Measuring perceived benefit and disease-related burden in young cancer survivors: validation of the Benefit and Burden Scale for Children (BBSC) in the Netherlands
Open accessAbstract
PURPOSE: Perceiving favourable changes from one's illness may go hand in hand with experiencing harmful psychosocial effects. Each of these constructs should be considered when examining children's levels of psychological adjustment following stressful life events. A paediatric instrument that accounts for both positive and negative impact of stressful events has not been investigated in The Netherlands before. The aim of the study was to investigate psychometric properties of the Dutch version of the Benefit and Burden Scale for Children (BBSC), a 20-item questionnaire that intends to measure potential benefit and burden of illness in children. METHODS: Dutch paediatric survivors of childhood cancer aged 8-18 (N = 77) completed the BBSC and other psychological questionnaires: Pediatric Quality of Life Inventory (health-related quality of life), State-Trait Anxiety Inventory for Children (anxiety), Children's Revised Impact of Event Scale (posttraumatic stress) and Strengths and Difficulties Questionnaire (behavioural functioning). Reliability and validity were evaluated. RESULTS: Internal consistency (Cronbach's alpha, benefit 0.84, burden 0.72), test-retest reliability (benefit r = 0.74, burden r = 0.78) and homogeneity (mean inter-item correlation, benefit r = 0.34, burden r = 0.22) were satisfactory. Burden was associated with HRQoL (-), anxiety (+), posttraumatic stress symptoms (+) and behavioural problems. Benefit did not correlate with the psychological outcomes. CONCLUSIONS: The Dutch version of the BBSC shows promising psychometric properties. Perceived benefit and disease-related burden are distinct constructs; both should be considered when examining children's psychological adjustment to potentially traumatic experiences. The BBSC may be useful as monitoring and screening instrument.
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The questionnaires used to operationalize the outcome domains have adequate to good psychometric properties.
“We operationalized these outcome domains using the most relevant scales of various questionnaires administered in the DCCSS-LATER 2 study (Table S1), which have adequate to good psychometric properties [15, 19-25].”
From Risk and Protective Factors of Psychosocial Functioning in Survivors of Childhood Cancer: Results of the DCCSS-LATER Study (2024) · cites this paper as [23]
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Wong, A. W. K., Chang, T.-T., Christopher, K., Lau, S. C. L., Beaupin, L. K., Love, B., Lipsey, K. L., & Feuerstein, M. (2017) · Journal of Cancer Survivorship · doi:10.1007/s11764-017-0613-4 · Cited by 109 · see citing works
Maas, A., Maurice‐Stam, H., Feijen, E. A. M. (., Teepen, J. C., van der Aa‐van Delden, A. M., Streefkerk, N., van Dulmen‐den Broeder, E., Tissing, W. J. E., Loonen, J. J., van der Pal, H. J. H., et al. (2024) · Psycho-Oncology · doi:10.1002/pon.9313 · Cited by 8 · see citing works
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- Authors
- Maurice-Stam, H., Broek, A., Kolk, A. M. M., Vrijmoet-Wiersma, J. M. J., Meijer-van den Bergh, E., van Dijk, E. M., Phipps, S., & Grootenhuis, M. A.
- Affiliations
- Emma Kinderziekenhuis (NL)
- University of Amsterdam (NL)
- Leiden University (NL)
- St. Jude Children's Research Hospital (US)
- Venue
- Supportive Care in Cancer
- Published
- 2011-06-11
- Volume
- 19
- Issue
- 8
- Pages
- 1249-1253
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- PMC
- PMC3128272
- OpenAlex
- W2143650833
- Cited by
- 21
- References
- 3
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 4 · 2022: 3 · 2021: 2 · 2020: 2 · 2017: 3 · 2015: 1 · 2014: 1 · 2012: 2
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Supportive Care in Cancer (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (publishedVersion, other-oa)
- UvA-DARE (University of Amsterdam) (submittedVersion, other-oa)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- childhood cancer survivors, psychometric validation, Dutch translation, health-related quality of life, anxiety, post-traumatic stress, behavioral problems, psychological adjustment, psychosocial outcomes
- MeSH terms
- Adaptation, Psychological, Adolescent, Analysis of Variance, Child, Female, Humans, Interview, Psychological, Male, Medical Oncology, Neoplasms, Netherlands, Pediatrics, Quality of Life, Surveys and Questionnaires, Social Perception, Statistics as Topic, Stress, Psychological, Survivors
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