Rina S Fox1,2, Sarah D Mills1,3, Shadi Gholizadeh1,4, Erin L Merz5, Scott C Roesch1,4, Philip J Clements6, Suzanne Kafaja6, Dinesh Khanna7, Daniel E Furst6, Vanessa L Malcarne1,4. 1. San Diego State University / University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California, San Diego, CA, USA. 2. Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. 3. Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Durham, NC, USA. 4. Department of Psychology, San Diego State University, San Diego, CA, USA. 5. Department of Psychology, California State University, Dominguez Hills, Carson, CA, USA. 6. Department of Medicine, University of California, Los Angeles, Los Angeles, CA, USA. 7. Department of Medicine, University of Michigan, Ann Arbor, MI, USA.
Abstract
Objective: The Brief Satisfaction With Appearance Scale measures two dimensions (Dissatisfaction with Appearance and Social Discomfort) of body image dissatisfaction in systemic sclerosis. This study examined the structural validity of the Brief Satisfaction With Appearance Scale across limited and diffuse systemic sclerosis subtypes, compared body image dissatisfaction by systemic sclerosis subtype, and identified the significant sociodemographic and medical correlates of body image dissatisfaction and whether they differed by subtype. Methods: Participants were 183 adults participating in the University of California, Los Angeles Scleroderma Quality of Life Study with limited cutaneous (n = 101) or diffuse cutaneous (n = 82) systemic sclerosis who received clinical examinations and completed questionnaires. Multiple-group confirmatory factor analysis, multivariate analysis of variance, and structural equation modeling were used. Results: The Brief Satisfaction With Appearance Scale's two-factor structure fit well for both subtypes. Patients with diffuse systemic sclerosis reported greater body image dissatisfaction on both factors than patients with limited disease. Greater Dissatisfaction with Appearance was associated with younger age and being unmarried for limited patients, and with younger age and increased finger/hand skin involvement for diffuse patients. Greater Social Discomfort was associated with younger age and being unmarried for both subtypes. Conclusion: The Brief Satisfaction With Appearance Scale scores can be meaningfully compared across limited and diffuse systemic sclerosis. Patients with diffuse disease reported more body image dissatisfaction than those with limited disease. Findings demonstrate that both medical and sociodemographic variables are associated with body image dissatisfaction in systemic sclerosis and can be used to identify which patients may be at increased risk for body image dissatisfaction.
Objective: The Brief Satisfaction With Appearance Scale measures two dimensions (Dissatisfaction with Appearance and Social Discomfort) of body image dissatisfaction in systemic sclerosis. This study examined the structural validity of the Brief Satisfaction With Appearance Scale across limited and diffuse systemic sclerosis subtypes, compared body image dissatisfaction by systemic sclerosis subtype, and identified the significant sociodemographic and medical correlates of body image dissatisfaction and whether they differed by subtype. Methods: Participants were 183 adults participating in the University of California, Los Angeles Scleroderma Quality of Life Study with limited cutaneous (n = 101) or diffuse cutaneous (n = 82) systemic sclerosis who received clinical examinations and completed questionnaires. Multiple-group confirmatory factor analysis, multivariate analysis of variance, and structural equation modeling were used. Results: The Brief Satisfaction With Appearance Scale's two-factor structure fit well for both subtypes. Patients with diffuse systemic sclerosis reported greater body image dissatisfaction on both factors than patients with limited disease. Greater Dissatisfaction with Appearance was associated with younger age and being unmarried for limited patients, and with younger age and increased finger/hand skin involvement for diffuse patients. Greater Social Discomfort was associated with younger age and being unmarried for both subtypes. Conclusion: The Brief Satisfaction With Appearance Scale scores can be meaningfully compared across limited and diffuse systemic sclerosis. Patients with diffuse disease reported more body image dissatisfaction than those with limited disease. Findings demonstrate that both medical and sociodemographic variables are associated with body image dissatisfaction in systemic sclerosis and can be used to identify which patients may be at increased risk for body image dissatisfaction.
Authors: Brett D Thombs; Wim van Lankveld; Marielle Bassel; Murray Baron; Robert Buzza; Shirley Haslam; Jennifer A Haythornthwaite; Marie Hudson; Lisa R Jewett; Ruby Knafo; Linda Kwakkenbos; Vanessa L Malcarne; Katherine Milette; Sarosh J Motivala; Evan G Newton; Warren R Nielson; Marion Pacy; Ilya Razykov; Orit Schieir; Suzanne Taillefer; Maureen Worron-Sauve Journal: Arthritis Care Res (Hoboken) Date: 2010-08 Impact factor: 4.794
Authors: Sarah D Mills; Rina S Fox; Erin L Merz; Philip J Clements; Suzanne Kafaja; Vanessa L Malcarne; Daniel E Furst; Dinesh Khanna Journal: J Rheumatol Date: 2015-06-01 Impact factor: 4.666
Authors: Lisa M Benrud-Larson; Leslie J Heinberg; Christy Boling; Jeffrey Reed; Barbara White; Fredrick M Wigley; Jennifer A Haythornthwaite Journal: Health Psychol Date: 2003-03 Impact factor: 4.267
Authors: Lisa R Jewett; Marie Hudson; Jennifer A Haythornthwaite; Leslie Heinberg; Fredrick M Wigley; Murray Baron; Brett D Thombs Journal: Arthritis Care Res (Hoboken) Date: 2010-07-27 Impact factor: 4.794