Skip to main content
Top
Published in: BMC Women's Health 1/2013

Open Access 01-12-2013 | Research article

Psychometric properties of a French version of a Dutch scale for assessing breast and body image (BBIS) in healthy women

Authors: Noémie Resseguier, Catherine Noguès, Roch Giorgi, Claire Julian-Reynier

Published in: BMC Women's Health | Issue 1/2013

Login to get access

Abstract

Background

Genetic testing among women for BRCA1/2 mutation can have various psychological effects, such as those focusing on body image. The aim of this study was to examine the psychometric properties of a generic scale assessing breast and body image (BBIS) in healthy women tested for BRCA1/2 mutations.

Methods

A Dutch body image scale focusing on both general and breast-related body image was translated into French. It was presented to a French cohort of female cancer-free BRCA1/2 mutation carriers and non-carriers (N = 568). The psychometric properties of the scale were studied by assessing its dimensional and factorial structure, internal consistency, construct-related validity, and external validity.

Results

The scale was found to be a satisfactory psychometric tool for assessing both body image and breast image. The three main dimensions which emerged were classified under the headings “values attached to body image”, “satisfaction with body image and perceived attractiveness”, and “satisfaction with breasts”. The BBIS scores were not significantly associated with the participants’ socio-demographic characteristics or their BRCA1/2 mutation carrier status, but significant associations were observed between these scores and the women’s medical and behavioural characteristics.

