Psychological Reactions, Quality of Life, and Body Image After Bilateral Prophylactic Mastectomy in Women At High Risk for Breast Cancer: A Prospective 1-Year Follow-Up Study

2008 ◽  
Vol 26 (24) ◽  
pp. 3943-3949 ◽  
Author(s):  
Yvonne Brandberg ◽  
Kerstin Sandelin ◽  
Staffan Erikson ◽  
Göran Jurell ◽  
Annelie Liljegren ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
Prophylactic Mastectomy ◽  
Sexual Pleasure ◽  
Bilateral Prophylactic Mastectomy ◽  
Anxiety Depression ◽  
The Impact ◽  
Over Time

Purpose To prospectively evaluate body image, sexuality, emotional reactions (anxiety, depression), and quality of life in a sample of women having increased risk for breast cancer before and 6 months and 1 year after bilateral prophylactic mastectomy (BPM), and to compare preoperative expectations of the operation with postoperative reactions concerning the impact on six areas of the women's lives. Patients and Methods A total of 90 of 98 consecutive women who underwent BPM during October 1997 to December 2005 were included. Data were collected by self-administered questionnaires (eg, Hospital Anxiety and Depression scale, Swedish Short Term-36 Health Survey, Body Image Scale, Sexual Activity Questionnaire) before the operation (n = 81), and 6 (n = 71) and 12 months (n = 65) after BPM. Results Anxiety decreased over time (P = .0004). No corresponding difference was found for depression. No differences in health-related quality of life over time were found, with one exception. A substantial proportion of the women reported problems with body image 1 year after BPM (eg, self consciousness, 48%; feeling less sexually attractive, 48%; and dissatisfaction with the scars, 44%). Sexual pleasure was rated lower 1-year post-BPM as compared with before operation (P = .005), but no differences over time in habit, discomfort, or activity were found. Conclusion No negative effects on anxiety, depression, and quality of life were found. Anxiety and social activities improved. Negative impact on sexuality and body image was reported.

scholarly journals Changes in social function and body image in women diagnosed with breast cancer undergoing chemotherapy

2017 ◽  
Vol 39 (1) ◽  
pp. 57 ◽  
Author(s):  
Sabrina Nunes Garcia ◽  
Raquel De Castro Figueiredo Pereira Coelho ◽  
Pamella Naiana Dias dos Santos ◽  
Mariluci Alves Maftum ◽  
Maria De Fátima Mantovani ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
Social Function ◽  
Nonparametric Tests ◽  
Future Perspective ◽  
Life Questionnaire ◽  
Quality Of Life Questionnaire ◽  
The Impact

The objective of this study was to investigate the impairment of social and emotional functions, body image and future perspective in women with breast cancer undergoing chemotherapeutic treatment. This is a longitudinal research conducted from October 2012 to October 2013 at the chemotherapy unit of a private institution of Oncology located in Curitiba, PR, Brazil. Sociodemographic and clinical questionnaires were applied, Quality of Life Questionnaire Core 30 e Quality of Life Questionnaire – Breast Cancer Module, to 48 women subjected for the first time to chemotherapy, in three different stages of the treatment. Analysis with Friedman`s, Spearman and Kruskal-Wallis nonparametric tests was performed. Changes were observed in social function and body image, which compromised quality of life significantly. Results can subsidize the planning of and adjustments to the care provided to these women by considering the perception about the impact of therapy on QL and their perspectives. 

Quality of life assessment of oncologically treated patients because of breast cancer

2019 ◽  
Vol 9 (4) ◽  
pp. 14-20
Author(s):  
Aleksandra Trybulec ◽  
Filip Georgiew ◽  
Katarzyna Borowiec-Trybulec
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
Side Effects ◽  
Sexual Functioning ◽  
Personal Control ◽  
Sexual Pleasure ◽  
Life Assessment ◽  
Malignant Neoplasms

