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Table 3 Mapping of codes to the BREAST-Q scales

From: Re-examining content validity of the BREAST-Q more than a decade later to determine relevance and comprehensiveness

Domain

BREAST-Q Item

No. of codes that mapped per item

Subcodes (where applicable)

Satisfaction-breast(s) (n = 485)

Look in the mirror-clothed

39

 

Shape of breast(s)-bra on

26*

Feel normal-clothed

8

Size of breast(s)

19

Wear fitted clothing

55*

Breasts lined up

20

Bra fit

31

Softness of breast(s)

45

Breasts equal in size

26

Breast(s)-natural looking

16

Breast(s)-sit/hang

11

Breasts-touch

25

Breasts-part of body

23

Breasts-matched

34

Look in mirror-clothed

74*

Implant-Rippling/Wrinkling

5

Clothing type

24

Movement

4

Satisfaction—nipples and areola (n = 44)

Size

5

Shape

2

Natural

4

Color

11

Projection

7

Position

1

Similar

1

Sensation

5

Soft

1

Look overall

7

Satisfaction – cleavage (n = 14)

Scale under development

Satisfaction – scar (n = 116)

Mapped to SCAR-Q

Psychological wellbeing (n = 127)

Confident-social situation

24

 

Emotionally able

1

Emotionally healthy

21

Equal worth to other women

1

Self-confident

4

Feminine

1

Accepting of body

50

Normal

3

Like other women

15

Attractive

7

Physical wellbeing – chest (n = 565)

Pain-chest

69

Difficulty moving/lifting arm

58

Difficulty sleeping

25

Tightness-breast area

61

Pulling-breast area

42

Nagging feeling

1

Tenderness

1

Sharp pain

24

Aching feeling

8

Throbbing

7

Arm swelling

25

Other Arm codes^

374

Breast swelling

14

Breast sensation

230

Numbness (n = 71)

Tingling (n = 34)

Heavy (n = 27)

Temperature changes (n = 19)

Itchy (n = 12)

Pressure (n = 9)

Other abnormal sensation (n = 58) eg, burning, milk let-down, twinges

Comfortable/at ease

44

At ease-overall (n = 8)

At ease re. partner touching/looking at breasts (n = 34)

At ease re. touching own breasts (n = 2)

Confident

8

Self-conscious (n = 2)

Confident (n = 6)

Satisfied

55

Drive/arousal (n = 11)

Frequency (n = 33)

Quality (n = 7)

Overall (n = 4)

Confident-breast appearance

23

Appearance of breasts and nipple (n = 23)

Sexually attractive-unclothed

30

Look overall-unclothed (n = 30)

Adverse effects of radiation (n = 79)

Skin-look different

40

Color changes (n = 5)

Overall different (n = 35)

Marks on skin

3

Brownish-black marks/looks burnt (n = 3)

Skin-dry

7

Dry (n = 3)

Itchy (n = 4)

Skin-sore to touch

17

Sore/painful/discomfort/tender (n = 9)

Sensitive (n = 8)

Skin-thicker when touched

11

Feels different (n = 11)

Skin-irritated by clothing

1

Clothing rubs against skin (n = 1)

Other arm codes (n = 374)

Physical wellbeing

135

Function

Activity avoidance/behaviour (n = 27)

Work impact (n = 11)

Difficulty sleeping (n = 7)

Difficulty lifting or moving arms (n = 90)#

103

Symptoms

Sensation-arm (n = 39)

Pain (n = 33)

Fatigue (n = 17)

Skin changes (n = 6)

Dexterity/Grip (n = 6)

Pulling (n = 2)

Psychological wellbeing

29

Distress

Satisfaction

47

Arm sleeve

60

Arm appearance

  1. Codes highlighted in italic did not map to the BREAST-Q; ^arm codes that pertained to lymphedema are shown separately; #mapped to BREAST-Q Physical Wellbeing difficulty moving or lifting arm item