Latent structure and reliability analysis of the measure of body apperception: Cross-validation for head and neck cancer Patients

Pascal Jean-Pierre, Christopher Fundakowski, Enrique Perez, Shadae E. Jean-Pierre, Ashley R. Jean-Pierre, Angelica B. Melillo, Rachel Libby, Zoukaa Sargi

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Purpose: Cancer and its treatments are associated with psychological distress that can negatively impact self-perception, psychosocial functioning, and quality of life. Patients with head and neck cancers (HNC) are particularly susceptible to psychological distress. This study involved a cross-validation of the Measure of Body Apperception (MBA) for HNC patients. Methods: One hundred and twenty-two English-fluent HNC patients between 20 and 88 years of age completed the MBA on a Likert scale ranging from "1 = disagree" to "4 = agree." We assessed the latent structure and internal consistency reliability of the MBA using Principal Components Analysis (PCA) and Cronbach's coefficient alpha (α), respectively. We determined convergent and divergent validities of the MBA using correlations with the Hospital Anxiety and Depression Scale (HADS), observer disfigurement rating, and patients' clinical and demographic variables. Results: The PCA revealed a coherent set of items that explained 38 % of the variance. The Kaiser-Meyer-Olkin measure of sampling adequacy was 0.73 and the Bartlett's test of sphericity was statistically significant (χ 2 (28) = 253.64; p < 0.001), confirming the suitability of the data for dimension reduction analysis. The MBA had good internal consistency reliability (α = 0.77) and demonstrated adequate convergent and divergent validities based on statistically significant moderate correlations with the HADS (p < 0.01) and observer rating of disfigurement (p < 0.026) and nonstatistically significant correlations with patients' clinical and demographic variables: tumor location, age at diagnosis, and birth place (all p s > 0.05). Conclusions: The MBA is a valid and reliable screening measure of body apperception for HNC patients.

Original languageEnglish (US)
Pages (from-to)591-598
Number of pages8
JournalSupportive Care in Cancer
Issue number2
StatePublished - Feb 2013


  • Body apperception
  • Cancer control
  • Head and neck cancer
  • Measurement development
  • Psychological distress
  • Psychometrics
  • Quality of life
  • Symptom management

ASJC Scopus subject areas

  • Oncology


Dive into the research topics of 'Latent structure and reliability analysis of the measure of body apperception: Cross-validation for head and neck cancer Patients'. Together they form a unique fingerprint.

Cite this