Conclusions

The BBIS is a generic tool which can be used to assess body image in either affected or unaffected women. The scale will have to be administered to other populations in order to confirm its validity.
Appendix
Available only for authorised users
Literature
1.
go back to reference Cash TF, Jakatdar TA, Williams EF: The Body Image Quality of Life Inventory: further validation with college men and women. Body Image. 2004, 1 (3): 279-287.CrossRefPubMed Cash TF, Jakatdar TA, Williams EF: The Body Image Quality of Life Inventory: further validation with college men and women. Body Image. 2004, 1 (3): 279-287.CrossRefPubMed
2.
go back to reference Cash TF, Pruzinsky T: Body image: A handbook of theory, research, and clinical practice. 2002, New York: Guilford Press Cash TF, Pruzinsky T: Body image: A handbook of theory, research, and clinical practice. 2002, New York: Guilford Press
3.
go back to reference Thompson JK: The (mis)measurement of body image: ten strategies to improve assessment for applied and research purposes. Body Image. 2004, 1 (1): 7-14.CrossRefPubMed Thompson JK: The (mis)measurement of body image: ten strategies to improve assessment for applied and research purposes. Body Image. 2004, 1 (1): 7-14.CrossRefPubMed
4.
go back to reference Cash TF, Szymanski ML: The development and validation of the Body-Image Ideals Questionnaire. J Pers Assess. 1995, 64 (3): 466-477.CrossRefPubMed Cash TF, Szymanski ML: The development and validation of the Body-Image Ideals Questionnaire. J Pers Assess. 1995, 64 (3): 466-477.CrossRefPubMed
5.
go back to reference Gillen MM, Lefkowitz ES: Gender and racial/ethnic differences in body image development among college students. Body Image. 2012, 9 (1): 126-130.CrossRefPubMed Gillen MM, Lefkowitz ES: Gender and racial/ethnic differences in body image development among college students. Body Image. 2012, 9 (1): 126-130.CrossRefPubMed
6.
go back to reference van den Berg P, Paxton SJ, Keery H, Wall M, Guo J, Neumark-Sztainer D: Body dissatisfaction and body comparison with media images in males and females. Body Image. 2007, 4 (3): 257-268.CrossRefPubMed van den Berg P, Paxton SJ, Keery H, Wall M, Guo J, Neumark-Sztainer D: Body dissatisfaction and body comparison with media images in males and females. Body Image. 2007, 4 (3): 257-268.CrossRefPubMed
7.
go back to reference Bresser PJ, Seynaeve C, Van Gool AR, Brekelmans CT, Meijers-Heijboer H, van Geel AN, Menke-Pluijmers MB, Duivenvoorden HJ, Klijn JG, Tibben A: Satisfaction with prophylactic mastectomy and breast reconstruction in genetically predisposed women. Plast Reconstr Surg. 2006, 117 (6): 1675-1682. discussion 1683–1684CrossRefPubMed Bresser PJ, Seynaeve C, Van Gool AR, Brekelmans CT, Meijers-Heijboer H, van Geel AN, Menke-Pluijmers MB, Duivenvoorden HJ, Klijn JG, Tibben A: Satisfaction with prophylactic mastectomy and breast reconstruction in genetically predisposed women. Plast Reconstr Surg. 2006, 117 (6): 1675-1682. discussion 1683–1684CrossRefPubMed
8.
go back to reference Frost MH, Slezak JM, Tran NV, Williams CI, Johnson JL, Woods JE, Petty PM, Donohue JH, Grant CS, Sloan JA, Sellers TA, Hartmann LC: Satisfaction after contralateral prophylactic mastectomy: the significance of mastectomy type, reconstructive complications, and body appearance. J Clin Oncol. 2005, 23 (31): 7849-7856.CrossRefPubMed Frost MH, Slezak JM, Tran NV, Williams CI, Johnson JL, Woods JE, Petty PM, Donohue JH, Grant CS, Sloan JA, Sellers TA, Hartmann LC: Satisfaction after contralateral prophylactic mastectomy: the significance of mastectomy type, reconstructive complications, and body appearance. J Clin Oncol. 2005, 23 (31): 7849-7856.CrossRefPubMed
9.
