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Álvarez-Pardo S, De Paz JA, Montserrat Romero-Pérez E, Portilla-Cueto KM, Horta-Gim MA, González-Bernal JJ, Fernández-Solana J, Mielgo-Ayuso J, García-Valverde A, González-Santos J. Factors Associated with Body Image and Self-Esteem in Mastectomized Breast Cancer Survivors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5154. [PMID: 36982062 PMCID: PMC10048946 DOI: 10.3390/ijerph20065154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Revised: 03/04/2023] [Accepted: 03/10/2023] [Indexed: 06/18/2023]
Abstract
Body image (BI) and self-esteem (SE) are two fundamental aspects in the evolution of breast cancer (BC), mainly due to surgery, treatment, and the patient's conception of BI. A dissatisfaction with BI and low SE decreases the subject's quality of life and increases the risk of recurrence and mortality by BC. The aim of this study is to find out if there is any degree of association between the sociodemographic data of the sample and their BI and SE. A cross-sectional, descriptive study was conducted with 198 women diagnosed with BC, aged 30-80 years, in Mexico. Women's BI and SE were assessed using two questionnaires, Hopwood Body Image Scale (S-BIS) and Rosenberg Self-Esteem Scale (RSES). The results show significant differences in several items when the variable sense of humor is taken into account, indicating that women with a sense of humor report higher satisfaction with their BI and higher SE. The age also indicates a significantly better BI in women over 50 years of age, as well as the education level variable, where those women who had studied up to secondary reported higher satisfaction with their BI; the family history shows that those women without a family history report better SE. All these data are supported by stepwise regression, which shows that educational level and sense of humor are predictors of BI, and family history along with breast reconstruction and sense of humor are predictors as of SE. In conclusion, it is important to take into account the characteristics of women with BC, particularly age and sense of humor, in order to reduce the impact of the disease on their BI and SE with the help of a multidisciplinary team.
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Affiliation(s)
| | | | | | | | - Mario A. Horta-Gim
- Division of Biological Sciences and Health, University of Sonora, Hermosillo 83000, Mexico
| | | | | | - Juan Mielgo-Ayuso
- Department of Health Sciences, University of Burgos, 09001 Burgos, Spain
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2
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Anastasiadou D, Slater M, Spanlang B, Cano Porras D, Comas M, Ciudin A, Puig GP, Vázquez-De Sebastián J, Ramos-Quiroga JA, Lusilla-Palacios P. Clinical efficacy of a virtual reality tool for the treatment of obesity: study protocol of a randomised controlled trial. BMJ Open 2022; 12:e060822. [PMID: 35732390 PMCID: PMC9226992 DOI: 10.1136/bmjopen-2022-060822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
INTRODUCTION Previous research has shown that it is feasible to integrate motivational interviewing techniques with behavioural and psychological interventions for the treatment of obesity. Moreover, these combined interventions have the potential to improve health-related outcomes of people living with obesity (PLWO) and to afford maintenance of behavioural changes over time. In addition, the use of virtual reality (VR) embodiment techniques in the treatment of eating disorders and obesity has promising preliminary effectiveness. The objective of this study is to assess the clinical efficacy of a VR intervention that uses embodiment and body-swapping techniques and has been specifically developed to cover the needs of PLWO. METHODS AND ANALYSIS A randomised control trial will be carried out with an estimated sample of 96 participants with body mass index (BMI)>30. The whole duration of the trial will be 12 months. Participants will be recruited from the external consultations of the Vall d'Hebron University Hospital and be randomly assigned to three groups. The experimental group 1 will engage in a virtual self-conversation using the ConVRself platform, the experimental group 2 will participate in a 'pre-established discourse' provided by the virtual counsellor, who will give psychoeducation advice, and the control group will continue with treatment as usual. Readiness to change, BMI, eating habits and physical activity, psychological well-being, body image satisfaction, quality of life in relation to body image, and weight bias internalisation will be assessed at baseline, post intervention, 1-week and 4-week follow-up. Finally, variables related to adherence and satisfaction with the VR tool will be evaluated for the experimental groups. ETHICS AND DISSEMINATION This study was approved by the Research Projects Committee of the Vall d'Hebron University Hospital. Findings will be disseminated through peer-reviewed journals, reports to the funding body, conferences and other events for the scientific and clinical community, and the general public. TRIAL REGISTRATION NUMBER NCT05094557.
