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- Title
Development and Psychometric Validation of the Breast Cancer Stigma Assessment Scale for Women with Breast Cancer and Its Survivors.
- Authors
Cenit-García, Judit; Buendia-Gilabert, Carolina; Contreras-Molina, Carmen; Puente-Fernández, Daniel; Fernández-Castillo, Rafael; García-Caro, María Paz
- Abstract
Background: The increase in breast cancer cases and breast cancer survival makes it advisable to quantify the impact of the health-related stigma of this disease. Purpose/Objectives: To develop and validate a breast cancer stigma scale in Spanish. Methods: Women diagnosed with, or survivors of, breast cancer were included. The development of the Breast Cancer Stigma Assessment Scale (BCSAS) involved both a literature review and personal interviews. Content validity was assessed using a Delphi study and a pilot test; construct validity was evaluated using an exploratory factor analysis; and convergent validity was assessed using six scales. Cronbach's α internal consistency and test-retest reliability were used to determine the reliability of the scales. Results: 231 women responded to the 28-item scale. The BCSAS showed good reliability, with α = 0.897. Seven factors emerged: concealment (α = 0.765), disturbance (α = 0.772), internalized stigma (α = 0.750), aesthetics (α = 0.779), course (α = 0.599), danger (α = 0.502), and origin (α = 0.350). The test-retest reliability was 0.830 (p < 0.001). Significant correlation was observed with event centrality (r = 0.701), anxiety–depression (r = 0.668), shame (r = 0.645), guilt (r = 0.524), and quality of life (r = −0.545). Conclusions: The BCSAS is a reliable and valid measure of stigma in women with breast cancer and its survivors. It could be useful for detecting stigma risk and establishing psychotherapeutic and care priorities.
- Subjects
SPAIN; BREAST tumor risk factors; EXPERIMENTAL design; CANCER patient psychology; PILOT projects; RESEARCH; AESTHETICS; ONLINE information services; CINAHL database; RESEARCH evaluation; STATISTICAL reliability; MEDICAL information storage &; retrieval systems; RESEARCH methodology; RESEARCH methodology evaluation; CROSS-sectional method; SOCIAL stigma; PSYCHOMETRICS; MULTITRAIT multimethod techniques; CRONBACH'S alpha; PSYCHOLOGICAL tests; DISEASE duration; FACTOR analysis; MENTAL depression; QUALITY of life; ANXIETY; SHAME; MEDLINE; DATA analysis software; BREAST tumors; WOMEN'S health; DELPHI method
- Publication
Healthcare (2227-9032), 2024, Vol 12, Issue 4, p420
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare12040420