go back to reference Coriddi M, Koltz PF, Gusenoff JA: Reduction mammaplasty, obesity, and massive weight loss: temporal relationships of satisfaction with breast contour. Plast Reconstr Surg. 2011, 128 (3): 643-650.CrossRefPubMed Coriddi M, Koltz PF, Gusenoff JA: Reduction mammaplasty, obesity, and massive weight loss: temporal relationships of satisfaction with breast contour. Plast Reconstr Surg. 2011, 128 (3): 643-650.CrossRefPubMed
10.
go back to reference Sarwer DB, Crerand CE: Body image and cosmetic medical treatments. Body Image. 2004, 1 (1): 99-111.CrossRefPubMed Sarwer DB, Crerand CE: Body image and cosmetic medical treatments. Body Image. 2004, 1 (1): 99-111.CrossRefPubMed
11.
go back to reference Carraca EV, Silva MN, Markland D, Vieira PN, Minderico CS, Sardinha LB, Teixeira PJ: Body image change and improved eating self-regulation in a weight management intervention in women. Int J Behav Nutr Phys Act. 2011, 8: 75.CrossRefPubMedPubMedCentral Carraca EV, Silva MN, Markland D, Vieira PN, Minderico CS, Sardinha LB, Teixeira PJ: Body image change and improved eating self-regulation in a weight management intervention in women. Int J Behav Nutr Phys Act. 2011, 8: 75.CrossRefPubMedPubMedCentral
12.
go back to reference Palmeira AL, Branco TL, Martins SC, Minderico CS, Silva MN, Vieira PN, Barata JT, Serpa SO, Sardinha LB, Teixeira PJ: Change in body image and psychological well-being during behavioral obesity treatment: Associations with weight loss and maintenance. Body Image. 2010, 7 (3): 187-193.CrossRefPubMed Palmeira AL, Branco TL, Martins SC, Minderico CS, Silva MN, Vieira PN, Barata JT, Serpa SO, Sardinha LB, Teixeira PJ: Change in body image and psychological well-being during behavioral obesity treatment: Associations with weight loss and maintenance. Body Image. 2010, 7 (3): 187-193.CrossRefPubMed
14.
go back to reference Levine MP, Piran N: The role of body image in the prevention of eating disorders. Body Image. 2004, 1 (1): 57-70.CrossRefPubMed Levine MP, Piran N: The role of body image in the prevention of eating disorders. Body Image. 2004, 1 (1): 57-70.CrossRefPubMed
15.
go back to reference Tury F, Gulec H, Kohls E: Assessment methods for eating disorders and body image disorders. J Psychosom Res. 2010, 69 (6): 601-611.CrossRefPubMed Tury F, Gulec H, Kohls E: Assessment methods for eating disorders and body image disorders. J Psychosom Res. 2010, 69 (6): 601-611.CrossRefPubMed
16.
17.
go back to reference Hopwood P, Fletcher I, Lee A, Al Ghazal S: A body image scale for use with cancer patients. Eur J Cancer. 2001, 37 (2): 189-197.CrossRefPubMed Hopwood P, Fletcher I, Lee A, Al Ghazal S: A body image scale for use with cancer patients. Eur J Cancer. 2001, 37 (2): 189-197.CrossRefPubMed
18.
go back to reference Martinez SM, Kemper CA, Diamond C, Wagner G: Body image in patients with HIV/AIDS: assessment of a new psychometric measure and its medical correlates. AIDS Patient Care STDS. 2005, 19 (3): 150-156.CrossRefPubMed Martinez SM, Kemper CA, Diamond C, Wagner G: Body image in patients with HIV/AIDS: assessment of a new psychometric measure and its medical correlates. AIDS Patient Care STDS. 2005, 19 (3): 150-156.CrossRefPubMed
19.
go back to reference Avalos L, Tylka TL, Wood-Barcalow N: The Body Appreciation Scale: development and psychometric evaluation. Body Image. 2005, 2 (3): 285-297.CrossRefPubMed Avalos L, Tylka TL, Wood-Barcalow N: The Body Appreciation Scale: development and psychometric evaluation. Body Image. 2005, 2 (3): 285-297.CrossRefPubMed
20.
go back to reference Cash TF, Phillips KA, Santos MT, Hrabosky JI: Measuring "negative body image": validation of the Body Image Disturbance Questionnaire in a nonclinical population. Body Image. 2004, 1 (4): 363-372.CrossRef Cash TF, Phillips KA, Santos MT, Hrabosky JI: Measuring "negative body image": validation of the Body Image Disturbance Questionnaire in a nonclinical population. Body Image. 2004, 1 (4): 363-372.CrossRef
