Abstract
This study aims to examine the reliability and validity of the Turkish version of Body Attitude Test among women with breast cancer. The study included 101 voluntary women with breast cancer stage 1, 2 or 3 from different regions of Turkey. The Turkish versions of Body Attitude Test, Body Shape Questionnaire and Eating Attitudes Test were applied twice with a 7- day interval. The test demonstrated high test-retest reliability (Intra-class Correlation Coefficient = 0.95) with a good internal consistency (Cronbach’s alpha = 0.82; McDonald’s omega = 0.89) for all domains. The confirmatory factor analysis resulted in 4 factor structures and at an acceptable good fit-in with x2/df for BAT. The Body Attitude Test correlated strongly with the Body Shape Questionnaire and Eating Attitudes Test (p < 0.05). The results support the Turkish version of the test is a valid and reliable instrument that can be used to measure the body attitude of women with breast cancer. This test can be used as an appropriate measurement tool in assessing the subjective attitude towards the body in women with breast cancer.
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References
Akdemir, A., Inandi, T., Akbas, D., Karaoglan Kahilogullari, A., Eren, M., & Canpolat, B. I. (2012). Validity and reliability of a Turkish version of the body shape questionnaire among female high school students: Preliminary examination. European Eating Disorders Review, 20(1), e114–e115.
Anderson, D. A., Donahue, J., Ehrlich, L. E., & Gorrell, S. (2017). 10 psychological assessment of the eating disorders. The Oxford handbook of eating disorders, 211.
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186–3191.
Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88(3), 588.
Brunet, J., Sabiston, C. M., & Burke, S. (2013). Surviving breast cancer: women's experiences with their changed bodies. Body Image, 10(3), 344–351.
Brytek-Matera, A., & Probst, M. (2014). Psychometric properties of the polish version of the body attitude test. Archives of Psychiatry and Psychotherapy, 1, 39–46.
Büyükgöze Kavas, A. (2007). Eating attitudes and depression in a Turkish sample. European Eating Disorders Review: The Professional Journal of the Eating Disorders Association, 15(4), 305–310.
Collins, K. K., Liu, Y., Schootman, M., Aft, R., Yan, Y., Dean, G., Eilers, M., & Jeffe, D. B. (2011). Effects of breast cancer surgery and surgical side effects on body image over time. Breast Cancer Research and Treatment, 126(1), 167–176.
Cooper, P. J., Taylor, M. J., Cooper, Z., & Fairbum, C. G. (1987). The development and validation of the body shape questionnaire. International Journal of Eating Disorders, 6(4), 485–494.
Cuzzolaro, M. (2014). Eating and weight disorders: Studies on anorexia, bulimia, and obesity turns 19. Springer.
Eshkevari, E., Rieger, E., Longo, M. R., Haggard, P., & Treasure, J. (2014). Persistent body image disturbance following recovery from eating disorders. International Journal of Eating Disorders, 47(4), 400–409.
Ferlay, J., Shin, H. R., Bray, F., Forman, D., Mathers, C., & Parkin, D. M. (2010). Estimates of worldwide burden of cancer in 2008: Globocan 2008. International Journal of Cancer, 127(12), 2893–2917.
Fobair, P., Stewart, S. L., Chang, S., D'Onofrio, C., Banks, P. J., & Bloom, J. R. (2006). Body image and sexual problems in young women with breast cancer. Psycho-Oncology, 15(7), 579–594.
Frith, H., Harcourt, D., & Fussell, A. (2007). Anticipating an altered appearance: Women undergoing chemotherapy treatment for breast cancer. European Journal of Oncology Nursing, 11(5), 385–391.
Gila, A., Castro, J., Gómez, M., Toro, J., & Salamero, M. (1999). The body attitude test: Validation of the Spanish version. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 4(4), 175–178.
Gillen, M. M. (2015). Associations between positive body image and indicators of men's and women's mental and physical health. Body Image, 13, 67–74.
Grabe, S., Ward, L. M., & Hyde, J. S. (2008). The role of the media in body image concerns among women: A meta-analysis of experimental and correlational studies. Psychological Bulletin, 134(3), 460–476.
