2013유방암환자에서 한국판 신체이미지 척도의 타당성에 대한 예비 연구
The Validation of Korean Version of Body Image Scale in Patients with Breast Cancer : A Preliminary Study
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Objectives：We examined the reliability and validity of the Korean version of Body image scale in Korean patients with breast cancer. Methods：The sample consisted of 140 breast cancer patients. The complete Korean version of the body image scale(K-BIS), self-reports, and psychiatric interviews with a psychiatrist were used. To analyze the validity, the patients completed the Hamilton Anxiety Scale(HAM-A), the Hamilton Rating Scale for Depression(HAM-D), the Self-Esteem Scale, the Social Support Scale, and the Korean version of the European Organization for Research and the Treatment of Cancer of the life questionnaire Breast Cancer Module(QLQ-BR23). To analyze the degree of discriminant validity, the patients were separated according to surgery type(Breast conserving surgery, BCS, N=48 ; Modified radical mastectomy, MRM, N=92) and time since surgery(≤3 weeks, N=58; ＞3 weeks, N=92). Results：Cronbach’s α was 0.918, indicating that K-BIS has adequate internal consistency and validity. Regarding convergent validity, all QLQ-BR23 symptom domains, HAM-A total scores, and HAM-D total scores was positively were correlated with the K-BIS total scores. All QLQ-BR23 function domains were negatively correlated with the K-BIS total scores, particularly those pertaining to the body image domain. Conclusions：This study shows that K-BIS is likely to be a reliable and valid measure of body image in breast cancer patients.
Abstract
Objectives：We examined the reliability and validity of the Korean version of Body image scale in Korean patients with breast cancer. Methods：The sample consisted of 140 breast cancer patients. The complete Korean version of the body image scale(K-BIS), self-reports, and psychiatric interviews with a psychiatrist were used. To analyze the validity, the patients completed the Hamilton Anxiety Scale(HAM-A), the Hamilton Rating Scale for Depression(HAM-D), the Self-Esteem Scale, the Social Support Scale, and the Korean version of the European Organization for Research and the Treatment of Cancer of the life questionnaire Breast Cancer Module(QLQ-BR23). To analyze the degree of discriminant validity, the patients were separated according to surgery type(Breast conserving surgery, BCS, N=48 ; Modified radical mastectomy, MRM, N=92) and time since surgery(≤3 weeks, N=58; ＞3 weeks, N=92). Results：Cronbach’s α was 0.918, indicating that K-BIS has adequate internal consistency and validity. Regarding convergent validity, all QLQ-BR23 symptom domains, HAM-A total scores, and HAM-D total scores was positively were correlated with the K-BIS total scores. All QLQ-BR23 function domains were negatively correlated with the K-BIS total scores, particularly those pertaining to the body image domain. Conclusions：This study shows that K-BIS is likely to be a reliable and valid measure of body image in breast cancer patients.
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