Body Image Scale Scores Research Articles

Short‐term patient reported health‐related quality of life (HRQL) outcomes after robot‐assisted radical cystectomy (RARC)

To determine short-term health-related quality of life (HRQL) outcomes after robot-assisted radical cystectomy (RARC) using the Bladder Cancer Index (BCI) and European Organisation for Research and Treatment of Cancer (EORTC) Body Image Scale (BIS). All patients undergoing RARC were enrolled in a quality assurance database. The patients completed two validated questionnaires, BCI and BIS, preoperatively and at standardised postoperative intervals. The primary outcome measure was difference in interval and baseline BCI and BIS scores. Complications were identified and classified by Clavien grade. In all, 43 patients completed pre- and postoperative questionnaires There was a decline in the urinary domain at 0-1 month after RARC (P = 0.006), but this returned to baseline by 1-2 months. There was a decline in the bowel domain at 0-1 month (P < 0.001) and 1-2 months (P = 0.024) after RARC, but this returned to baseline by 2-4 months. The decline in BCI scores was greatest for the sexual function domain, but this returned to baseline by 16-24 months after RARC. Body image perception using BIS showed no significant change after RARC except at the 4-10 months period (P = 0.018). Based on BCI and BIS scores HRQL outcomes after RARC show recovery of urinary and bowel domains ≤6 months. Longer follow-up with a larger cohort of patients will help refine HRQL outcomes.

Body image, regret, and satisfaction following colpocleisis

Colpocleisis is a definitive surgical treatment for prolapse resulting in vaginal obliteration. We sought to evaluate body image, regret, satisfaction, and pelvic floor symptoms following this procedure. This was a prospective multicenter study through the Fellows' Pelvic Research Network. All women electing colpocleisis for management of pelvic organ prolapse were screened for enrollment. The Pelvic Floor Impact Questionnaire, Pelvic Floor Distress Inventory, and the modified Body Image Scale (BIS) were completed preoperatively and 6 weeks following surgery. Additionally, the Decision Regret Scale and the Satisfaction with Decision Scale were administered at the 6-week postoperative visit. A sample size of 88 subjects was calculated to evaluate change in the BIS score. In all, 87 patients were analyzed. Mean age was 79 years (SD 5.8) with a mean body mass index of 27 (SD 5.3). The majority (89.3%) was Caucasian. Six weeks after surgery, significant improvements were noted in all parameters. Mean BIS scores decreased from 4.8 to 1.2 (P < .001), signifying improved body image. Indeed, the overall number of subjects with BIS scores in the normal range doubled after surgery. Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire scores decreased significantly (P < .001 and P < .001), suggesting a positive impact on bladder, bowel, and prolapse symptoms. Finally, low levels of regret (mean score 1.35) and concurrent high satisfaction (mean score 4.73) were documented. Colpocleisis improves body image and pelvic floor symptoms while giving patients a definitive surgical option that results in low regret and high satisfaction.

1419 COMPARING HEALTH RELATED QUALITY OF LIFE OUTCOMES AFTER INTRA-CORPOREAL AND EXTRA-CORPOREAL URINARY DIVERSION AFTER RADICAL CYSTECTOMY: A MULTI INSTITUTIONAL STUDY

