Sexual Adjustment and Body Image in Breast Cancer Patients (SABIS): A new measure

Women's Mental Health Program, Women's College Hospital, Ontario, Canada.
The Breast Journal (Impact Factor: 1.41). 05/2009; 15(3):287-90. DOI: 10.1111/j.1524-4741.2009.00718.x
Source: PubMed

ABSTRACT 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 completed the SABIS and five measures of psychological, psychosocial, and sexual functioning. Psychometric properties of the SABIS were examined and it was found to be a reliable and valid means of assessing body image and sexuality in breast cancer patients following surgery.

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    • "Fobair, Stewart, Chang, D'Onofrio, Banks, & Bloom (2006) demonstrated that half of women with breast cancer start to have an undesirable body image in the diagnosis phase. Since, the body image is a strong predictor of a significant part of these women's behaviour, it can be concluded that, the type of body image exerts strong influence on the marital and sexual relationship (Cash, & Pruzinsky, 2002) and the feelings and beliefs that a woman develops of her body image and femininity is of the most crucial importance (Dalton, Rasmussen, Classen, & et al, 2009). Lack of sexual knowledge and information with increase of an individual's vulnerability gives rise to inefficient sexual function. "
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    ABSTRACT: The present research purpose is to assess the effectiveness of sexual skills in the improvement of sexual function, sexual satisfaction and body image of women suffering from breast cancer. 24 patients suffering from breast cancer was selected from among the cancer sufferers hospitalized in Shohaday-e Tajrish Hospital who were then assigned to the experimental and control groups. The experimental group underwent twelve 90-minute sessions of sexual skills training. Results of covariance analysis indicated that sexual skills’ training improves the sexual satisfaction. No significant effectiveness was observed in terms of patients’ body image. With regard to the high prevalence of breast cancer among women, sexual skills training can improve sexual function and enhance sexual satisfaction among patients suffering from breast cancer.
    Procedia - Social and Behavioral Sciences 12/2014; 159. DOI:10.1016/j.sbspro.2014.12.358
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    ABSTRACT: Objective The aim of the study was to investigate the level of self-image of patients after breast cancer surgery, and explore factors influencing self-image among patients who have experienced different types of surgeries, and set out a foundation for the improvement of care strategies. Methods The 538 patients with primary breast cancer who underwent surgery in the Department of Breast Surgery, First Hospital of China Medical University, Shenyang, China, from January 2004 to January 2009 were included in the study. The psychological status of the patients was evaluated by body image after breast cancer questionnaire (BIBCQ), social support rating scale (SSRS), self-rating anxiety scale (SRAS), depression rating scale (DRS), and general information questionnaire. The factors influencing the self-image were selected by a stepwise regression analysis. Results The patients who underwent breast-conserving surgery were the most satisfied with their body image, followed by those underwent surgery of modified radical mastectomy with reconstruction. However, cases treated by modified radical mastectomy without reconstruction had negative outcomes. Regardless of operation type, the self-image was influenced by anxiety, level of abuse by husband, and sexual satisfaction after operation. Conclusion The self-image of patients who underwent different breast cancer surgeries was influenced by different factors, and individualized nursing should be offered in accordance with the specific situation.
    The Chinese-German Journal of Clinical Oncology 10/2011; 10(10). DOI:10.1007/s10330-011-0837-0
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    ABSTRACT: To examine whether the meaning and interpretation of body image are similar for breast cancer survivors and women without breast cancer. Women completed the Multidimensional Body Self-Relations Questionnaire--Appearance Scales as part of two studies. There were 469 women with breast cancer and 385 women without breast cancer. Invariance testing was conducted to examine whether the items assessing the body image dimensions were similar, whether the dimensions were interpreted similarly, whether the items were equally salient and meaningful, and whether there were mean differences on the body image dimensions across the two groups. The meaning and interpretation of body image dimensions related to appearance evaluation and appearance orientation were similar across the groups, yet some group differences were found for overweight preoccupation and body areas satisfaction (and not testable for self-classified weight). Breast cancer survivors reported a small yet significantly higher mean on appearance evaluation and lower mean on appearance orientation compared to the women without breast cancer. Meaningful comparisons in body image across cancer and non-cancer women can be made using two of the Multidimensional Body Self-Relations Questionnaire--Appearance Scales. The overweight preoccupation subscale could be used to assess body image but should not be used if group mean differences are desirable. Assessing satisfaction with body areas across these groups is not recommended and may introduce systematic bias.
    Quality of Life Research 10/2010; 19(8):1171-80. DOI:10.1007/s11136-010-9680-y · 2.49 Impact Factor
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