Frierson Georita M, Thiel Debora L, Andersen Barbara L
Department of Psychology, The Ohio State University, Columbus 43210-1222, USA.
Ann Behav Med. 2006 Aug;32(1):77-81. doi: 10.1207/s15324796abm3201_9.
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.
The development of the Breast-Impact of Treatment Scale (BITS) is described. The construct is assessed with 13 items that comprise a one-factor solution.
Tests of convergent validity demonstrate the relationship, but not overlap, of the BITS with measures of stress, emotional distress, and sexuality. The BITS distinguishes between women receiving segmental mastectomy (lumpectomy) versus mastectomy. Incremental validity is shown with comparison to ratings of body satisfaction.
An early psychometric foundation enables use of the BITS to assess a common and distressing quality of life outcome for women with breast cancer.
身体变化应激是指女性因乳腺癌及乳房手术而产生的负面、痛苦的思想、情绪和行为所伴随的主观心理应激。身体变化应激表现为类似创伤应激的症状。
描述治疗对乳房影响量表(BITS)的编制过程。该量表由13个项目构成单因素结构。
聚合效度检验表明,BITS与应激、情绪困扰和性方面的测量指标之间存在关联,但无重叠。BITS能够区分接受乳房部分切除术(肿块切除术)和乳房切除术的女性。与身体满意度评分相比,显示出增量效度。
早期的心理测量学基础使得BITS能够用于评估乳腺癌女性常见且痛苦的生活质量结果。