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Affiliation(s)
- Dimitra Anastasiadou
- Psychiatry Department, Vall d'Hebron Research Institute (VHIR), Barcelona, Spain
- Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Mel Slater
- Virtual Bodyworks SL, Barcelona, Spain
- Institute of Neurosciences, Universitat de Barcelona, Barcelona, Spain
| | | | - Desiderio Cano Porras
- Department of Cognitive Science and Artificial Intelligence, School of Humanities and Digital Sciences, Tilburg University, Tilburg, The Netherlands
| | - Marta Comas
- Endocrinology and Nutrition Department - Diabetes and Metabolism Research Unit - Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Vall d'Hebron University Hospital - Vall d'Hebron Research Institute (VHIR) - Universitat Autònoma de Barcelona - Instituto de Salud Carlos III (Madrid, Spain), Barcelona, Spain
| | - Andreea Ciudin
- Endocrinology and Nutrition Department - Diabetes and Metabolism Research Unit - Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Vall d'Hebron University Hospital - Vall d'Hebron Research Institute (VHIR) - Universitat Autònoma de Barcelona - Instituto de Salud Carlos III (Madrid, Spain), Barcelona, Spain
| | - Gemma Parramon Puig
- Psychiatry Department, Vall d'Hebron University Hospital, Barcelona, Spain
- Psychiatry Department - Department of Psychiatry and Legal Medicine - Biomedical Network Research Centre on Mental Health (CIBERSAM), Vall d'Hebron University Hospital - Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Julia Vázquez-De Sebastián
- Psychiatry Department, Vall d'Hebron Research Institute (VHIR), Barcelona, Spain
- RE-FiT Barcelona Research Group, Vall d'Hebron Research Institute - Parc Sanitari Pere Virgili, Barcelona, Spain
| | - Jose Antonio Ramos-Quiroga
- Psychiatry Department, Vall d'Hebron University Hospital, Barcelona, Spain
- Psychiatry Department - Department of Psychiatry and Legal Medicine - Biomedical Network Research Centre on Mental Health (CIBERSAM), Vall d'Hebron University Hospital - Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Pilar Lusilla-Palacios
- Psychiatry Department, Vall d'Hebron University Hospital, Barcelona, Spain
- Psychiatry Department - Department of Psychiatry and Legal Medicine - Biomedical Network Research Centre on Mental Health (CIBERSAM), Vall d'Hebron University Hospital - Universitat Autònoma de Barcelona, Barcelona, Spain
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Frederick DA, Crerand CE, Brown TA, Perez M, Best CR, Cook-Cottone CP, Compte EJ, Convertino L, Gordon AR, Malcarne VL, Nagata JM, Parent MC, Pennesi JL, Pila E, Rodgers RF, Schaefer LM, Thompson JK, Tylka TL, Murray SB. Demographic predictors of body image satisfaction: The U.S. Body Project I. Body Image 2022; 41:17-31. [PMID: 35220024 PMCID: PMC9744633 DOI: 10.1016/j.bodyim.2022.01.011] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 12/22/2021] [Accepted: 01/26/2022] [Indexed: 12/15/2022]
Abstract
We examined how gender, body mass, race, age, and sexual orientation were linked to appearance evaluation, overweight preoccupation, and body image-related quality of life among 11,620 adults recruited via Mechanical Turk. Men were less likely than women to report low appearance evaluation, high overweight preoccupation, negative effects of body image on their quality of life, being on a weight-loss diet, and trying to lose weight with crash diets/fasting. Racial differences were generally small, but greater appearance evaluation was reported by Black men versus other groups and Black women versus White women. Across all measures, gay and bisexual men reported poorer body image than heterosexual men, with only small effect sizes observed for sexual orientation differences among women. Body mass, but not age, was strongly associated with body image. The prevalence of poor body image highlights the need for interventions. On the positive side, half of men and women reported high appearance evaluation. Examination of this group could identify factors promoting positive body image.
