title: Body image investment in breast cancer patients undergoing reconstruction: taking a closer look at the Appearance Schemas Inventory-Revised.
abstract: Breast cancer and its treatment can significantly affect a woman's body image. As such, it would be useful to understand the importance or value these patients place on their appearance. We evaluated the factor structure of the Appearance Schemas Inventory-Revised (ASI-R), a measure of body image investment, with a sample of 356 breast cancer patients undergoing mastectomy and breast reconstruction. Using confirmatory and exploratory factor analyses, we found that a three-factor model demonstrated an improvement in fit over the original two-factor structure of the ASI-R. These factors were named Appearance Self-Evaluation, Appearance Power/Control, and Appearance Standards and Behavior. The three aforementioned factors demonstrated acceptable internal consistency reliabilities. Our findings have implications for the use of the ASI-R in an oncology setting, specifically for breast cancer patients undergoing reconstruction.
authors.affiliation: Department of Behavioral Science, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
authors.forename: Alicia S
authors.initials: AS
authors.lastname: Chua
authors.affiliation: Department of Biostatistics, University of Texas Health Science Center, Houston, TX, United States.
authors.forename: Stacia M
authors.initials: SM
authors.lastname: DeSantis
authors.affiliation: Department of Behavioral Science, University of Texas MD Anderson Cancer Center, Houston, TX, United States; Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
authors.forename: Irene
authors.initials: I
authors.lastname: Teo
authors.affiliation: Department of Behavioral Science, University of Texas MD Anderson Cancer Center, Houston, TX, United States; Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, TX, United States. Electronic address: mcfinger@mdanderson.org.
authors.forename: Michelle Cororve
authors.initials: MC
authors.lastname: Fingeret
mesh_terms: D001828:Body Image / Q000523:psychology*; D001943:Breast Neoplasms / Q000523:psychology* / Q000601:surgery*; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D011594:Psychometrics; D019651:Plastic Surgery Procedures / Q000523:psychology*; D012649:Self Concept; D011795:Surveys and Questionnaires / Q000592:standards*
keywords: Body image; Body image investment; Breast cancer; Breast reconstruction; Confirmatory factor analysis; Exploratory factor analysis