You have accessJournal of UrologyUrinary Diversion: Bladder Reconstruction, Augmentation, Substitution, Diversion (II)1 Apr 20131419 COMPARING HEALTH RELATED QUALITY OF LIFE OUTCOMES AFTER INTRA-CORPOREAL AND EXTRA-CORPOREAL URINARY DIVERSION AFTER RADICAL CYSTECTOMY: A MULTI INSTITUTIONAL STUDY Ahmed Aboumohamed, Kristopher Tallman, Alon Weizer, Aabroo Khan, Rakeeba Din, Ali Al-Daghmin, Diana Mehedint, Terry Creighton, Stephen Dailey, Yi Shi, Mohamed Sharif, Gregory Wilding, and Khurshid Guru Ahmed AboumohamedAhmed Aboumohamed Buffalo, NY More articles by this author , Kristopher TallmanKristopher Tallman Ann Arbor, MI More articles by this author , Alon WeizerAlon Weizer Ann Arbor, MI More articles by this author , Aabroo KhanAabroo Khan Buffalo, NY More articles by this author , Rakeeba DinRakeeba Din Buffalo, NY More articles by this author , Ali Al-DaghminAli Al-Daghmin Buffalo, NY More articles by this author , Diana MehedintDiana Mehedint Buffalo, NY More articles by this author , Terry CreightonTerry Creighton Buffalo, NY More articles by this author , Stephen DaileyStephen Dailey Ann Arbor, MI More articles by this author , Yi ShiYi Shi Buffalo, NY More articles by this author , Mohamed SharifMohamed Sharif Buffalo, NY More articles by this author , Gregory WildingGregory Wilding Buffalo, NY More articles by this author , and Khurshid GuruKhurshid Guru Buffalo, NY More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2773AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES With the increase in robot-assisted approach for radical cystectomy, Intra-corporeal urinary diversion (IUD) is now gaining wider acceptance. We compared health-related quality of life (HRQL) outcomes utilizing the validated bladder-specific Bladder Cancer Index (BCI) and European Organization for Research and Treatment of Cancer (EORTC) Body Image Scale (BIS) between IUD and Extra-corporeal urinary diversion (EUD). METHODS Patients undergoing radical cystectomy at Roswell Park Cancer Institute (RPCI) and University of Michigan (UofM) were enrolled in the study; patients who had IUD following robot-assisted radical cystectomy (RARC) at RPCI were compared to patients who underwent EUD (following either open radical cystectomy or RARC) at both centers. All patients completed the validated questionnaires (BCI and BIS), preoperatively, and at standardized postoperative intervals (at least twice postoperatively). The primary outcome measure was difference in interval and baseline BCI and BIS scores in both categories. RESULTS 107 patients were included in the study; 57 and 50 underwent IUD and EUD, respectively after radical cystectomy; all were ileal conduits. Age, American Society of Anesthesiology (ASA) score, and Pathological tumor stage were similar in both groups. Baseline urinary function, bowel habits, sexual function, and Body image based on the two HRQL questionnaires were not statistically different between both groups. Postoperative analysis at 1, 3, 6, 12, 18, and 24 months revealed statistically significant differences between both groups in overall return of sexual function in favor of the EUD group (p-value=0.039). Bowel function was better for EUD at 12 months (p-value=0.04), meanwhile the overall Bowel function over time was not statistically different between the two groups (p-value=0.068). Urinary function and body image did not show statistically significant differences between the two groups (p-value=0.93 and 0.81, respectively). CONCLUSIONS Based on BCI and BIS scores, no differences were seen between IUD and EUD in terms of urinary function, bowel habits, and body image. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e581 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ahmed Aboumohamed Buffalo, NY More articles by this author Kristopher Tallman Ann Arbor, MI More articles by this author Alon Weizer Ann Arbor, MI More articles by this author Aabroo Khan Buffalo, NY More articles by this author Rakeeba Din Buffalo, NY More articles by this author Ali Al-Daghmin Buffalo, NY More articles by this author Diana Mehedint Buffalo, NY More articles by this author Terry Creighton Buffalo, NY More articles by this author Stephen Dailey Ann Arbor, MI More articles by this author Yi Shi Buffalo, NY More articles by this author Mohamed Sharif Buffalo, NY More articles by this author Gregory Wilding Buffalo, NY More articles by this author Khurshid Guru Buffalo, NY More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

2728 – Evaluation of self-esteem, body perception and social skills in individuals diagnosed with gynecomastia

