Evidence map›Paper›PMID 41210315›Full record

ArticleAsia-Pacific journal of oncology nursing2025

Development and reliability and validity test of the body image and social function scale for patients after thyroid cancer surgery.

Qingqing Diao, Jieyu Lu, Sailei Shi, Jing Yang, Yating Song, Yong Wang, Zejuan Gu

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Article in Asia-Pacific journal of oncology nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Qingqing DiaoDepartment of Thyroid Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jieyu LuDepartment of Geriatric Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Sailei ShiDepartment of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jing YangDepartment of Thyroid Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Yating SongDepartment of Thyroid Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Yong WangDepartment of Thyroid Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Zejuan GuDepartment of Nursing, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to develop and validate a thyroid cancer-specific instrument to assess body image and social functioning in patients after thyroidectomy. Methods: Using a multi-stage approach guided by Cash's Body Image Disturbance Theory and Leary's Social Avoidance-Distress Model, we developed the Thyroid Cancer Body Image and Social Impact Scale (TC-BISIS). Item generation involved literature review, semi-structured interviews with 18 thyroid cancer survivors, expert consultation ( Results: EFA identified a five-factor structure explaining 62.43% of variance: Scar Cognition and Emotional Response, Voice Change Experience, Social Avoidance Behavior, Social Role Function Impact, and Intimate Relationship Impact. CFA confirmed excellent model fit (CFI ​= ​0.987, TLI ​= ​0.986, RMSEA ​= ​0.018, SRMR ​= ​0.039). The 30-item TC-BISIS demonstrated good internal consistency ( Conclusions: The TC-BISIS is the first validated instrument specifically addressing body image and social functioning in thyroid cancer survivors. Its strong psychometric properties support its utility in clinical practice for identifying patients requiring targeted psychosocial interventions and in research for evaluating intervention effectiveness. The scale enables comprehensive assessment of thyroid-specific concerns that are often overlooked in this population frequently labeled as having a "good cancer."

Indexed as

Body imagePsychometric propertiesScale developmentSocial functioningThyroid cancer

Identifiers

PMID41210315
PMCPMC12595316

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