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Affiliation(s)
- David A. Frederick
- Crean College of Health and Behavioral Sciences, Chapman University, Orange, CA, USA,Corresponding author. (D.A. Frederick)
| | - Canice E. Crerand
- Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA,Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children’s Hospital, Columbus, OH USA
| | - Tiffany A. Brown
- Department of Psychiatry, University of California, San Diego, San Diego, CA, USA
| | - Marisol Perez
- Department of Psychology, Arizona State University, Tempe, AZ, USA
| | - Cassidy R. Best
- Crean College of Health and Behavioral Sciences, Chapman University, Orange, CA, USA
| | - Catherine P. Cook-Cottone
- Department of Counseling, School, and Educational Psychology, University at Buffalo, State University of New York, Buffalo, NY, USA
| | - Emilio J. Compte
- School of Psychology, Adolfo Ibáñez University, Santiago, Chile,Research Department, Comenzar de Nuevo Treatment Center, Monterrey, Mexico
| | - Lexie Convertino
- San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA
| | - Allegra R. Gordon
- Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA,Division of Adolescent/Young Adult Medicine, Boston Children’s Hospital, Boston, MA, USA,Department of Pediatrics, Harvard Medical School, Boston, MA, USA
| | | | - Jason M. Nagata
- Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA
| | - Michael C. Parent
- Department of Educational Psychology, University of Texas at Austin, Austin, TX, USA
| | - Jamie-Lee Pennesi
- Department of Psychology, San Diego State University, San Diego, CA, USA
| | - Eva Pila
- School of Kinesiology, Western University, London, ON, Canada
| | - Rachel F. Rodgers
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, MA, USA
| | | | | | - Tracy L. Tylka
- Department of Psychology, The Ohio State University, Columbus, OH, USA
| | - Stuart B. Murray
- Department of Psychiatry & Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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Laporta-Herrero I, Jáuregui-Lobera I, Serrano-Troncoso E, Garcia-Argibay M, Cortijo-Alcarria MC, Santed-Germán MA. Attachment, body appreciation, and body image quality of life in adolescents with eating disorders. Eat Disord 2022; 30:168-181. [PMID: 32507077 DOI: 10.1080/10640266.2020.1763112] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The aim of the current study was to determine the link between parental attachment style and body appreciation in adolescents with and without eating disorders, and to explore the association between attachment, positive aspects of body image and body image quality of life. The sample comprised 260 adolescents (M age = 15.35, SD age = 1.461): 129 non-clinical participants and 131 adolescents with eating disorders who received treatment in five Eating Disorders Units located in different regions in Spain. They were assessed via the Inventory of Parent and Peer Attachment (IPPA), Body Appreciation Scale (BAS), and Body Image Quality of Life Inventory (BIQLI). There was a significant relation between secure attachment and body appreciation in both groups, and body appreciation was positively related to body image quality of life. Patients with eating disorders had higher body image quality of life when they perceived better communication and trust with their father, which was mediated by the body appreciation they showed. Adolescents without eating disorders showed this same relationship form with their mother. This study aims to highlight the influence of parental attachment on a positive body image in adolescence.