Introduction: Currently, in the world, breast cancer is recognized as one in four malignant neoplasms in women. It is the second most common cause of death in cancer patients. The disease, which is a threat to women’s lives, leads to the loss of personal control, during its duration it becomes everyday life with negative emotions such as uncertainty, anxiety and anxiety. Women have contact with a range of negative effects that the disease provides, causing them to resign and destructive to the psychophysical sphere. Disorders in the physical and mental aspect of body image, side effects of therapy, sexual relations with a partner and anxiety about health in the future are factors that have a huge impact on the quality of life of patients. The aim of the study was to assess the quality of life of women with breast cancer. Materials and methods: The quality of life of 40 women with breast cancer who underwent oncological treatment was assessed using the author’s questionnaire with 12 questions and QLQ-BR23 questionnaire with 23 questions.. Results and conclusions: Studies have shown that the biggest problem for women was the side effects of the treatment and the most common discomfort during radiation therapy. They are characterized by redness of the skin, general weakness and fatigue, which in turn later translated into, a change in the perception of their body image, a decrease in their attractiveness, a sense of comfort and confidence. The obtained results showed that the lowest quality of life of the respondents was registered in the domain determining future perspectives. The best result was recorded in the domain of sexual pleasure and sexual functioning. When assessing the quality of life of the respondents, it follows that patients with vocational education have a worse quality of life within the domain of breast symptoms. Employed persons surveyed obtained worse quality of life results in terms of sexual functioning and sexual pleasure. Considering the duration of illness of the respondents, there were no statistically significant differences affecting the quality of life.

Study Regarding the Effectiveness of Manual Lymphatic Drainage in the Case of Patients with Breast Cancer that Present Lymphedema

2013 ◽  
Vol 5 (10) ◽  
pp. 28-33
Author(s):  
Alexandru Mioc ◽  
Corina Pantea
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
Functional Limitation ◽  
Lymphatic Drainage ◽  
Manual Lymphatic Drainage ◽  
Patient Dissatisfaction ◽  
Physical Limitations ◽  
The Impact

Abstract Lymphedema is defined as a persistent increase of tissue volume caused by the blocked or absent lymphatic drainage. The purpose of this study is to analyse the effectiveness of lymphatic drainage in the treatment of lymphedema after a mastectomy, with the aim of reducing the volume of the lymphedema and improving overall symptomatology, as well as providing information regarding the impact of this treatment on quality-of-life and the physical limitations of these patients. With these objectives in mind, a series of articles evaluating the effectiveness of manual lymphatic drainage in the case of patients with breast cancer and lymphedema have been studied. The parameters under observation were: duration of lymphedema reduction and improved symptomatology (pain, a feeling of swelling of the upper limb, functional limitation, and patient dissatisfaction towards their body image). Following this analysis, one can conclude that the association of manual lymphatic drainage to physical exercise and physiotherapy has produced changes in the volume of the limb affected by the lymphedema; however, its isolated use has not resulted in significant changes

scholarly journals The impact of mastectomy on body image and sexuality in women with breast cancer: a systematic review

2021 ◽  
Vol 18 (1) ◽  
pp. 91-115
Author(s):  
Bárbara Martins Faria ◽  
Isabela Martins Rodrigues ◽  
Leticia Verri Marquez ◽  
Uriel Da Silva Pires ◽  
Stefan Vilges de Oliveira
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
Text Analysis ◽  
Sexual Functioning ◽  
Breast Surgery ◽  
Breast Conserving Surgery ◽  
Therapeutic Choice ◽  
The Impact

Objective: The study aims to evaluate the impact of mastectomy on body image and sexuality of women with breast cancer, as well as to provide a general understanding of their quality of life. Method: This review followed the PRISMA guidelines. The expression “Mastectomy AND (sexuality OR “body image”)” was searched in Lilacs, Scielo, Pubmed and Scopus databases. Articles published in English, Portuguese and Spanish between 2010 and 2020 were selected. The text analysis was carried out by peers. Results: 69.3% (43) of the studies presented mastectomy as a technique that worsens body image, sexual functioning and quality of life of women. Less radical procedures, such as breast-conserving surgery, showed lower impact on these indicators. Breast reconstruction is an alternative to mitigate breast surgery impacts. Conclusion: Mastectomy caused the major impacts on body image, sexual functioning and quality of life. These implications need to be considered during therapeutic choice.