21.
go back to reference Lichtenthal WG, Cruess DG, Clark VL, Ming ME: Investment in body image among patients diagnosed with or at risk for malignant melanoma. Body Image. 2005, 2 (1): 41-51.CrossRefPubMed Lichtenthal WG, Cruess DG, Clark VL, Ming ME: Investment in body image among patients diagnosed with or at risk for malignant melanoma. Body Image. 2005, 2 (1): 41-51.CrossRefPubMed
22.
go back to reference Lodder LN, Frets PG, Trijsburg RW, Meijers-Heijboer EJ, Klijn JG, Seynaeve C, van Geel AN, Tilanus MM, Bartels CC, Verhoog LC, Brekelmans CT, Burger CW, Niermeijer MF: One year follow-up of women opting for presymptomatic testing for BRCA1 and BRCA2: emotional impact of the test outcome and decisions on risk management (surveillance or prophylactic surgery). Breast Cancer Res Treat. 2002, 73 (2): 97-112.CrossRefPubMed Lodder LN, Frets PG, Trijsburg RW, Meijers-Heijboer EJ, Klijn JG, Seynaeve C, van Geel AN, Tilanus MM, Bartels CC, Verhoog LC, Brekelmans CT, Burger CW, Niermeijer MF: One year follow-up of women opting for presymptomatic testing for BRCA1 and BRCA2: emotional impact of the test outcome and decisions on risk management (surveillance or prophylactic surgery). Breast Cancer Res Treat. 2002, 73 (2): 97-112.CrossRefPubMed
23.
go back to reference van Oostrom I, Meijers-Heijboer H, Lodder LN, Duivenvoorden HJ, van Gool AR, Seynaeve C, van der Meer CA, Klijn JG, van Geel BN, Burger CW, Wladimiroff JW, Tibben A: Long-term psychological impact of carrying a BRCA1/2 mutation and prophylactic surgery: a 5-year follow-up study. J Clin Oncol. 2003, 21 (20): 3867-3874.CrossRefPubMed van Oostrom I, Meijers-Heijboer H, Lodder LN, Duivenvoorden HJ, van Gool AR, Seynaeve C, van der Meer CA, Klijn JG, van Geel BN, Burger CW, Wladimiroff JW, Tibben A: Long-term psychological impact of carrying a BRCA1/2 mutation and prophylactic surgery: a 5-year follow-up study. J Clin Oncol. 2003, 21 (20): 3867-3874.CrossRefPubMed
24.
go back to reference Blackwood MA, Weber BL: BRCA1 and BRCA2: from molecular genetics to clinical medicine. J Clin Oncol. 1998, 16 (5): 1969-1977.PubMed Blackwood MA, Weber BL: BRCA1 and BRCA2: from molecular genetics to clinical medicine. J Clin Oncol. 1998, 16 (5): 1969-1977.PubMed
25.
go back to reference Ford D, Easton DF, Stratton M, Narod S, Goldgar D, Devilee P, Bishop DT, Weber B, Lenoir G, Chang-Claude J, Sobol H, Teare MD, Struewing J, Arason A, Scherneck S, Peto J, Rebbeck TR, Tonin P, Neuhausen S, Barkardottir R, Eyjjord J, Lynch H, Ponder BA, Gayther SA, Zeleda-Hedman M: Genetic heterogeneity and penetrance analysis of the BRCA1 and BRCA2 genes in breast cancer families. The Breast Cancer Linkage Consortium. Am J Hum Genet. 1998, 62 (3): 676-689.CrossRefPubMedPubMedCentral Ford D, Easton DF, Stratton M, Narod S, Goldgar D, Devilee P, Bishop DT, Weber B, Lenoir G, Chang-Claude J, Sobol H, Teare MD, Struewing J, Arason A, Scherneck S, Peto J, Rebbeck TR, Tonin P, Neuhausen S, Barkardottir R, Eyjjord J, Lynch H, Ponder BA, Gayther SA, Zeleda-Hedman M: Genetic heterogeneity and penetrance analysis of the BRCA1 and BRCA2 genes in breast cancer families. The Breast Cancer Linkage Consortium. Am J Hum Genet. 1998, 62 (3): 676-689.CrossRefPubMedPubMedCentral
26.
go back to reference Esplen MJ, Stuckless N, Hunter J, Liede A, Metcalfe K, Glendon G, Narod S, Butler K, Scott J, Irwin E: The BRCA Self-Concept Scale: a new instrument to measure self-concept in BRCA1/2 mutation carriers. Psychooncology. 2009, 18 (11): 1216-1229.CrossRefPubMed Esplen MJ, Stuckless N, Hunter J, Liede A, Metcalfe K, Glendon G, Narod S, Butler K, Scott J, Irwin E: The BRCA Self-Concept Scale: a new instrument to measure self-concept in BRCA1/2 mutation carriers. Psychooncology. 2009, 18 (11): 1216-1229.CrossRefPubMed