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Affiliation(s)
- Isabel Laporta-Herrero
- Facultad De Psicología, Universidad Nacional De Educación a Distancia (UNED), Madrid, Spain
| | | | - Eduardo Serrano-Troncoso
- Child and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan De Déu, Barcelona, Spain.,Children and Adolescent Mental Health Research Group, Institut De Recerca Sant Joan De Déu, Barcelona, Spain
| | | | - Mari Carmen Cortijo-Alcarria
- AFECTAMUR (Asociación De Familias Contra Los Trastornos De La Conducta Alimentaria De La Región De Murcia), Murcia, Spain
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5
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Balcı UG, Kebapçı E, Altındağ B. Cause‐effect relationships shaping the popularity of cosmetic surgery: analysis of influencing factors. J Cosmet Dermatol 2022; 21:4580-4587. [DOI: 10.1111/jocd.14786] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 01/06/2022] [Accepted: 01/11/2022] [Indexed: 12/01/2022]
Affiliation(s)
- Umut Gök Balcı
- Family Medicine University of Health Sciences Izmir Faculty of Medicine Tepecik Health Practice & Research Center Izmir Turkey
| | - Eyüp Kebapçı
- General Surgery University of Health Sciences Izmir Faculty of Medicine Tepecik Health Practice & Research Center Izmir Turkey
| | - Burak Altındağ
- Family Medicine Nevsehir Provincial Health Directorate Merkez 10th Family Medicine Unit Nevsehir Turkey
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Salvador Zaragozá A, Soto-Rubio A, Lacomba-Trejo L, Valero-Moreno S, Pérez-Marín M. Compassion in Spanish-speaking health care: A systematic review. CURRENT PSYCHOLOGY 2021; 42:6732-6751. [PMID: 34220172 PMCID: PMC8231754 DOI: 10.1007/s12144-021-01994-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/09/2021] [Indexed: 11/25/2022]
Abstract
Altought compassionate care is an important factor in health care, remains an unmet need in patients. The studies have been carried out in Anglo-Saxon countries with cultural environments and health systems that are very different from Spanish-speaking contexts. The aim of this study to understand the conceptual, evaluation and clinical application nuances of compassion and compassionate care in Spanish-speaking health care settings, through a systematic review. A search of the scientific literature was carried out following the PRISMA guidelines in ProQuest Central, PubMed and Web Of Science, resulting in 295 studies, of which 27 were selected, based on the following inclusion criteria: the article studied or analyzed the construct of compassion in healthcare setting and the participants were Spanish speakers or the authors spoke of the construct in Spanish. Two blinded evaluators performed the study selection process using the Covidence tool. The agreement between evaluators was in all cases satisfactory. Different definitions of the construct have been identified, that they generally share: the recognition of suffering and the attempt to alleviate it. There are few studies that focus solely on the analysis of compassion, since other concepts appear that are associated with it, such as empathy and self-compassion. Further research is needed to obtain a better and greater understanding of compassionate care adapted to the perceptions of patients and health professionals in different socio-cultural contexts. In this way, instruments that measure compassionate care can be better developed and adjusted, and interventions aimed at promoting compassion can be properly assessed.