scholarly journals Dynamic Changes in Quality of Life, Psychological Status, and Body Image in Women With Different Types of Breast Cancer Surgery: 8-year Follow Up

2022 ◽  
Author(s):  
Sriyani padmalatha K.M ◽  
Yi-Lin Wu ◽  
Shikha Kukreti ◽  
Chang-Chun Chen ◽  
Chia-Ni Lin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
World Health ◽  
Dynamic Changes ◽  
Depression Status ◽  
Different Types ◽  
Anxiety Depression

Abstract PurposeTo explore the dynamic changes in Quality of Life (QoL), anxiety/depression status, and body image (BI) of women who received different types of breast cancer (BC) surgery within an 8-years follow-up period.MethodsWomen with major BC surgeries were invited to complete the World Health Organization Quality of Life–Brief (WHOQOL-BREF), the European quality of life five dimensions questionnaire (EQ-5D), and a body image scale within 8 years of surgery. Kernel smoothing methods were applied to describe dynamic changes in QoL, anxiety/depression, and BI at different time points. Linear mixed effects models were constructed to identify the interaction between time, different types of surgery, and the determinants of QoL in these patients.ResultsA total of 1,803 women who had undergone a mastectomy, a modified radical mastectomy (MRM), and breast reconstruction (BR) were included. The BR group exhibited a high QoL score of WHOQOL one to five years after surgery with some fluctuations. The MRM group had comparatively stable, low QoL scores of WHOQOL items and less depressed/anxious. BR group generally showed fluctuated, lower scores of BI two years after operation, but they exhibited more anxiety/depression status after five years. Medical comorbidities, the status of anxiety/depression, and BI were the major factors influencing all domains and items of the WHOQOL BREF.ConclusionWhile MRM may decrease the likelihood of depression in patients with BC and BR would significantly improve their QoL in the first 5 years. We recommend that these findings should be considered and discussed in the patient participatory decision-making for breast surgery.

Quality of Life Among Younger Women With Breast Cancer

2005 ◽  
Vol 23 (15) ◽  
pp. 3322-3330 ◽  
Author(s):  
Nancy E. Avis ◽  
Sybil Crawford ◽  
Janeen Manuel
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
Coping Strategies ◽  
Cancer Diagnosis ◽  
Breast Cancer Diagnosis ◽  
Younger Women ◽  
The Impact ◽  
Image Problems

Purpose To describe quality of life (QOL) of younger women 4 to 42 months after breast cancer diagnosis and to identify factors associated with impaired QOL. Methods A total of 202 women diagnosed with stage I to III breast cancer at age 50 or younger from 4 to 42 months after breast cancer diagnosis previously completed a mailed survey. Global QOL; health-related QOL as measured by the Functional Assessment of Cancer Therapy–Breast Cancer (FACT-B); medical history; symptoms; days of work/activity missed after diagnosis; relationship, sexual, and body image problems; coping strategies; and feelings of preparedness were measured. Results General aches and pains and unhappiness with appearance were reported by more than 70% of women. Hot flashes (P = .0007), pain with sexual intercourse (P = .02), and difficulty with bladder control (P = .002) all significantly increased with age. Global QOL was significantly lower than for a nonpatient sample of younger women (P < .0001). In general, few sociodemographic and medical factors were related to QOL. In multivariate analyses, days of work/usual activity missed immediately after diagnosis; relationship, sexual, or body image problems after diagnosis; and coping strategies were related to almost all QOL domains. Ongoing treatment, vaginal dryness, and feeling unprepared for the impact of breast cancer were related to some domains. Conclusion Younger breast cancer survivors are at risk for impaired QOL up to several years after diagnosis. Younger women, especially those at high risk for lower QOL, may need interventions that specifically target their needs related to menopausal symptoms and problems with relationships, sexual functioning, and body image. Preparing younger woman for the impact of breast cancer may also prove beneficial.

