Instruments for measuring body image in breast cancer patients: a systematic review of measurement properties.

IF 3.4 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Quality of Life Research Pub Date : 2026-09-06 DOI:10.1007/s11136-026-04374-x

Yuanyuan Pang, Qifan Ding, Ru Feng, Zexuan Fan, Qian Yue, Siqi Wei

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引用次数: 0

Abstract

Purpose: To evaluate the psychometric properties of PROMs for measuring body image in breast cancer patients.

Methods: In December 2024, a psychometric systematic review was performed in the nine databases. The COSMIN checklist was employed to evaluate the methodological quality and psychometric properties of the included body image measures. The level of evidence was assessed using the GRADE framework, and final recommendations were formulated for the scale.

Results: Thirty-eight articles evaluating fifteen PROMs were included in this review. Structural validity, internal consistency, and hypothesis testing had been most frequently evaluated. Measurement error had not been assessed for all PROMs. Twelve instruments show potential application value but require further research. The BAS-BC, PSPP, and ASI-R are not recommended for use, as these instruments do not meet the strict COSMIN thresholds for full recommendation.

Conclusion: The BIS can be recommended as a temporary screening tool for assessing body image outcome in clinical practice. The BIRS can be tentatively advised for measuring specific postoperative body image changes. However, further comprehensive studies are required to validate the psychometric properties of existing PROMs.

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测量乳腺癌患者身体形象的仪器：测量特性的系统回顾。

目的：评价PROMs在乳腺癌患者身体形象测量中的心理测量特性。方法：于2024年12月对9个数据库进行心理测量系统评价。采用COSMIN检查表评估所纳入身体形象测量的方法学质量和心理测量学特性。使用GRADE框架评估证据水平，并制定了量表的最终建议。结果：本综述共纳入38篇文献，评价了15个PROMs。结构效度、内部一致性和假设检验是最常被评估的。没有评估所有prom的测量误差。有12种仪器具有潜在的应用价值，但需要进一步研究。不建议使用BAS-BC、PSPP和ASI-R，因为这些仪器不符合COSMIN完全推荐的严格阈值。结论：在临床实践中，BIS可作为评估身体形象结果的临时筛查工具。可以暂时建议使用BIRS来测量特定的术后身体图像变化。然而，需要进一步的综合研究来验证现有的PROMs的心理测量特性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Quality of Life Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

8.60%

发文量

224

审稿时长

3-8 weeks

期刊介绍： Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.