Sexual Adjustment and Body Image Scale (SABIS): A New Measure for Breast Cancer Patients

Abstract

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.

Quality of life of women with pre-and post-operative breast cancer

“…13 There was a decrease in this dimension; authors claim that there is a process of reformulation and (re) elaboration after breast cancer, and it is difficult to even after placement of prosthesis. 21,22,25 The decrease in this dimension is significantly associated with depression. 25 The study found higher scores in the Body Image when married, older, literate, housewife patients with a diagnosis of fewer than 6 months.…”

“…21 The negative consequences that the removal of a tumor can have are associated, mainly to the body image and perception of sexuality, and the result can be perceived as mutilation, persisting even after the breast reconstruction. 22 Patients with breast cancer suffer from reduced Cognitive Function 23 linked to memory and concentration function. 13 In this study, women presented cognitive improvement, a fact that may have occurred because they were still treatmentnaive women, and cognitive Social Functioning.…”

Evaluación de la imagen corporal en mujeres con cáncer de mama: una revisión sistemática

“…En México, se encuentra el reporte de Aguilar et al (2013) en coparticipación en una investigación efectuada con España; en ese mismo año, Irarrázaval et al refieren la investigación hecha en Chile. En Colombia, se ha trabajado esta temática, pero solo como un aspecto por evaluar en la calidad de vida (Sánchez-Pedraza, Sierra-Matamoros, & López-Daza, 2012;Sánchez et al, 2009 Resultados de la evaluación sobre la imagen corporal y su asociación con otros aspectos psicosociales, en mujeres con cáncer de mama A través de los instrumentos utilizados, se hace hincapié en la vivencia en silencio, la autoconciencia e insatisfacción con la imagen corporal de las mujeres con CaMa, pues, ante la magnitud de la enfermedad oncológica que padecen o han padecido, creen que no es importante su imagen, ni su apariencia física, ni las alteraciones en la funcionalidad sexual o sus malestares psicológicos, por ello no manifiestan sus sentimientos y preocupaciones (Dalton et al, 2009;Decker, Pais, Miller, Goulet, & Fifea, 2012). A continuación, se presentan los resultados sobre la relación de la imagen corporal y diversos aspectos psicosociales, compilados de las diferentes investigaciones analizadas.…”

“…La CV en pacientes con CaMa está afectada cuando se está en tratamiento, por los síntomas adversos derivados de las quimio y radioterapias, y es común en la fase de sobrevivencia el miedo a la recurrencia (Moreira et al, 2011). Al sufrir una mastectomía radical, se presentará mayor ansiedad, depresión y peor imagen corporal (Begovic-Juhant, Chmielewski, Iwaugwau, & Chapman, 2012; Dalton et al, 2009;Zimmerman, Scott, & Heinrichs, 2010). Por otra parte, reportan mejor CV e imagen corporal las mujeres que tienen cirugías conservadoras (Rosenberg, 2013;Nano et al, 2005) y las que pasan por cirugías reconstructivas (Olivares, Martí, Román, & Moreno, 2010).…”

Validation of the instrument "Body image after breast cancer" in Brazil

“…For women with breast cancer, the following questionnaires are available: (a) The Body Image and Relationship Scale, developed by Hormes et al (2008); (b) The Sexual Adjustment Scale developed by Dalton et al (2009); (c) The Body Image Scale, created by Hopwood et al (2001); and (d) The Body Image after Breast Cancer Questionnaire, created by Baxter et al (2006). The last one, the "Body Image after Breast Cancer Questionnaire" (BIBCQ; Baxter et al, 2006) is the focus of our research, because it meets the multidimensional perspective required in the research of oncology psychosocial features.…”