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Validation of the Body Concealment Scale for Scleroderma (BCSS): Replication in the Scleroderma Patient-centered Intervention Network (SPIN) Cohort

Jewett, Lisa R.; Thombs, Brett D.; Malcarne, Vanessa L.; Mayes, Maureen D.; Körner, Annett; Fox, Rina S.; Mills, Sarah D.; Kwakkenbos, Linda; Carrier, Marie Eve; Harcourt, Diana; Rumsey, Nichola; Assassi, Shervin; Gholizadeh, Shadi; Fortune, Catherine

Authors

Lisa R. Jewett

Brett D. Thombs

Vanessa L. Malcarne

Maureen D. Mayes

Annett Körner

Rina S. Fox

Sarah D. Mills

Linda Kwakkenbos

Marie Eve Carrier

Shervin Assassi

Shadi Gholizadeh

Catherine Fortune



Abstract

© 2016 Elsevier Ltd Body concealment is an important component of appearance distress for individuals with disfiguring conditions, including scleroderma. The objective was to replicate the validation study of the Body Concealment Scale for Scleroderma (BCSS) among 897 scleroderma patients. The factor structure of the BCSS was evaluated using confirmatory factor analysis and the Multiple-Indicator Multiple-Cause model examined differential item functioning of SWAP items for sex and age. Internal consistency reliability was assessed via Cronbach's alpha. Construct validity was assessed by comparing the BCSS with a measure of body image distress and measures of mental health and pain intensity. Results replicated the original validation study, where a bifactor model provided the best fit. The BCSS demonstrated strong internal consistency reliability and construct validity. Findings further support the BCSS as a valid measure of body concealment in scleroderma and provide new evidence that scores can be compared and combined across sexes and ages.

Citation

Mills, S. D., Fox, R. S., Körner, A., Mayes, M. D., Malcarne, V. L., Jewett, L. R., …Thombs, B. D. (2017). Validation of the Body Concealment Scale for Scleroderma (BCSS): Replication in the Scleroderma Patient-centered Intervention Network (SPIN) Cohort. Body Image, 20, 99-106. https://doi.org/10.1016/j.bodyim.2016.11.007

Journal Article Type Article
Acceptance Date Nov 25, 2016
Online Publication Date Jan 6, 2017
Publication Date Mar 1, 2017
Journal Body Image
Print ISSN 1740-1445
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 20
Pages 99-106
DOI https://doi.org/10.1016/j.bodyim.2016.11.007
Keywords systemic sclerosis, scleroderma, disfigurement, body image avoidance, body concealment, measurement
Public URL https://uwe-repository.worktribe.com/output/890401
Publisher URL http://dx.doi.org/10.1016/j.bodyim.2016.11.007

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