Gynecomastia is a medical condition that affects men. Physical symptom is an abnormal enlargement of the mammary glands. Men who have this condition often end up feeling too embarrassed to be seen and it can greatly interfere with their personal life and social skills. This study attempts to evaluate the hypothesis that surgical approaches to correct simply the view are not enough to improve the quality of patients’ lives. 30 patients who were admitted to general surgery outpatient clinic with complaints of large breast and diagnosed with gynecomastia were enrolled in this study. Social Skills Rating Scale (SSRS), Body Image Scale (BIS), Coopersmith Self-Esteem Inventory (SEI) were applied preoperatively to patients with grade 1 and 2 gynecomastia. Scales were repeated postoperatively on the third month. Preoperative and postoperative scores of BIS were significantly different. In a similar vein, preoperative and postoperative scores of Coopersmith SEI were significantly different, too. Coopersmith SEI and BIS scores were low in the preoperative period and higher in the postoperative period. However, in terms of SSRS there was not a statistically significant difference between preoperative and postoperative period. Results indicate that presence of gynecomastia even at the level of grade-1 and 2 is effective on self-esteem, body image and social skills. The results also show that for the treatment of individuals diagnosed with gynecomastia surgical interventions alone can be inadequate. In these patients, after the surgical treatments, the addition of individual training programs to improve social skills may be useful.

Body image and psychological outcome after severe skin and soft tissue infection requiring intensive care

Patients with severe skin and soft tissue infection (SSTI) requiring intensive care unit (ICU) stay are commonly treated with antibiotics, surgery and in some centers also with hyperbaric oxygen therapy. Long-term follow-up of body image and psychological outcome has not been described despite extensive surgery, potentially altered body image and subsequent psychological problems. The aim was to describe perceived body image and its relation to anxiety, depression and post-traumatic stress disorder (PTSD)-related symptoms in patients with severe SSTI 1 year after ICU stay. Specifically, we aimed to assess potential differences related to gender and anatomic site of infection. Fifty patients treated for severe SSTI in the General ICU, Karolinska University Hospital 2008-2010 received the body image scale (BIS), impact of event scale (IES), and hospital anxiety and depression scale (HADS) 1 year after ICU discharge. Abdominoperineal SSTI was associated with more body image problems than other anatomic sites of infection in both men and women. Generally, women reported higher BIS scores than men (median 9.5 vs. 3.0 of total 30, P < 0.03) indicating more negative body image. A substantial number of patients reported scar dissatisfaction (63.9%), body dissatisfaction (51.1%) and body feeling less whole (51.0%). BIS scores correlated with HADS anxiety (r = 0.59, P < 0.01), depression (r = 0.60, P < 0.01) and IES (r = 0.61, P < 0.01) scores. One year after severe SSTI requiring intensive care, women and patients with abdominoperineal SSTI reported significantly more body image problems. Negative body image was associated with anxiety, depression and PTSD-related symptoms. Specific follow-up for SSTI patients is warranted.

Relationship between the body image and level of pain, functional status, severity of depression, and quality of life in patients with fibromyalgia syndrome

The aims were to investigate how the body image is affected in fibromyalgia syndrome (FMS) in comparison to healthy people, as well as to explore the relationship of the body image with the level of pain, functional status, severity of depression, and quality of life (QoL). Demographic variables, symptoms of fibromyalgia, and number of fibromyalgia tender points for 51 patients with FMS and 41 control subjects were recorded. All patients were asked to mark the level of pain on visual analogue scale (VAS). Six-minute walking test was recorded for functional assessment. The impact of the disease was evaluated by fibromyalgia impact questionnaire (FIQ). All patients were asked to complete body image scale (BIS), Beck depression inventory (BDI), and short form-36 (SF-36). There were no differences between groups with regard to demographic variables (p>0.05). Mean VAS was 7.5±1.4 for the patients with FMS and 0.3±0.4 for control subjects (p<0.05). Mean FIQ was 70.8±13.2 and 8.2±9.6 for the FMS and control groups, respectively (p<0.05). Mean BIS and BDI were 106.5±24.0 and 20.2±11.2 for FMS group and 66.3±23.4 and 3.4±4.0 for control group, respectively (p<0.05). SF-36 subscores were found to be significantly lower in patients with FMS than control subjects (p<0.05), except for the social function subscore. BIS score had significant relationships both with VAS (r=0.843) and FIQ (r=0.290) in patients with FMS (p<0.05). There were significant relationships between BIS scores and SF-36 pain (r= -0.288), energy/vitality (r= -0.519), mental health (r= -0.442), and general health (r= -0,492) subscores (p<0.05). Body image was associated with VAS in the multivariate linear regression analysis. The results of the present study indicate that body image is disturbed in patients with FMS compared to control subjects. For the evaluation of the level of pain, impact of the disease, and QoL in patients with FMS, it would be useful to consider the relationship of the body image disturbance with these parameters.