27.
go back to reference Julian-Reynier C, Bouhnik AD, Mouret-Fourme E, Gauthier-Villars M, Berthet P, Lasset C, Fricker JP, Caron O, Gesta P, Luporsi E, Faivre L, Longy M, Gladieff L, Frenay M, Dreyfus H, Sobol H, Vennin P, Nogues C: Time to prophylactic surgery in BRCA1/2 carriers depends on psychological and other characteristics. Genet Med. 2010, 12 (12): 801-807.CrossRefPubMed Julian-Reynier C, Bouhnik AD, Mouret-Fourme E, Gauthier-Villars M, Berthet P, Lasset C, Fricker JP, Caron O, Gesta P, Luporsi E, Faivre L, Longy M, Gladieff L, Frenay M, Dreyfus H, Sobol H, Vennin P, Nogues C: Time to prophylactic surgery in BRCA1/2 carriers depends on psychological and other characteristics. Genet Med. 2010, 12 (12): 801-807.CrossRefPubMed
28.
go back to reference Fuhrer R, Rouillon F: The French version of the Center for Epidemiologic Studies-Depression Scale. Psychiatr Psychobiol. 1989, 4 (3): 163-166. Fuhrer R, Rouillon F: The French version of the Center for Epidemiologic Studies-Depression Scale. Psychiatr Psychobiol. 1989, 4 (3): 163-166.
29.
go back to reference Radloff L: The CES-D scale: a self report depression scale for research in the general population. Appl Psychol Meas. 1977, 1: 385-401.CrossRef Radloff L: The CES-D scale: a self report depression scale for research in the general population. Appl Psychol Meas. 1977, 1: 385-401.CrossRef
30.
go back to reference Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993, 46 (12): 1417-1432.CrossRefPubMed Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993, 46 (12): 1417-1432.CrossRefPubMed
31.
32.
go back to reference Ware JE, Gandek B: Methods for testing data quality, scaling assumptions, and reliability: the IQOLA project approach. International Quality of Life Assessment. J Clin Epidemiol. 1998, 51 (11): 945-952.CrossRefPubMed Ware JE, Gandek B: Methods for testing data quality, scaling assumptions, and reliability: the IQOLA project approach. International Quality of Life Assessment. J Clin Epidemiol. 1998, 51 (11): 945-952.CrossRefPubMed
33.
go back to reference Peyre H, Coste J, Leplege A: Identifying type and determinants of missing items in quality of life questionnaires: application to the SF-36 French version of the 2003 Decennial Health Survey. Health Qual Life Outcomes. 2010, 8: 16.CrossRefPubMedPubMedCentral Peyre H, Coste J, Leplege A: Identifying type and determinants of missing items in quality of life questionnaires: application to the SF-36 French version of the 2003 Decennial Health Survey. Health Qual Life Outcomes. 2010, 8: 16.CrossRefPubMedPubMedCentral
34.
go back to reference Streiner D, Norman G: Health Measurement Scales. 2000, Oxford: New York Streiner D, Norman G: Health Measurement Scales. 2000, Oxford: New York
35.
go back to reference Colautti LA, Fuller-Tyszkiewicz M, Skouteris H, McCabe M, Blackburn S, Wyett E: Accounting for fluctuations in body dissatisfaction. Body Image. 2011, 8 (4): 315-321.CrossRefPubMed Colautti LA, Fuller-Tyszkiewicz M, Skouteris H, McCabe M, Blackburn S, Wyett E: Accounting for fluctuations in body dissatisfaction. Body Image. 2011, 8 (4): 315-321.CrossRefPubMed
36.
go back to reference Tiggemann M: Body image across the adult life span: stability and change. Body Image. 2004, 1 (1): 29-41.CrossRefPubMed Tiggemann M: Body image across the adult life span: stability and change. Body Image. 2004, 1 (1): 29-41.CrossRefPubMed
37.
go back to reference Gavin AR, Simon GE, Ludman EJ: The association between obesity, depression, and educational attainment in women: the mediating role of body image dissatisfaction. J Psychosom Res. 2010, 69 (6): 573-581.CrossRefPubMedPubMedCentral Gavin AR, Simon GE, Ludman EJ: The association between obesity, depression, and educational attainment in women: the mediating role of body image dissatisfaction. J Psychosom Res. 2010, 69 (6): 573-581.CrossRefPubMedPubMedCentral
