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. 2015 Mar:13:33-7.
doi: 10.1016/j.bodyim.2014.12.003. Epub 2015 Jan 17.

Body image investment in breast cancer patients undergoing reconstruction: taking a closer look at the Appearance Schemas Inventory-Revised

Alicia S Chua  1 , Stacia M DeSantis  2 , Irene Teo  3 , Michelle Cororve Fingeret  4
Affiliations

Body image investment in breast cancer patients undergoing reconstruction: taking a closer look at the Appearance Schemas Inventory-Revised

Alicia S Chua et al. Body Image. 2015 Mar.

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.

Keywords: Body image; Body image investment; Breast cancer; Breast reconstruction; Confirmatory factor analysis; Exploratory factor analysis.

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Figures

Figure 1
Figure 1
First-order Confirmatory Factor Analysis (CFA) model for a 3-factor solution in the ASI-R measure (n = 178). Please refer to Table 1 for full item description.
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