Factor structure of the Brief Symptom Inventory--18 in adult survivors of childhood cancer: Results from the Childhood Cancer Survivor Study.
Abstract
The factor structure of the Brief Symptom Inventory--18 (BSI-18; L. R. Derogatis, 2000) was investigated in a sample of adult survivors of childhood cancer enrolled in the Childhood Cancer Survivor Study (CCSS; N = 8,945). An exploratory factor analysis with a randomly chosen subsample supported a 3-factor structure closely corresponding to the 3 BSI-18 subscales: Depression, Anxiety, and Somatization. Confirmatory factor analysis with structural equation modeling validated this 3-dimensional structure in a separate subsample, though an alternative 4-factor model also fit the data. Analysis of the 3-factor model showed consistent fit in male and female participants. Compared with available community-based norms, survivors reported fewer symptoms of psychological distress. Together, results support the hypothesized 3-dimensional structure of the BSI-18 and indicate the measure may be useful in assessing psychological distress in this growing population of cancer survivors.
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References 75 · Cited by 209
- Authors
- Recklitis, C. J., Parsons, S. K., Shih, M.-C., Mertens, A., Robison, L. L., & Zeltzer, L.
- Affiliations
- Dana-Farber Cancer Institute (US)
- Boston Children's Hospital (US)
- University of Minnesota (US)
- University of California, Los Angeles (US)
- ORCID
- Venue
- Psychological Assessment
- Published
- 2006-03
- Volume
- 18
- Issue
- 1
- Pages
- 22-32
- ISSN
- 1040-3590 (ISSN-L)
- 1939-134X
- OpenAlex
- W1999629997
- Cited by
- 209
- References
- 75
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 8 · 2023: 9 · 2022: 10 · 2021: 8 · 2020: 9 · 2019: 20 · 2018: 17 · 2017: 11 · 2016: 11 · 2015: 9 · 2014: 12 · 2013: 12 · 2012: 17
- FWCI
- 6.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Assessment (publishedVersion)
- PubMed (publishedVersion)
- Funders
- US Department of Health and Human Services (U24-CA-55727)
- Children's Cancer Research
- Friend's of Dana-Farber
- 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 › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- Brief Symptom Inventory-18, factor structure, childhood cancer survivors, psychological distress, depression, anxiety, somatization, Childhood Cancer Survivor Study, psychometric validation, cancer survivorship
- MeSH terms
- Adolescent, Adult, Anxiety, Child, Depression, Factor Analysis, Statistical, Female, Humans, Male, Neoplasms, Surveys and Questionnaires, Somatoform Disorders, Cohort Studies, Survivors, Disease-Free Survival
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