Anagnostopoulos Fotios, Myrgianni Spyridoula
Department of Psychology, Panteion University, 176 71 Athens, Greece.
J Clin Psychol Med Settings. 2009 Dec;16(4):311-21. doi: 10.1007/s10880-009-9176-5. Epub 2009 Aug 22.
The aim of this study was to assess and compare the body image of breast cancer patients (n = 70) whom underwent breast conserving surgery or mastectomy, as well as to compare patients' scores with that of a sample of healthy control women (n = 70). A secondary objective of this study was to examine the reliability and validity of the 10-item Greek version of the Body Image Scale, a multidimensional measure of body image changes and concerns. Exploratory and confirmatory factor analyses on the items of this scale resulted in a two factor solution, indicating perceived attractiveness, and body and appearance satisfaction. Comparison of the two surgical groups revealed that women treated with mastectomy felt less attractive and more self-conscious, did not like their overall appearance, were dissatisfied with their scar, and avoided contact with people. Hierarchical regression analysis showed that more general body image concerns were associated with belonging to the mastectomy group, compared to the cancer-free group of women. Implications for clinical practice and recommendations for future investigations are discussed.
本研究的目的是评估和比较接受保乳手术或乳房切除术的乳腺癌患者（n = 70）的身体意象，同时将患者的得分与健康对照女性样本（n = 70）的得分进行比较。本研究的第二个目标是检验希腊语版10项身体意象量表的信度和效度，该量表是对身体意象变化和担忧的多维测量。对该量表项目进行的探索性和验证性因素分析得出了一个双因素解决方案，表明了感知吸引力以及身体和外表满意度。两个手术组的比较显示，接受乳房切除术治疗的女性感觉自己吸引力较低且更自觉，不喜欢自己的整体外表，对自己的疤痕不满意，并且避免与人接触。分层回归分析表明，与无癌女性组相比，更多的总体身体意象担忧与属于乳房切除术组有关。文中讨论了对临床实践的启示以及对未来研究的建议。
