Social Support (MSPSS), Hamilton Anxiety Scale (HAMA), and Hamilton Depression Scale (HAMD). Two weeks later, BIBCQ-C was re-administered. Six months later (T2), the NA subscale was administered again. We first evaluated the psychometric properties of BIBCQ-C, and then investigated the long-term impact of different aspects of body image on NA using forced entry hierarchical regression analyses. The BIBCQ-C scores demonstrated acceptable internal consistency (all Cronbach’s α > 0.70) and test–retest reliability (all ICC > 0.86). Confirmatory factor analysis supported the six-factor model (CFI = 0.93, TLI = 0.94, RMSEA = 0.04). Regression analysis showed that two dimensions of body image, vulnerability (β = 0.217) and body concern (β = 0.119) at T1, significantly predict NA at T2 (all p < 0.05). BIBCQ-C was a good instrument for measuring multifaceted body image. Improvement of vulnerability and body concern, two aspects of body image, may reduce post-surgery NA among Chinese women undergoing mastectomy.
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Acknowledgements
The authors are very grateful to the Ministry of Science and Technology of the People’s Republic of China who supported this research, and participants who enrolled in this study.
Funding
This study was funded by the National Key Technologies R&D program in the 11th 5-year plan from the Ministry of Science and Technology of the People’s Republic of China (grant number 2009BAI77B06).
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SL, LL, and XZ conceived and designed the study. SL, LL, YW, YY, and HZ organized and supervised data collection and input. SL analyzed and interpreted the data, and drafted the paper. LL, XZ, YW, YY, and JH provided critical comments and revised the drafts of the paper. HZ, YY, YY, and JH commented on the drafts of the paper. All authors read and approved the final manuscript.
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The current study received ethical approval through the Ethics Committee of the Second Xiangya hospital, Central South University, Hunan, China (reference number: 2010S177). First, from February 2012 to January 2013, eligible women who received mastectomy for newly diagnosed breast cancer at a hospital in the Hunan province were orally informed of the study’s purpose; those who agreed to participate then provided written informed consent.
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The authors declare that they have no conflict of interest.
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Li, S., Li, L., Zheng, H. et al. Relationship between multifaceted body image and negative affect among women undergoing mastectomy for breast cancer: a longitudinal study. Arch Womens Ment Health 21, 681–688 (2018). https://doi.org/10.1007/s00737-018-0860-z
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DOI: https://doi.org/10.1007/s00737-018-0860-z