Department of Supportive Care, Princess Margaret Cancer Centre (University Health Network), Toronto, Ontario, Canada.
School of Psychology, University of Ottawa, Ottawa, Ontario, Canada.
Support Care Cancer. 2018 Oct;26(10):3365-3377. doi: 10.1007/s00520-018-4187-0. Epub 2018 Apr 13.
This cross-sectional study presents an initial psychometric evaluation of a two-dimensional (perceptual and evaluative) conceptualization and measure of disrupted body integrity (DBI)-illness-related disruption of the sense of the body as an integrated, smoothly functioning whole.
Male and female head and neck cancer (HNC) outpatients (N = 98) completed a questionnaire package prior to outpatient visits.
The Disrupted Body Integrity Scale (DBIS) was developed to measure the perceptual and evaluative facets of DBI. Self-report measures of disfigurement, stigma, depressive symptoms, and negative affect were also completed.
Almost all DBIS subscales demonstrated good internal consistency. Results largely supported the DBIS's construct validity. The majority of subscales correlated within the predicted range of r's = .40-.70. Almost all DBIS constructs were positively linked with either depressive symptoms or disfigurement. None correlated with positive affect, and only two subscales, abnormal sensations (perceptual) and physical vulnerability (evaluative), correlated with negative affect. DBIS constructs showed little relation with stigma, once disfigurement effects were controlled for.
Findings offer preliminary evidence for the DBIS and the relevance of DBI in HNC. Further evaluation of DBI in disease adaptation and the DBIS's factor structure is warranted.
本横断面研究初步评估了一种二维（感知和评价）概念化和测量方法，用于测量身体完整性障碍（DBI）——疾病相关的身体感觉障碍，即身体作为一个完整、顺畅运作的整体。
男性和女性头颈部癌症（HNC）门诊患者（N=98）在门诊就诊前完成了一份问卷包。
身体完整性障碍量表（DBIS）用于测量 DBI 的感知和评价方面。还完成了容貌损毁、污名、抑郁症状和负性情绪的自评量表。
几乎所有 DBIS 分量表都表现出良好的内部一致性。结果在很大程度上支持了 DBIS 的结构效度。大多数分量表的相关系数在 r=0.40-0.70 的预测范围内。几乎所有的 DBIS 结构都与抑郁症状或容貌损毁呈正相关。与正性情绪没有相关性，只有两个分量表，异常感觉（感知）和身体脆弱性（评价），与负性情绪相关。DBIS 结构与污名的相关性很小，一旦控制了容貌损毁的影响。
研究结果为 HNC 中的 DBIS 和 DBI 的相关性提供了初步证据。需要进一步评估疾病适应中的 DBI 和 DBIS 的因子结构。