Jorgensen, T. D., Pornprasertmanit, S., Schoemann, A. M., Rosseel, Y., Miller, P., Quick, C., et al. (2019). Package ‘semTools’.
Kashima, A., Yamashita, T., Okamoto, A., Nagoshi, Y., Wada, Y., Tadai, T., & Fukui, K. (2003). Japanese version of the body attitude test: Its reliability and validity. Psychiatry and Clinical Neurosciences, 57(5), 511–516.
Mintz, L. B., & O'Halloran, M. S. (2000). The eating attitudes test: Validation with DSM-IV eating disorder criteria. Journal of Personality Assessment, 74(3), 489–503.
Paterson, C., Lengacher, C. A., Donovan, K. A., Kip, K. E., & Tofthagen, C. S. (2016). Body image in younger breast cancer survivors: A systematic review. Cancer Nursing, 39(1), E39.
Peter, C. (2010). A testkép mérése: A testi attitűdök tesztjének (Body Attitude Test) pszichometriai vizsgálata. Magyar Pszichológiai Szemle, 65(3), 431–461.
Probst, M., Pieters, G., & Vanderlinden, J. (2008). Evaluation of body experience questionnaires in eating disorders in female patients (AN/BN) and nonclinical participants. International Journal of Eating Disorders, 41(7), 657–665.
Probst, M., Vandereycken, W., Coppenolle, H. V., & Vanderlinden, J. (1995). The body attitude test for patients with an eating disorder: Psychometric characteristics of a new questionnaire. Eating Disorders, 3(2), 133–144.
Probst, M., Vandereycken, W., Van Coppenolle, H., & Pieters, G. (1999). Body experience in eating disorders before and after treatment: A follow-up study. European Psychiatry, 14(6), 333–340.
Probst, M., Vandereycken, W., Vanderlinden, J., & Van Coppenolle, H. (1998). The significance of body size estimation in eating disorders: Its relationship with clinical and psychological variables. International Journal of Eating Disorders, 24(2), 167–174.
Przezdziecki, A., Sherman, K. A., Baillie, A., Taylor, A., Foley, E., & Stalgis-Bilinski, K. (2013). My changed body: Breast cancer, body image, distress and self-compassion. Psycho-Oncology, 22(8), 1872–1879.
Rosseel, Y. (2012). Lavaan: An R package for structural equation modeling and more. Version 0.5–12 (BETA). Journal of Statistical Software, 48(2), 1–36.
Santonastoso, P., Ferrara, S., Sala, A., Vidotto, G., Dalle Grave, R., Probst, M., et al. (1995). Confronto degli attegiamenti corporei di un gruppo di pazienti con disturbi dell'alimentazione con un campione di studentesse: validazione italiana del Body Attitudes Test. Rivista Sperimentale di Freniatria: La Rivista della Salute Mentale, 69, 423–436.
Savaşır, I. (1989). Erol N. Yeme tutum testi: anoreksiya nervoza belirtileri indeksi. Psikoloji Dergisi, 7(23), 19–25.
Skrzypek, S., Wehmeier, P., & Remschmidt, H. (2001). Body image assessment using body size estimation in recent studies on anorexia nervosa. A brief review. European Child & Adolescent Psychiatry, 10(4), 215–221.
Acknowledgements
We would like to thank Prof. Erdem Karabulut and Research Assistant Orkun Tahir Aran for their statistical assistance to our study and Gürcan Günay for the language editing of our study.
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All the procedures performed were in accordance with the ethical standards of the national research standards and with the 1964 Helsinki declaration and its later amendments. Informed consent was obtained from all the individual participants included in the study.
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Şahin, S., Huri, M., Köse, B. et al. Reliability and Validity of the Turkish Version of Body Attitude Test in Women with Breast Cancer. Curr Psychol 41, 963–969 (2022). https://doi.org/10.1007/s12144-020-00627-1
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DOI: https://doi.org/10.1007/s12144-020-00627-1