Body Image Scale: Evaluation of the Psychometric Properties in Three Indian Head and Neck Cancer Language Groups
BackgroundBody image is a subjective concept encompassing a person’s views and emotions about their body. Head and neck cancer (HNC) diagnosis and treatment affects several psychosocial concepts including body image. Large numbers of HNC patients are diagnosed each year in India but there are no sui...
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.779850/full |
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| author | Chindhu Shunmugasundaram Chindhu Shunmugasundaram Haryana M. Dhillon Haryana M. Dhillon Phyllis N. Butow Phyllis N. Butow Puma Sundaresan Puma Sundaresan Mahati Chittem Niveditha Akula Surendran Veeraiah Nagraj Huilgol Claudia Rutherford Claudia Rutherford |
| author_facet | Chindhu Shunmugasundaram Chindhu Shunmugasundaram Haryana M. Dhillon Haryana M. Dhillon Phyllis N. Butow Phyllis N. Butow Puma Sundaresan Puma Sundaresan Mahati Chittem Niveditha Akula Surendran Veeraiah Nagraj Huilgol Claudia Rutherford Claudia Rutherford |
| author_sort | Chindhu Shunmugasundaram |
| collection | DOAJ |
| description | BackgroundBody image is a subjective concept encompassing a person’s views and emotions about their body. Head and neck cancer (HNC) diagnosis and treatment affects several psychosocial concepts including body image. Large numbers of HNC patients are diagnosed each year in India but there are no suitable measures in regional languages to assess their body image. This study assessed the psychometric properties of the Body Image Scale (BIS), a measure suitable for clinical and research use in HNC populations, translated into Tamil, Telugu and Hindi and compared body image distress between language groups.MethodsTranslated versions of BIS were completed by HNC patients recruited from three cancer centers across India one time only. Psychometric evaluation was conducted including factor analysis using principal component analysis and internal consistency reliability using Cronbach’s alpha. Patients completed the EORTC Quality of Life Questionnaire (QLQ) C-30 and EORTC QLQ HN-35 measures to enable exploration of convergent and discriminant validity. ANOVA was used to calculate difference in mean values for body image.ResultsOur sample included 621 HNC patients (Tamil = 205, Telugu = 216, Hindi = 200). Factor analysis revealed a one-factor solution and Cronbach’s alpha coefficients ranged between 0.891 and 0.969 indicating good reliability. Hypothesized correlations between similar and different constructs were as expected, supporting construct validity. On the BIS, we found a statistically significant difference (F = 11.0954, P < 0.05) between means of Tamil, Telugu, and Hindi groups, with higher body image scores in Telugu (M = 12.86; SD = 7.65) and Hindi groups (M = 12.52; SD = 7.36) indicating more symptoms/body image distress, when compared to Tamil population (M = 9.28; SD = 10.04).ConclusionThe reliability and validity of the three translated Indian versions of the BIS were maintained, providing a method for assessing body image of HNC population worldwide speaking Tamil, Telugu, and Hindi across the illness trajectory. |
| first_indexed | 2024-04-14T05:23:30Z |
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| language | English |
| last_indexed | 2024-04-14T05:23:30Z |
| publishDate | 2022-05-01 |
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| series | Frontiers in Psychology |
| spelling | doaj.art-5ce553bb9a084caab8f44c6f9b4942a72022-12-22T02:10:04ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-05-011310.3389/fpsyg.2022.779850779850Body Image Scale: Evaluation of the Psychometric Properties in Three Indian Head and Neck Cancer Language GroupsChindhu Shunmugasundaram0Chindhu Shunmugasundaram1Haryana M. Dhillon2Haryana M. Dhillon3Phyllis N. Butow4Phyllis N. Butow5Puma Sundaresan6Puma Sundaresan7Mahati Chittem8Niveditha Akula9Surendran Veeraiah10Nagraj Huilgol11Claudia Rutherford12Claudia Rutherford13Centre for Medical Psychology and Evidence-Based Decision-Making, School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, AustraliaPsycho-Oncology Cooperative Research Group, School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, AustraliaCentre for Medical Psychology and Evidence-Based Decision-Making, School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, AustraliaPsycho-Oncology Cooperative Research Group, School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, AustraliaCentre for Medical Psychology and Evidence-Based