The Relationships Between Sexual Function, Body Image, and Body Mass Index Among Women

The cross-sectional study was conducted to examine the relationship between sexual function, body mass index and body image among women. 193 women were included in the sampling. The data was collected using questionnaire form, the Female Sexual Function Index (FSFI), and Body Image Scale (BIS). The mean of the total FSFI score was 22.62 (SD 6.54, range 2.00–32.00). The mean of the BIS score was 145.29 (SD 17.73, range 93–200). The mean of the body mass index (BMI) was 24.50 (SD 3.75, range 16.05–35.56). Of the six sexual function parameters, pain (r = 0.044) did not correlate with BIS, while desire (r = 0.351), arousal (r = 0.335), lubrication (r = 0.242), orgasm (r = 0.335), satisfaction (r = 0.339) and FSFI total (r = 0.343), all p 0.05). In conclusion, positive body image of women had a positive effect on their sexual function. Overweight and obese based on BMI among women had a negative effect on woman’s body image, but had no effected on woman’s sexual function.

Does Video-Assisted Minilaparotomy Surgical Living Donor Nephrectomy Satisfy Donors?

PurposeVideo-assisted minilaparotomy surgical (VAMS) nephrectomy is believed to provide better cosmetic outcomes than open-donor nephrectomy in healthy donors. However, the results of a few studies have influenced the opinion of donors on their physical appearance. This study investigated the satisfaction of donors after a VAMS living donor nephrectomy. MethodsDonors who underwent VAMS living donor nephrectomy between 2009 and 2011 were requested to fill out a body image questionnaire. This questionnaire consisted of three subscales: body image scale (BS), confidence in surgery scale (CS), and hospital experience scale (HS). A total of 20 VAMS living nephrectomy donors completed the questionnaire. ResultsThe study included 3 male and 17 female donors of overall mean age of 38.7 ± 12.4 years. Eight donors were unmarried (40.0%), 11 were married (55.0%), and 1 was divorced. The mean follow-up was 7.9 ± 4.5 months. The mean BS, CS, and HS scores were 41.6 ± 5.3, 21.85 ± 8.3, and 13.9 ± 2.2, corresponding to perfect scores of 50, 30, and 20, respectively. ConclusionThe results of this study showed that VAMS nephrectomy donors tended to be pleased with their body image, operation, and hospital experiences.

A study of body image in long‐term breast cancer survivors

In this controlled postdiagnosis study, the authors examined various aspects of body image of breast cancer survivors in cross-sectional and longitudinal designs. In 2004 and 2007 the Body Image Scale (BIS) was completed by the same 248 disease-free women who had been treated for stage II and III breast cancer between 1998 and 2002. "Poorer" body image was defined as greater than the 70th percentile (N=76 women) of the BIS scores in contrast to "better" body image (N=172 women). Breast cancer survivors were examined clinically in 2004, and their BIS scores were compared with the scores from an age-matched group of women from the general population. In this cross-sectional study, poorer body image in 2004 was associated significantly with modified radical mastectomy, undergoing or planning to undergo breast-reconstructive surgery, a change in clothing, poor physical and mental health, chronic fatigue, and reduced quality of life (QoL). In univariate analyses, most of these factors and manually planned radiotherapy were significant predictors of poorer body image in 2007. In multivariate analyses, manually planned radiotherapy, poor physical QoL and high BIS score in 2004 remained independent predictors of a poorer body image in 2007. Body image ratings were relatively stable from 2004 to 2007. Twenty-one percent of breast cancer survivors reported body image dissatisfaction, similar to the proportion of dissatisfaction in controls. In this cross-sectional analysis, body image in breast cancer survivors was associated with the types of surgery and radiotherapy and with mental distress, reduced health, and impaired QoL. Body image ratings were relatively stable over time, and the antecedent body image score was a strong predictor of body image at follow-up. Body image in breast cancer survivors differed very little from that in controls.