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Affiliation(s)
- Andrea Salvador Zaragozá
- grid.5338.d0000 0001 2173 938XDepartament of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Valencia, Av. Blasco Ibánez, 21, 46010 Valencia, Spain
| | - Ana Soto-Rubio
- grid.5338.d0000 0001 2173 938XDepartament of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Valencia, Av. Blasco Ibánez, 21, 46010 Valencia, Spain
| | - Laura Lacomba-Trejo
- grid.5338.d0000 0001 2173 938XDepartament of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Valencia, Av. Blasco Ibánez, 21, 46010 Valencia, Spain
| | - Selene Valero-Moreno
- grid.5338.d0000 0001 2173 938XDepartament of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Valencia, Av. Blasco Ibánez, 21, 46010 Valencia, Spain
| | - Marian Pérez-Marín
- grid.5338.d0000 0001 2173 938XDepartament of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Valencia, Av. Blasco Ibánez, 21, 46010 Valencia, Spain
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da Silva WR, Pimenta F, Zaffaroni L, Castelnuovo G, Pietrabissa G, Marôco J, Maloa BFS, Campos JADB. Body Image Quality of Life Inventory: cross-national study in college students from four different countries. Eat Weight Disord 2020; 25:1079-1088. [PMID: 31218658 DOI: 10.1007/s40519-019-00732-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2019] [Accepted: 06/07/2019] [Indexed: 11/26/2022] Open
Abstract
PURPOSE This study was aimed to examine the psychometric proprieties of the Body Image Quality of Life Inventory (BIQLI) among Brazilian, Portuguese, Mozambican, and Italian college students. METHODS A total of 1630 subjects (Brazilians = 446; Portuguese = 480, Mozambicans = 360, and Italians = 344) completed the Portuguese (Brazilian, Portuguese, and Mozambican students) and the Italian versions (Italian students) of the BIQLI for measuring the effects of body image on one's quality of life. Psychometric testing included confirmatory factor analysis (CFA), discriminant and convergent validity, internal consistency, and composite reliability. The cross-national invariance of the BIQLI was assessed by multi-group analysis using ΔCFI. Moreover, the global score of the BIQLI for all countries was calculated by an algorithm and compared using the Welch's ANOVA and the Games-Howell post-test (α = 5%). RESULTS CFA showed an inadequate fit of unifactorial model of the BIQLI. Therefore, an alternative model comprising nine first-order factors and one second-order factor was proposed and evaluated. This new model showed adequate fit in all samples, despite some limitations that were found with respect to its convergent and discriminant validity. The alternative BIQLI model was invariant among countries. Global scores for the influence of body image on quality of life were significantly different across countries, with the Italians presenting the lowest scores. CONCLUSIONS The BIQLI factorial model found in this study represents a reliable and valid alternative to its original structure for the assessment of the effect of body image on college students' perceived quality of life. This model must be further tested in other populations. LEVEL OF EVIDENCE Level V, cross-sectional descriptive study.
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Affiliation(s)
- Wanderson Roberto da Silva
- Department of Food and Nutrition, School of Pharmaceutical Science, São Paulo State University (UNESP), São Paulo, Brazil
| | - Filipa Pimenta
- William James Center for Research (WJCR), University Institute of Psychological, Social and Life Sciences (ISPA), Lisbon, Portugal
| | - Lucia Zaffaroni
- Department of Psychology, Catholic University of Milan, Milan, Italy
| | - Gianluca Castelnuovo
- Department of Psychology, Catholic University of Milan, Milan, Italy
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Milan, Italy
| | - Giada Pietrabissa
- Department of Psychology, Catholic University of Milan, Milan, Italy
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Milan, Italy
| | - João Marôco
- William James Center for Research (WJCR), University Institute of Psychological, Social and Life Sciences (ISPA), Lisbon, Portugal
| | | | - Juliana Alvares Duarte Bonini Campos
- Department of Food and Nutrition, School of Pharmaceutical Science, São Paulo State University (UNESP), Rodovia Araraquara-Jaú, km 01, Campos Ville, Araraquara, São Paulo, 14800-903, Brazil.
