Because the currently available questionnaires to evaluate sexual changes on breast cancer women only address the sexual sphere with a few questions our purpose was to develop a questionnaire that assesses changes in sexual dysfunction and satisfaction in women treated for breast cancer. A sample was selected of women aged between 18 and 65 who had had surgery for breast cancer, completed neoadjuvant/adjuvant chemotherapy treatment and could be receiving adjuvant hormonal treatment, with an active sex life at least 3 months before starting treatment. Metastatic disease was excluded. A questionnaire structured in 4 dimensions was developed. The MOS SF-12 and QLQ-BR23 questionnaires were also provided. The following metric properties were evaluated: item analysis; internal consistency; temporal stability; construct validity; concurrent, convergent and divergent validity; and feasibility. Three samples were recruited: a pilot sample of 20; a reduction sample of 152; and a validation sample of 148. The presence of 6 dimensions was confirmed: 1) Loss of sex drive; 2) worsening of body image; 3) psychological coping; 4) discomfort during intercourse; 5) satisfaction with sexual relations; and 6) satisfaction with breast reconstruction. Good goodness-of-fit statistics were obtained (χ2/df = 1.5, GFI = 0.9, AGFI = 0.84, CFI = 0.959, RMSEA = 0.062). Reliability was good (α = 0.855), as was test–retest stability (r = 0.838). The correlation with the convergent questionnaires proved to be higher than that obtained with generic measurements. We were able to develop a short questionnaire (17 items) capable of measuring sexual satisfaction in women with breast cancer with good metric properties.

中文翻译：

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乳腺癌患者性关系满意度量表的开发和验证——“SEXSAT-Q”

由于目前评估乳腺癌女性性变化的调查问卷仅涉及性领域，并提出了一些问题，因此我们的目的是开发一份调查问卷，评估接受乳腺癌治疗的女性性功能障碍和满意度的变化。样本选自18至65岁之间的女性，她们接受过乳腺癌手术，完成了新辅助/辅助化疗治疗，并且可能正在接受辅助激素治疗，并且在开始治疗前至少3个月有活跃的性生活。排除转移性疾病。制定了 4 个维度的调查问卷。还提供了 MOS SF-12 和 QLQ-BR23 调查问卷。评估了以下度量属性：项目分析；内部一致性；时间稳定性；构建效度；并发、收敛和发散有效性；和可行性。招募了三个样本：试点样本 20 人；减少样本152；验证样本为148。确认​​了6个维度的存在：1）性欲丧失；2）身体形象恶化；3）心理应对；4）性交时不适；5）对性关系的满意度；6) 对乳房重建的满意度。获得了良好的拟合优度统计数据（χ2/df = 1.5，GFI = 0.9，AGFI = 0.84，CFI = 0.959，RMSEA = 0.062）。可靠性良好（α = 0.855），重测稳定性也良好（r = 0.838）。事实证明，与收敛问卷的相关性高于通过一般测量获得的相关性。我们能够开发出一份简短的调查问卷（17 项），能够测量患有乳腺癌的女性的性满意度，并具有良好的度量特性。