Body Image After Mastectomy Scale: A New Measure of Body Image Behaviors and Beliefs in Women Following Mastectomy
Body Image After Mastectomy Scale: A New Measure of Body Image Behaviors and Beliefs in Women Following Mastectomy
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DOI：
10.1089/jwh.2021.0131
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发表时间：
2021-08-26
影响因子：
3.5
通讯作者：
Wilhelm, Sabine
中科院分区：
文献类型：
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作者：
Weingarden, Hilary;Laky, Zoe E.;Wilhelm, Sabine
背景：乳房切除术后的女性经常报告身体形象不佳，并与负面健康结果相关，例如生活质量下降、抑郁和焦虑症状加剧以及性功能受损。为了减少乳房切除术后的身体形象困扰，我们必须首先了解有助于其发展和维持的因素。因此，我们开发了一种新的测量方法——乳房切除术后身体意象量表（BIMS），以全面评估乳房切除术后可能引发和维持身体意象困扰的与外貌适应不良相关的信念和行为（例如回避和仪式）。材料和方法：47名接受乳房切除术和乳房再造的女性患者在乳房再造后3个月完成了BIMS和其他测量。结果：对BIMS初始心理测量特性的评估表明，整体量表具有良好的内部特征。一致性和强结构效度。特定领域分量表的可靠性从好到差不等。结论：BIMS 可在临床上用于确定认知和行为心理治疗目标，以减少乳房切除术造成的身体形象痛苦。它还可用于研究以确定导致乳房切除术后身体形象痛苦的发展和维持的因素。 ClinicalTrials.gov 标识符：NCT03428399。
Background: Body image distress is frequently reported by women after mastectomy and is associated with negative health outcomes, such as reduced quality of life, elevated depression and anxiety symptoms, and impaired sexual functioning. To reduce body image distress after mastectomy, we must first understand the factors that contribute to its development and maintenance. We therefore developed a new measure, the Body Image after Mastectomy Scale (BIMS), to comprehensively assess maladaptive appearance-related beliefs and behaviors (e.g., avoidance and rituals) that may trigger and maintain body image distress after mastectomy.Materials and Methods: Forty-seven female patients undergoing mastectomy with breast reconstruction completed the BIMS and other measures 3 months after breast reconstruction.Results: Evaluation of the BIMS' initial psychometric properties showed that the overall scale has good internal consistency and strong construct validity. Domain-specific subscales ranged in reliability from good to poor.Conclusions: The BIMS can be used clinically to identify cognitive and behavioral psychotherapy targets to reduce body image distress resulting from mastectomy. It can also be used in research to identify factors that contribute to the development and maintenance of body image distress after mastectomy. ClinicalTrials.gov identifier: NCT03428399.