Body change stress for women with breast cancer: The breast-impact of treatment scale

Frierson, Georita Marie; Thiel, Debora L.; Andersen, Barbara L.

doi:10.1207/s15324796abm3201_9

Cited by 61 publications

(49 citation statements)

References 26 publications

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“…The 13 items are summed for a total score ranging from 0 to 65, with higher scores indicating greater body change stress. The internal consistency was 0.84 -0.91 and has good validity (Yurek et al, 2000;Frierson et al, 2006).…”

Section: Data Collectionmentioning

confidence: 93%

“…The Breast-Impact of Treatment Scale (BITS) is an experimenter-derived measure developed to assess body image distress for female breast cancer patient following the traumatic stressor of breast cancer surgery (Frierson et al, 2006). A new conceptualization called body change stress was offered by the authors.…”

Section: Introductionmentioning

confidence: 99%

“…The 13-items generated in BITS were based on evaluation of more than 50 items from various scales used in previous research. It can be considered as a 'gold standard' measurement as it covers body image satisfaction, sexual behavior, sexual affects and cancer-related thoughts and behavior in respond to traumatic stress (Frierson et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

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Reliability and Validity of the Malay Version of the Breast-Impact of Treatment Scale (MVBITS) in Breast Cancer Women undergoing Chemotherapy

Zainal

Shuib²,

Bustam³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Background: Body image dissatisfaction among breast cancer survivors has been associated with psychological stress resultant from breast cancer and resultant surgery. This study aimed to examine the psychometric properties of the Malay Version of the Breast-Impact of Treatment Scale (MVBITS) and to investigate the associations of retained factors with the Hospital Anxiety and Depression Scale (HADS) and the Rosenberg Self-Esteem Scale (RSES). Materials and Methods: The MVBITS was 'forward-backward' translated from English to Malay and then administered to 70 female breast cancer patients who came to the Oncology Clinic of University Malaya Medical Centre, Kuala Lumpur, Malaysia to undergo chemotherapy. Principal component analysis (PCA) with varimax rotation was performed to explore the factor structure of the MVBITS. Associations of retained factors were estimated with reference to Spearman correlation coefficients. Results: The internal consistency reliability of MVBITS was good (Cronbach's alpha 0.945) and showed temporal stability over a 3-week period. Principal component analysis suggested two factors termed as 'Intrusion' and 'Avoidance' domains. These factors explained 70.3% of the variance. Factor 1 comprised the effects of breast cancer treatment on the emotion and thought, while Factor 2 informed attempts to limit exposure of the body to self or others. The Factor 1 of MVBITS was positively correlated with total, depression and anxiety sub-scores of HADS. Factor 2 was positively correlated with total and anxiety sub-scores of HADS. MVBITS was also positively correlated with the RSES scores. Conclusions: The results showed that the Malay Version of Breast-Impact of Treatment Scale possesses satisfactory psychometric properties suggesting that this instrument is appropriate for assessment of body change stress among female breast cancer patients in Malaysia.

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Section: Data Collectionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reliability and Validity of the Malay Version of the Breast-Impact of Treatment Scale (MVBITS) in Breast Cancer Women undergoing Chemotherapy

Zainal

Shuib²,

Bustam³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…The mean was 3.9 (SD = 1.7), comparable to data from Wiegel et al (2005) for clinical samples with sexual dysfunction (M range from 3.4 to 4.2) and unlike scores from healthy controls (M = 5.0). The mean for ITS (body change stress, M = 17.2) was similar to that of breast cancer patients treated with segmental mastectomy (lumpectomy; M = 16.1), which involves removal of the tumor and a portion of the surrounding breast tissue and the lining over the chest muscles, and unlike the score from breast patients treated with modified radical mastectomy (M = 29.2), which includes removal of the entire breast and nipple and extensive lymph node dissection (Frierson et al, 2006). Regarding partners' sexual function, more than half (54%) of the sample reported their partners as having at least one sexual problem.…”

Section: Clinical Description Of the Samplementioning

confidence: 95%

“…Body Change Stress-A modified version of the Breast-Impact of Treatment Scale (ITS) (Frierson, Thiel, & Andersen, 2006) assessed intrusive thoughts ("How my body has changed pops into my mind"), avoidant thoughts ("I don't want to deal with how my body looks"), and avoidant behaviors ("I avoid looking at or touching my body") related to body change stress. A 6-point scale ranging from 0 (not at all) to 5 (often) was used; total scores range from 0 to 65, with higher scores indicating greater body change stress.…”

Section: Global Sexual Satisfactionmentioning

confidence: 99%

Sexual Self Schema as a Moderator of Sexual and Psychological Outcomes for Gynecologic Cancer Survivors

et al. 2008

Self Cite

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Gynecologic cancer patients are at high risk for emotional distress and sexual dysfunction. The present study tested sexual self schema as an individual difference variable that might be useful in identifying those at risk for unfavorable outcomes. First, we tested schema as a predictor of sexual outcomes,including bodychangestress. Second,we examined schema as a contributor to broader quality of life outcomes, specifically as a moderator of the relationship between sexual satisfaction and psychological statue (depressive symptoms and quality of life). A cross-sectional design was used. Gynecologic cancer survivors (N = 175) 2−10 years post treatment were assessed during routine follow up. In regression analyses controlling for sociodemographic variables, patients' physical symptoms/signs as evaluated by nurses, health status, and extent of partner sexual difficulties, sexual self schema accounted for significant variance in the prediction of current sexual behavior, responsiveness, and satisfaction. Moreover, schema moderated the relationship between sexual satisfaction and psychological outcomes, suggesting that a positive sexual self schema might "buffer" patients from depressive symptoms when their sexual satisfaction is low. Furthermore, the combination of a negative sexual self schema and low sexual satisfaction might heighten survivors' risk for psychological distress, including depressive symptomatology. These data support the consideration of sexual self schema as a predictor of sexual morbidity among gynecologic cancer survivors.

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Treating Women's Orgasmic Difficulties

Carpenter¹,

Williams²,

Worly³

2017

The Wiley Handbook of Sex Therapy

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Body change stress for women with breast cancer: The breast-impact of treatment scale

Abstract: Background-Body change stress refers to subjective psychological stress that accompanies women's negative and distressing thoughts, emotions, and behaviors resultant from breast cancer and breast surgeries. Body change stress is manifest with traumatic stress-like symptoms.

Cited by 61 publications

References 26 publications

Reliability and Validity of the Malay Version of the Breast-Impact of Treatment Scale (MVBITS) in Breast Cancer Women undergoing Chemotherapy

Reliability and Validity of the Malay Version of the Breast-Impact of Treatment Scale (MVBITS) in Breast Cancer Women undergoing Chemotherapy

Sexual Self Schema as a Moderator of Sexual and Psychological Outcomes for Gynecologic Cancer Survivors

Treating Women's Orgasmic Difficulties

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