Disturbances in sexuality and body image are common among women with breast cancer. However, there are few scales designed specifically to assess body image and sexuality in breast cancer patients. The purpose of this study was to develop and validate a self-report measure of body image and sexual adjustment in breast cancer patients: the Sexual Adjustment and Body Image Scale (SABIS). Three hundred and fifty three women diagnosed with primary breast cancer that had completed initial surgical treatment were enrolled in a randomized multi-centre intervention trial to evaluate the benefits of brief group psychotherapy. For the current study, participants completed the SABIS and various other measures of psychological and psychosocial functioning. Psychometric properties of the SABIS were examined. The factor structure of the two scales was established. The SABIS subscales demonstrated good test-retest reliability and internal consistency. Concurrent, convergent and discriminant validity were demonstrated. The SABIS provides a reliable and valid means of assessing disturbances in body image and sexuality in breast cancer patients.
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