scholarly journals Body Image Disturbances in Patients Undergoing Mastectomy for Breast Cancer

2020 ◽  
Vol 7 (42) ◽  
pp. 2384-2388
Author(s):  
Kavitha Konnakkaparambil Ramakrishnan ◽  
Sreekumar Damodaran
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
The Body ◽  
Body Image Disturbance ◽  
Body Image Scale ◽  
High Level ◽  
Psychosocial Morbidity ◽  
Anxiety Depression

BACKGROUND Body image can be defined as a subjective picture of an individual’s own physical appearance established by self-observation and by noticing the reaction of others. Breast cancer and its treatment has been shown to have tremendous impact on the body image of the patients. We wanted to assess the level of body image disturbance in patients undergoing mastectomy for breast cancer and identify the relation between the body image disturbance and measures of psychosocial morbidity and quality of life. METHODS 35 female patients who had mastectomy for breast cancer were assessed preoperatively, immediately after surgery and 2 months after the surgery. They were administered body image scale questionnaire, HADS (Hospital Anxiety and Depression Scale), General Health Questionnaire (GHQ-12) and WHO QOL BREF. RESULTS Our results showed that 24 out of 35 patients (68.5 %) were Body Image Scale positive at the first interview itself. The number of positive patients increased to 27 at the second interview (77.1 %), but this change was not statistically significant and there was no change from second to third visit. Those who were Body Image Scale Positive had significantly higher anxiety, depression and GHQ12 scores. Those who had a body image disturbance also had a poorer quality of life across all domains. CONCLUSIONS This study shows that there is a high level of body image disturbance in patients undergoing mastectomy for breast cancer even before surgery. This high level also contributes significantly to their psychosocial morbidity and also negatively affects their quality of life. KEYWORDS Body Image, Anxiety, Depression, Quality of Life, Breast Cancer, Mastectomy

scholarly journals Quality of Life and Sexual Functioning of Women after Breast Cancer Surgery

2021 ◽  
Vol 9 (B) ◽  
pp. 1066-1074
Author(s):  
Stana Pačarić ◽  
Želimir Orkić ◽  
Andrea Milostić-Srb ◽  
Tajana Turk ◽  
Nikolina Farčić ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
Side Effects ◽  
Sexual Functioning ◽  
Breast Conserving Surgery ◽  
Sexual Pleasure ◽  
Age Group ◽  
Eortc Qlq

BACKGROUND: Women with breast cancer can experience changes in sexual functioning and body images that can seriously affect their quality of life. AIM: The aim of this research was to study the quality of life and sexual functioning of women after a mastectomy and after a breast-conserving surgery and to compare post-operative quality of life. SUBJECTS AND METHODS: This cross-sectional study included 204 participants, 101 patients after a mastectomy and 103 patients after a quadrantectomy. The research was conducted using the Croatian version of the questionnaire of the European Organization for Research and Treatment of Breast Cancer, the questionnaire with the breast cancer module EORTC QLQ - BR 23. RESULTS: On the EORTC QLQ –BR23 scale, participants with mastectomy rated their sexual functioning (p < 0.001), sexual pleasure (p < 0.001), and systemic side effects (p = 0.04) lower comparing to women after breast-conserving surgery. The overall functionality scale was significantly lower (p = 0.03) for women who underwent mastectomy compared to those who underwent breast-conserving surgery. Participants under 51 years of age had worse body image 1 month after mastectomy (p = 0.006), while sexual functioning was better (p = 0.03) than in older age groups. In breast-conserving surgery group, 1 month after surgery, participants in the age group of 61 years and older assessed body image better (p = 0.04) than in the younger age group. Sexual functioning was rated better by women aged 51–60 years (p = 0.03). CONCLUSION: Results of this study show that women after breast conserving surgery have better quality of life, better sexual functioning and less side effects of systemic therapy compared to women after mastectomy. The type of surgery, patient’s age and time passed after completion of treatment are important factors which influence sexual functioning and quality of life in breast cancer survivors.

Sign in / Sign up

Export Citation Format

Share Document