<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-04-18T00:25:35Z</responseDate><request verb="GetRecord" identifier="oai:www.recercat.cat:11351/11189" metadataPrefix="mets">https://recercat.cat/oai/request</request><GetRecord><record><header><identifier>oai:recercat.cat:11351/11189</identifier><datestamp>2025-10-24T10:34:09Z</datestamp><setSpec>com_2072_378070</setSpec><setSpec>com_2072_378040</setSpec><setSpec>col_2072_378092</setSpec></header><metadata><mets xmlns="http://www.loc.gov/METS/" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" ID="&#xa;&#x9;&#x9;&#x9;&#x9;DSpace_ITEM_11351-11189" TYPE="DSpace ITEM" PROFILE="DSpace METS SIP Profile 1.0" xsi:schemaLocation="http://www.loc.gov/METS/ http://www.loc.gov/standards/mets/mets.xsd" OBJID="&#xa;&#x9;&#x9;&#x9;&#x9;hdl:11351/11189">
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                  <mods:namePart>Cenit-García, Judit</mods:namePart>
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                  <mods:namePart>Buendia Gilabert, Carolina</mods:namePart>
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                  <mods:namePart>Contreras-Molina, Carmen</mods:namePart>
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                  <mods:namePart>Fernandez Castillo, Rafael</mods:namePart>
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                  <mods:namePart>Puente-Fernandez, Daniel</mods:namePart>
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                  <mods:namePart>Garcia-Caro, Maria Paz</mods:namePart>
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                  <mods:dateAccessioned encoding="iso8601">2025-10-24T10:34:09Z</mods:dateAccessioned>
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               <mods:identifier type="uri">http://hdl.handle.net/11351/11189</mods:identifier>
               <mods:abstract>Neoplàsia de mama; Supervivents de càncer; Estigma socialNeoplasia de mama; Supervivientes de cáncer; Estigma socialBreast neoplasm; Cancer survivors; Social stigmaBackground: 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 &lt; 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.</mods:abstract>
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               <mods:accessCondition type="useAndReproduction">Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess</mods:accessCondition>
               <mods:subject>
                  <mods:topic>Mama - Càncer</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Psicometria</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Estigma (Psicologia social)</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>DISEASES::Neoplasms::Neoplasms by Site::Breast Neoplasms</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>PSYCHIATRY AND PSYCHOLOGY::Behavioral Disciplines and Activities::Psychological Tests::Psychometrics</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>NAMED GROUPS::Persons::Survivors::Cancer Survivors</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Behavior::Social Behavior::Social Stigma</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>ENFERMEDADES::neoplasias::neoplasias por localización::neoplasias de la mama</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>PSIQUIATRÍA Y PSICOLOGÍA::disciplinas y actividades conductuales::pruebas psicológicas::psicometría</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>DENOMINACIONES DE GRUPOS::personas::sobrevivientes::supervivientes de cáncer</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::conducta::conducta social::estigma social</mods:topic>
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                  <mods:title>Development and Psychometric Validation of the Breast Cancer Stigma Assessment Scale for Women with Breast Cancer and Its Survivors</mods:title>
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