38.
go back to reference McLaren L, Kuh D: Women’s body dissatisfaction, social class, and social mobility. Soc Sci Med. 2004, 58 (9): 1575-1584.CrossRefPubMed McLaren L, Kuh D: Women’s body dissatisfaction, social class, and social mobility. Soc Sci Med. 2004, 58 (9): 1575-1584.CrossRefPubMed
39.
40.
go back to reference Friedman MA, Dixon AE, Brownell KD, Whisman MA, Wilfley DE: Marital status, marital satisfaction, and body image dissatisfaction. Int J Eat Disord. 1999, 26 (1): 81-85.CrossRefPubMed Friedman MA, Dixon AE, Brownell KD, Whisman MA, Wilfley DE: Marital status, marital satisfaction, and body image dissatisfaction. Int J Eat Disord. 1999, 26 (1): 81-85.CrossRefPubMed
41.
go back to reference Luo Y, Parish WL, Laumann EO: A population-based study of body image concerns among urban Chinese adults. Body Image. 2005, 2 (4): 333-345.CrossRefPubMed Luo Y, Parish WL, Laumann EO: A population-based study of body image concerns among urban Chinese adults. Body Image. 2005, 2 (4): 333-345.CrossRefPubMed
42.
go back to reference Santos Silva DA, Nahas MV, de Sousa TF, Del Duca GF, Peres KG: Prevalence and associated factors with body image dissatisfaction among adults in southern Brazil: a population-based study. Body Image. 2011, 8 (4): 427-431.CrossRefPubMed Santos Silva DA, Nahas MV, de Sousa TF, Del Duca GF, Peres KG: Prevalence and associated factors with body image dissatisfaction among adults in southern Brazil: a population-based study. Body Image. 2011, 8 (4): 427-431.CrossRefPubMed
43.
go back to reference Annis NM, Cash TF, Hrabosky JI: Body image and psychosocial differences among stable average weight, currently overweight, and formerly overweight women: the role of stigmatizing experiences. Body Image. 2004, 1 (2): 155-167.CrossRefPubMed Annis NM, Cash TF, Hrabosky JI: Body image and psychosocial differences among stable average weight, currently overweight, and formerly overweight women: the role of stigmatizing experiences. Body Image. 2004, 1 (2): 155-167.CrossRefPubMed
44.
go back to reference Woodman T, Steer R: Body self-discrepancies and women’s social physique anxiety: the moderating role of the feared body. Br J Psychol. 2011, 102 (2): 147-160.CrossRefPubMed Woodman T, Steer R: Body self-discrepancies and women’s social physique anxiety: the moderating role of the feared body. Br J Psychol. 2011, 102 (2): 147-160.CrossRefPubMed
45.
go back to reference Moreira H, Canavarro MC: A longitudinal study about the body image and psychosocial adjustment of breast cancer patients during the course of the disease. Eur J Oncol Nurs. 2010, 14 (4): 263-270.CrossRefPubMed Moreira H, Canavarro MC: A longitudinal study about the body image and psychosocial adjustment of breast cancer patients during the course of the disease. Eur J Oncol Nurs. 2010, 14 (4): 263-270.CrossRefPubMed
46.
go back to reference Sharpe L, Patel D, Clarke S: The relationship between body image disturbance and distress in colorectal cancer patients with and without stomas. J Psychosom Res. 2011, 70 (5): 395-402.CrossRefPubMed Sharpe L, Patel D, Clarke S: The relationship between body image disturbance and distress in colorectal cancer patients with and without stomas. J Psychosom Res. 2011, 70 (5): 395-402.CrossRefPubMed
Metadata
Title
Psychometric properties of a French version of a Dutch scale for assessing breast and body image (BBIS) in healthy women
Authors
Noémie Resseguier
Catherine Noguès
Roch Giorgi
Claire Julian-Reynier
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2013
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/1472-6874-13-24

Other articles of this Issue 1/2013

BMC Women's Health 1/2013 Go to the issue