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Rasmussen TB, Konradsen H, Dixon J, Moons P, Zwisler AD, Berg SK. Validity, reliability and responsiveness of the Body Image Quality of Life Inventory in patients treated for infective endocarditis. Scand J Caring Sci 2016; 31:183-190. [PMID: 26764551 DOI: 10.1111/scs.12318] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Accepted: 11/13/2015] [Indexed: 11/28/2022]
Abstract
RATIONALE AND OBJECTIVES Suffering through infective endocarditis (IE) can drastically alter a person's physical appearance, and body image-related concerns have been reported by patients. The extent and severity of the phenomenon has not previously been explored, as no quantitative measure has been validated in this patient population. The purpose of this study was thus to assess the validity, reliability and responsiveness of the Danish Body Image Quality of Life Inventory (BIQLI-DA) on patients treated for IE. METHODS We evaluated the psychometric properties of the BIQLI-DA on data obtained in the CopenHeart IE trial, which is a randomised clinical trial evaluating the effects of comprehensive cardiac rehabilitation for patients treated for IE. We administered the BIQLI-DA as part of data collection at baseline and 6 months. We examined the psychometric properties through correlations to other measures, including body mass index, Medical Outcome Short Form 36 and Hospital Anxiety and Depression Scale. In addition, we examined internal consistency on item and scale level and performed anova group-by-time interaction to test for responsiveness. RESULTS AND STUDY LIMITATION Participants were seventy patients with a mean age of 58 years and of which 83% were men. Results indicated convergent construct validity by confirming hypothesised associations to potentially related constructs. The BIQLI-DA was found to be highly internally consistent with a Cronbach's alpha of 0.96. Instrument responsiveness was indicated by a significant group-by-time interaction. Support for the validity of the BIQLI-DA might have been strengthened by a larger sample with more women. A more optimal design for testing responsiveness would possibly have allowed for clearer conclusions. CONCLUSIONS The BIQLI-DA may be applicable in healthcare research as it seems to be valid, reliable and responsive; however, evidence should be strengthened through further exploration of instrument performance, particularly regarding responsiveness.
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Affiliation(s)
- Trine Bernholdt Rasmussen
- The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.,Department of Cardiology, Herlev and Gentofte University Hospital, Hellerup, Denmark
| | - Hanne Konradsen
- Research Unit, Gentofte University Hospital, Hellerup, Denmark
| | - Jane Dixon
- Yale University School of Nursing, Orange, CT, USA
| | - Philip Moons
- The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.,Centre for Health Services and Nursing Research, University of Leuven, Leuven, Belgium.,Institute of Health and Care Science, University of Gothenburg, Gothenburg, Sweden
| | - Ann-Dorthe Zwisler
- The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.,National Institute of Public Health, University of Southern Denmark, Odense, Denmark.,National Centre of rehabilitation and palliation, University of Southern Denmark, Odense University Hospital, Odense, Denmark
| | - Selina Kikkenborg Berg
- The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.,Department of Cardiology, Herlev and Gentofte University Hospital, Hellerup, Denmark
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Rasmussen TB, Berg SK, Dixon J, Moons P, Konradsen H. Instrument translation and initial psychometric evaluation of the Danish Body Image Quality of Life Inventory. Scand J Caring Sci 2016; 30:830-844. [PMID: 26773708 DOI: 10.1111/scs.12311] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Accepted: 10/26/2015] [Indexed: 11/30/2022]
Abstract
RATIONALE AND OBJECTIVES Negative body perception has been reported in a number of patient populations. No instrument in Danish for measuring body image-related concerns has been available. Without such an instrument, understanding of the phenomenon in Danish-speaking populations is limited. The purpose of the study was thus to translate and validate a Danish version of the Body Image Quality of Life Inventory (BIQLI), in order to obtain a valid instrument applicable for healthcare research. METHODS The study consisted of two phases: (i) instrument adaptation, including forward and back translation, expert committee comparisons and cognitive interviewing, and (ii) empirical testing of the Danish version (BIQLI-DA) with subsequent psychometric evaluation. Hypothesised correlations to other measures, including body mass index (BMI), Medical Outcome Short Form-8 (SF-8), Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder-7 and Symptom Check List-90-Revised (SCL-90-R® ) were tested. In addition, exploratory factor structure analysis (EFA) and internal consistency on item and scale level were performed. RESULTS AND STUDY LIMITATIONS The adapted instrument was found to be semantically sound, yet concerns about face validity did arise through cognitive interviews. Danish college students (n = 189, 65 men, Mage = 21.1 years) participated in the piloting of the BIQLI-DA. Convergent construct validity was demonstrated through associations to related constructs. Exploratory factor analysis revealed a potential subscale structure. Finally, results showed a high internal consistency (Cronbach's alpha = 0.92). Support for the validity of the BIQLI-DA might have been strengthened by repeating cognitive interviews after layout alterations, by piloting the instrument on a larger sample. CONCLUSIONS This study demonstrated tentative support for the validity of the Danish Body Image Quality of Life (BIQLI-DA) and found the measure to be reliable in terms of internal consistency. Further exploration of response processes and construct validity is needed.
