ArticleF1000Research2025
Beyond Scars: Development and Validation of a Four-Dimensional Body Image Score for Women with Breast and Gynecological Cancers - A Tunisian Multicenter Study.
Article in F1000Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Body image disturbances in breast and gynecological cancer survivors involve complex interrelationships between physical changes, sexuality, and self-esteem. Existing tools inadequately capture these multidimensional, cancer-specific concerns. This study developed and validated a Four-Dimensional Body Image Score for women with breast and gynecological Cancers (4D-BISC). Methods: A cross-sectional study was conducted (March-April 2025) across six Tunisian healthcare facilities. Women presenting with gynecological or breast cancers were included. Participants completed the 16-item questionnaire (5-point Likert scale) derived from validated scales (the Female Sexual Function Index (FSFI) and the Body Esteem Scale for Adolescents and Adults (BESAA)) and cancer-specific items. Psychometric properties were assessed via exploratory/confirmatory factor analyses (EFA/CFA), Cronbach's alpha (α), and correlations with established scales (FSFI, BESAA). Results: In total, 101 participants were included. CFA confirmed a robust 4-factor structure: Appearance Concerns (α=0.704), Social Exposure (α=0.737), Sexual Desirability (α=0.918) and Self-Esteem (α=0.786). The global score demonstrated excellent reliability. Strong correlations emerged between body image factors and sexual function (e.g., Sexual Desirability and sexual desire: p=0.706 and p<0.001 respectively). Breast cancer patients reported significantly worse body image globally (p=0.003), particularly in social exposure (median=26.7) and sexual desirability (median=30). Marital status and socioeconomic status significantly influenced sexuality-related concerns and self-esteem (p<0.05). Conclusion: The 4D-BISC is a psychometrically valid tool capturing cancer-specific body image dimensions. It highlights critical vulnerabilities among breast and gynecological cancers cancer patients- and provides a foundation for targeted psychosocial interventions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.