Impact of pessary use on prolapse symptoms, quality of life, and body image

We sought to evaluate whether use of a vaginal pessary would change body image, bother symptoms, and quality of life in women with pelvic organ prolapse. Women presenting for pessary insertion completed the short forms of Pelvic Floor Distress Inventory-20, Pelvic Floor Impact Questionnaire, and Body Image Scale. After successful pessary insertion and use for at least 3 months, subjects completed the surveys again. Scores were compared with a paired t test. A total of 75 subjects were enrolled and follow-up responses were available for 54 subjects for analysis. Body Image Scale scores showed a significant decrease (6.1-3.4; P<.001), indicating an improvement in these women's perception of themselves, as did Pelvic Floor Distress Inventory-20 scores (81.34-45.83; P<.001) and Pelvic Floor Impact Questionnaire scores (50.32-17.98; P=.003). The use of a pessary for 3 months reduces bother symptoms and improves both quality of life and perception of body image in women.

Assessment of body image in patients undergoing surgery for colorectal cancer

This study tested the scale properties and validity of the ten-item body image scale (BIS) in patients undergoing surgery for colorectal cancer (CRC). Patients completed the BIS and a validated measure of health-related quality of life (European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30) after open or laparoscopic resection. A sample of the patients had also previously completed questionnaires before and after surgery. Multi-trait scaling and factor analysis were used to examine the questionnaire scaling, and tests of reliability, clinical and construct validity were performed. Eighty-two patients (48 male, 59 open, 23 laparoscopic) participated. Scaling analyses suggested a nine-item scale and one single item. This revised scale structure demonstrated good test-retest reliability (r = 0.94) and no overlap with the key domains of the EORTC QLQ-C30 (r < 0.40). Patients with a stoma reported significantly poorer BIS scores than those undergoing simple resection (p = 0.005). This study provides psychometric and clinical evidence for a revised scale structure for the BIS in CRC, and the questionnaire is suitable to assess body image in CRC clinical trials.

The Portuguese version of the Body Image Scale (BIS) – psychometric properties in a sample of breast cancer patients

Purpose The aim of this study was to analyse the psychometric properties of the Portuguese version of the body image scale (BIS; Hopwood, P., Fletcher, I., Lee, A., Al Ghazal, S., 2001. A body image scale for use with cancer patients. European Journal of Cancer, 37, 189–197). This is a brief and psychometric robust measure of body image for use with cancer patients, independently of age, cancer type, treatment or stage of the disease and it was developed in collaboration with the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Study Group. Method The sample is comprised of 173 Portuguese postoperative breast cancer patients that completed a battery of measures that included the BIS and other scales of body image and quality of life, in order to explore its construct validity. Results The Portuguese version of BIS confirmed the original unidimensional structure and demonstrated adequate internal consistency, both in the global sample ( α = .93) as in surgical subgroups (mastectomy = .92 and breast-conserving surgery = .93). Evidence for the construct validity was provided through moderate to largely sized correlations between the BIS and other related measures. In further support of its discriminant validity, significant differences in BIS scores were found between women who underwent mastectomy and those who underwent breast-conserving surgery, with the former presenting higher scores. Age and time since diagnosis were not associated with BIS scores. Conclusions The Portuguese BIS proved to be a reliable and valid measure of body image concerns in a sample of breast cancer patients, allowing a brief and comprehensive assessment, both on clinical and research settings.

Disordered Eating Behaviors Among Turkish Adolescents With and Without Type 1 Diabetes

The aim of this comparative study was to determine the prevalence of disordered eating behaviors (DEBs) and its affecting factors among adolescents with Type 1 diabetes. Subjects were 45 diabetic adolescents and 55 nondiabetic healthy control subjects. The main outcome measures used were the Eating Attitudes Test and the Body Image Scale (BIS). Findings suggest that DEBs are almost four times as common in diabetic adolescents as in their nondiabetic peers (p < .001). Strict diet restriction and insulin misuse (p < .01) were related to DEBs. Disordered eating behaviors make a significant contribution to menstrual problems (p < .001) and poor metabolic control (p < .001). There was a nonsignificant negative correlation between DEBs and the BIS score. Health care professionals should be aware of the potential effect of subclinical and clinical DEBs including insulin misuse and strict diet in weight-conscious people with Type 1 diabetes who have poor metabolic control and menstrual problems.