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Affiliation(s)
- Trine Bernholdt Rasmussen
- The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.,Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark
| | - Selina Kikkenborg Berg
- The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.,Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark
| | - Jane Dixon
- Yale University School of Nursing, Orange, CT, USA
| | - Philip Moons
- The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.,Centre for Health Services and Nursing Research, University of Leuven, Leuven, Belgium.,Institute of Health and Care Science, University of Gothenburg, Göteborg, Sweden
| | - Hanne Konradsen
- Research Unit, Gentofte University Hospital, Hellerup, Denmark
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Assunção FFO, Dantas RAS, Ciol MA, Gonçalves N, Farina JA, Rossi LA. Reliability and validity of the body image quality of life inventory: Version for Brazilian burn victims. Res Nurs Health 2013; 36:299-310. [DOI: 10.1002/nur.21538] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/16/2013] [Indexed: 11/09/2022]
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Jáuregui-Lobera I, Bolaños-Ríos P, Ruiz-Prieto I. Thought-shape fusion and body image in eating disorders. Int J Gen Med 2012; 5:823-30. [PMID: 23055772 PMCID: PMC3468119 DOI: 10.2147/ijgm.s36324] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Purpose The aim of this study was to analyze the relationships among thought–shape fusion (TSF), specific instruments to assess body image disturbances, and body image quality of life in eating disorder patients in order to improve the understanding of the links between body image concerns and a specific bias consisting of beliefs about the consequences of thinking about forbidden foods. Patients and methods The final sample included 76 eating disorder patients (mean age 20.13 ± 2.28 years; 59 women and seven men). After having obtained informed consent, the following questionnaires were administered: Body Appreciation Scale (BAS), Body Image Quality of Life Inventory (BIQLI-SP), Body Shape Questionnaire (BSQ), Eating Disorders Inventory-2 (EDI-2), State-Trait Anxiety Inventory (STAI), Symptom Checklist-90-Revised (SCL-90-R) and Thought-Shape Fusion Questionnaire (TSF-Q). Results Significant correlations were found between TSF-Q and body image-related variables. Those with higher scores in TSF showed higher scores in the BSQ (P < 0.0001), Eating Disorder Inventory – Drive for Thinness (EDI-DT) (P < 0.0001), and Eating Disorder Inventory – Body Dissatisfaction (EDI-BD) (P < 0.0001). The same patients showed lower scores in the BAS (P < 0.0001). With respect to the psychopathological variables, patients with high TSF obtained higher scores in all SCL-90-R subscales as well as in the STAI. Conclusion The current study shows the interrelations among different body image-related variables, TSF, and body image quality of life.
