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


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.
    Preview · Article · Dec 2014 · Procedia - Social and Behavioral Sciences
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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.
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    ABSTRACT: The definition of quality of life is derived from the WHO's general definition of health and reflects coping with normal stress, productive work and social functioning. Assessing quality of life in clinical trials is of crucial importance. Implications of medical interventions have to be evaluated not only in terms of hard endpoints (e.g. death, overall survival etc.) but also soft ones like for instance sexual functioning. The importance of assessing quality of life is sometimes underestimated in clinical trials and in everyday clinical practice. The purpose was a survey of current literature in the field of quality of life in breast cancer patients and survivors. The authors paid special attention to the sexual aspects of quality of life. The article outlines the influence of various demographic factors such as age, marital status, educational level and race on quality of life scores in breast cancer patients. The authors elucidated the differing impact of the type and stage of treatment (surgery, reconstruction, systemic therapy and radiotherapy) on quality of life in the group described above. Within this article the readers will also find information about quality of life in breast cancer patients in subsequent years after finalization of treatment. The relation of psychiatric disorders, more common in cancer patients, and their treatment with general and sexual quality of life is also presented and discussed. The readers will find the information contained in this article as a current review of quality of life literature and guidelines which could be incorporated into routine medical care.
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