多囊卵巢综合征身体形象量表的研制与验证

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology Pub Date : 2025-04-12 DOI:10.1016/j.ejogrb.2025.113977

Yingzhu Huang , Zhengjie Wang , Zhongsheng Hu , Lialian Wang , Lili Yu , Yuanjia Hu , Lichang Sun , Jialing Yang , Xun Lei

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引用次数: 0

摘要

多囊卵巢综合征（PCOS）对女性身体形象的影响越来越大，其生理和心理影响也越来越大。本研究的目的是开发和验证多囊卵巢综合征身体形象量表（PCOSBIS）。工具开发和验证研究分以下三个阶段完成：（Ⅰ）项目的生成和修订，（Ⅱ）项目的初步缩减和构建验证（Ⅲ）量表的心理测量评估。方法收集于2024年4 - 9月。通过文献回顾、德尔菲专家咨询和对21例PCOS患者的访谈，形成项目库。仪器验证阶段调查了来自三所三级综合医院的400名PCOS患者。进行探索性因子分析和验证性因子分析，评估标准效度、内部一致性和重测信度。结果PCOSBIS由6个维度23个项目组成，占方差的70.79%。验证性因子分析显示模型拟合良好。PCOSBIS具有较强的信度（α = 0.92）和重测稳定性。正如预期的那样，PCOSBIS与康诺-戴维森弹性量表（CD-RISC）和医疗结果研究简表36项健康调查（SF-36）呈正相关。400例患者的平均评分为48.60±10.85分，生理功能满意度最低。结论pcosbis具有强大的心理测量特性，是评估PCOS患者身体形象障碍的重要工具。

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Development and validation of a body image scale for Polycystic Ovary Syndrome

Background

Research on body image in women with polycystic ovary syndrome (PCOS) has increased due to its significant physical and psychological impact.The aim of this study was to develop and validate the Polycystic Ovary Syndrome Body Image Scale (PCOSBIS).

Design

An instrument development and validation study was completed in the following three phases: (Ⅰ) the generation and revision of the item, (Ⅱ) the preliminary reduction of items and construct validation (Ⅲ) the psychometric evaluation of the scale.

Methods

Data were collected from April to September in 2024. An item pool was generated through literature review, Delphi expert consultation, and interviews with 21 PCOS patients. The instrument-verification phase surveyed 400 PCOS patients from three tertiary general hospitals. Exploratory factor analysis and confirmatory factor analysis were conducted, and criterion validity, internal consistency, and test–retest reliability were assessed.

Results

The PCOSBIS was comprised six dimensions with 23 items, accounting for 70.79 % of the variance. Confirmatory factor analysis showed a good model fit. PCOSBIS exhibited strong reliability (α = 0.92) and test–retest stability. As expected, the PCOSBIS is positively correlated with the Connor-Davidson Resilience Scale (CD-RISC) and Medical Outcomes Study Short-Form 36-Item Health Survey (SF-36). Analysis of 400 patients’ score revealed a mean score of 48.60 ± 10.85, with the lowest score in ‘Physiological Function Satisfaction.’

Conclusion

PCOSBIS exhibits robust psychometric properties, making it a valuable tool for assessing body image disturbances in PCOS patients.

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来源期刊

European journal of obstetrics, gynecology, and reproductive biology 医学-妇产科学

CiteScore

4.60

自引率

3.80%

发文量

898

审稿时长

8.3 weeks

期刊介绍： The European Journal of Obstetrics & Gynecology and Reproductive Biology is the leading general clinical journal covering the continent. It publishes peer reviewed original research articles, as well as a wide range of news, book reviews, biographical, historical and educational articles and a lively correspondence section. Fields covered include obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine and reproductive ethics. The European Journal of Obstetrics & Gynecology and Reproductive Biology provides a forum for scientific and clinical professional communication in obstetrics and gynecology throughout Europe and the world.