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Khan AN, Khalid S, Khan HI, Jabeen M. Impact of today's media on university student's body image in Pakistan: a conservative, developing country's perspective. BMC Public Health 2011; 11:379. [PMID: 21609460 PMCID: PMC3119165 DOI: 10.1186/1471-2458-11-379] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2010] [Accepted: 05/24/2011] [Indexed: 11/10/2022] Open
Abstract
Background Living in a world greatly controlled by mass media makes it impossible to escape its pervading influence. As media in Pakistan has been free in the true sense of the word for only a few years, its impact on individuals is yet to be assessed. Our study aims to be the first to look at the effect media has on the body image of university students in a conservative, developing country like Pakistan. Also, we introduced the novel concept of body image dissatisfaction as being both negative and positive. Methods A cross-sectional study was conducted among 7 private universities over a period of two weeks in the city of Karachi, Pakistan's largest and most populous city. Convenience sampling was used to select both male and female undergraduate students aged between 18 and 25 and a sample size of 783 was calculated. Results Of the 784 final respondents, 376 (48%) were males and 408 (52%) females. The mean age of males was 20.77 (+/- 1.85) years and females was 20.38 (+/- 1.63) years. Out of these, 358 (45.6%) respondents had a positive BID (body image dissatisfaction) score while 426 (54.4%) had a negative BID score. Of the respondents who had positive BID scores, 93 (24.7%) were male and 265 (65.0%) were female. Of the respondents with a negative BID score, 283 (75.3%) were male and 143 (35.0%) were female. The results for BID vs. media exposure were similar in both high and low peer pressure groups. Low media exposure meant positive BID scores and vice versa in both groups (p < 0.0001) showing a statistically significant association between high media exposure and negative body image dissatisfaction. Finally, we looked at the association between gender and image dissatisfaction. Again a statistically significant association was found between positive body image dissatisfaction and female gender and negative body image dissatisfaction and male gender (p < 0.0001). Conclusions Our study confirmed the tendency of the media to have an overall negative effect on individuals' body image. A striking feature of our study, however, was the finding that negative body image dissatisfaction was found to be more prevalent in males as compared to females. Likewise, positive BID scores were more prevalent amongst females.
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Affiliation(s)
- Amad N Khan
- Aga Khan University Medical College, Karachi, Pakistan.
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Gargantini ACG, Martín Casari L. Imagen Corporal y su Influencia en la Calidad de Vida en mujeres con mastectomía. Comparación entre mujeres con reconstrucción inmediata, reconstrucción diferida o sin reconstrucción. PSICOONCOLOGIA 1970. [DOI: 10.5209/psic.63647] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Objetivo: Analizar Imagen Corporal y su influencia en Calidad de Vida en mujeres que han tenido una mastectomía para el tratamiento del cáncer de mama, con reconstrucción inmediata, reconstrucción diferida o sin reconstrucción mamaria. Método: Se administró la Escala de Imagen Corporal (S-BIS) y el Inventario de Influencia de imagen corporal sobre calidad de vida (BIQLI-SP) a 30 mujeres, divididas en tres grupos: Reconstrucción inmediata (n=10); Reconstrucción diferida (n=10) y Sin reconstrucción (n=10). Resultado: Las mujeres con reconstrucción inmediata obtuvieron valores inferiores de problemática con la imagen corporal y superiores en calidad de vida relacionada con imagen corporal. Y aquellas sin reconstrucción obtuvieron valores superiores respecto a problemática con la imagen corporal e inferiores en calidad de vida relacionada con imagen corporal. Las diferencias entre los grupos no alcanzaron significación estadística. En ambos instrumentos aparece la sexualidad como área afectada. Finalmente, se encontraron correlaciones significativas negativas entre Imagen Corporal y Calidad de Vida relacionada con imagen corporal en dos subgrupos: Reconstrucción inmediata y Sin reconstrucción. Conclusiones: Aquellas mujeres que tuvieron reconstrucción mamaria tras la mastectomía presentan mejor ajuste que aquellas sin reconstrucción. Y, entre los tipos de reconstrucción, quienes accedieron a reconstrucción inmediata presentan menor deterioro de imagen corporal. Sin embargo, algunas mujeres demuestran haber integrado los cambios en una nueva imagen corporal sin necesidad de reconstrucción. Entonces, elegir no reconstruir puede ser una opción saludable y adecuada para muchas mujeres. Lo importante es que toda mujer, independientemente de sus circunstancias, pueda acceder a las mismas opciones para atravesar esta situación.
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