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. 2018 Mar 5;172(5):431–436. doi: 10.1001/jamapediatrics.2017.5440

Table 1. Chest Dysphoria Scale (Final Version).

Item Patients Endorsing Item, No. (%)a
Nonsurgical Patients (n = 68) Postsurgical Patients (n = 68)
Items included in the final scale
I like looking at my chest in the mirror 7 (10) 57 (84)
Taking a shower/bath is difficult because I have to see my chest 40 (59) 1 (2)
I avoid going to the beach and/or swimming in public places because of my chest 55 (81) 7 (10)
I get gendered as female because of my chest 24 (35) 1 (2)
Dating/forming intimate partnerships is more difficult because of my chest 34 (50) 1 (2)
Physical intimacy/sexual activity is difficult because of my chest 41 (60) 2 (3)
I have struggled to make future plans because of my chest 39 (57) 1 (2)
I avoid exercise because of my chest 32 (47) 1 (2)
I avoid shopping/buying clothing because of my chest 21 (31) 0 (0)
I avoid seeking medical care because of my chest 9 (13) 1 (2)
I feel like my life hasn’t started because of my chest 40 (59) 1 (2)
I avoid swimming in private places because of my chest 44 (65) 2 (3)
I have to buy/wear certain clothes because of my chest 54 (79) 0 (0)
I sleep with a binder on at night 11 (16) 0 (0)
I avoid using locker rooms because of my chest 53 (78) 5 (7)
I worry that people are looking at my chest 57 (84) 7 (10)
I participate in life less than others because of my chest 41 (60) 1 (2)
Additional items not included in final scale
Thinking about my chest does not get in the way of daily activities 13 (19) 40 (59)
My chest does not get in the way of attending school/work 15 (22) 42 (62)
I avoid bathing/showering in order to avoid seeing my chest 11 (16) 0 (0)
I bind my chest in the daytime 60 (88) 0 (0)
a

Frequencies and corresponding percentages represent combine responses of “frequently” and “all the time.”