Decision-Making, School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, AustraliaPsycho-Oncology Cooperative Research Group, School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, AustraliaRadiation Oncology Network, Western Sydney Local Health District, Sydney, NSW, AustraliaSydney Medical School, Faculty of Medicine, The University of Sydney, Sydney, NSW, AustraliaDepartment of Liberal Arts, Indian Institute of Technology Hyderabad, Sangareddy, IndiaDepartment of Liberal Arts, Indian Institute of Technology Hyderabad, Sangareddy, IndiaDepartment of Psycho-Oncology, Cancer Institute (WIA), Chennai, IndiaDivision of Radiation Oncology, Nanavati Super Speciality Hospital, Mumbai, IndiaQuality of Life Office, School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, AustraliaSusan Wakil School of Nursing and Midwifery, Cancer Nursing Research Unit, The University of Sydney, Sydney, NSW, AustraliaBackgroundBody image is a subjective concept encompassing a person’s views and emotions about their body. Head and neck cancer (HNC) diagnosis and treatment affects several psychosocial concepts including body image. Large numbers of HNC patients are diagnosed each year in India but there are no suitable measures in regional languages to assess their body image. This study assessed the psychometric properties of the Body Image Scale (BIS), a measure suitable for clinical and research use in HNC populations, translated into Tamil, Telugu and Hindi and compared body image distress between language groups.MethodsTranslated versions of BIS were completed by HNC patients recruited from three cancer centers across India one time only. Psychometric evaluation was conducted including factor analysis using principal component analysis and internal consistency reliability using Cronbach’s alpha. Patients completed the EORTC Quality of Life Questionnaire (QLQ) C-30 and EORTC QLQ HN-35 measures to enable exploration of convergent and discriminant validity. ANOVA was used to calculate difference in mean values for body image.ResultsOur sample included 621 HNC patients (Tamil = 205, Telugu = 216, Hindi = 200). Factor analysis revealed a one-factor solution and Cronbach’s alpha coefficients ranged between 0.891 and 0.969 indicating good reliability. Hypothesized correlations between similar and different constructs were as expected, supporting construct validity. On the BIS, we found a statistically significant difference (F = 11.0954, P < 0.05) between means of Tamil, Telugu, and Hindi groups, with higher body image scores in Telugu (M = 12.86; SD = 7.65) and Hindi groups (M = 12.52; SD = 7.36) indicating more symptoms/body image distress, when compared to Tamil population (M = 9.28; SD = 10.04).ConclusionThe reliability and validity of the three translated Indian versions of the BIS were maintained, providing a method for assessing body image of HNC population worldwide speaking Tamil, Telugu, and Hindi across the illness trajectory.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.779850/fullvalidationcross-cultural adaptationbody imagehead and neck cancerIndian languages |
| spellingShingle | Chindhu Shunmugasundaram Chindhu Shunmugasundaram Haryana M. Dhillon Haryana M. Dhillon Phyllis N. Butow Phyllis N. Butow Puma Sundaresan Puma Sundaresan Mahati Chittem Niveditha Akula Surendran Veeraiah Nagraj Huilgol Claudia Rutherford Claudia Rutherford Body Image Scale: Evaluation of the Psychometric Properties in Three Indian Head and Neck Cancer Language Groups Frontiers in Psychology validation cross-cultural adaptation body image head and neck cancer Indian languages |
| title | Body Image Scale: Evaluation of the Psychometric Properties in Three Indian Head and Neck Cancer Language Groups |
| title_full | Body Image Scale: Evaluation of the Psychometric Properties in Three Indian Head and Neck Cancer Language Groups |
| title_fullStr | Body Image Scale: Evaluation of the Psychometric Properties in Three Indian Head and Neck Cancer Language Groups |
| title_full_unstemmed | Body Image Scale: Evaluation of the Psychometric Properties in Three Indian Head and Neck Cancer Language Groups |
| title_short | Body Image Scale: Evaluation of the Psychometric Properties in Three Indian Head and Neck Cancer Language Groups |
| title_sort | body image scale evaluation of the psychometric properties in three indian head and neck cancer language groups |
| topic | validation cross-cultural adaptation body image head and neck cancer Indian languages |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.779850/full |
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