RNSurveyHealth care for women international2020

Psychometric development of a new body image scale for breast cancer survivors.

Erika Biederman, Andrea Cohee, Patrick Monahan and 2 others

PMID 31237491

WHAT IT FOUND

A 7-item body image scale for long-term breast cancer survivors was linked to fatigue, depression, anxiety, fear of recurrence, sexuality, and overall well-being.

It may help clinicians flag survivors who need further assessment, but it does not prove treatment works.

Key findings

01After one redundant item was removed, the final 7-item scale had a Cronbach alpha of 0.88.

02Body image scores were correlated with physical, psychological, and social quality-of-life measures, and remained associated with overall well-being after adjustment.

03Factor analysis suggested one underlying body image variable.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The sample came from an oncology group whose survivors were highly educated, had high socioeconomic status, and were mostly Caucasian. The data were cross-sectional, so body image and quality-of-life variables cannot be said to cause one another. The scale was tested only in long-term breast cancer survivors, three to eight years after treatment, with a specified chemotherapy regimen. The paper reports psychometric development, not a tested intervention that improves body image or quality of life.

Declared interests

The authors declared no potential conflicts of interest.

The easy way to misread this

Do not read the scale as proof that improving body image will improve fatigue, depression, anxiety, fear of recurrence, sexuality, or relationships. The study showed correlations in breast cancer survivors and did not test an intervention.

Read it on PubMed →