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.

scholarly journals Dynamic Changes Of Body Image And Quality Of Life In Breast Cancer Patients

2019 ◽  
Vol Volume 11 ◽  
pp. 10563-10571 ◽  
Author(s):  
Tzu-Yi Wu ◽  
Tsai-Wang Chang ◽  
Sheng-Mao Chang ◽  
Yun-Ying Lin ◽  
Jung-Der Wang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
Cancer Patients ◽  
Breast Cancer Patients ◽  
Dynamic Changes

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 Effects of a Multidisciplinary Educational Rehabilitative Intervention in Breast Cancer Survivors: The Role of Body Image on Quality of Life Outcomes

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Giovanni Morone ◽  
Marco Iosa ◽  
Augusto Fusco ◽  
Antonella Scappaticci ◽  
Maria Rosaria Alcuri ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
Breast Cancer Survivors ◽  
The Body ◽  
Life Outcomes ◽  
Rehabilitative Intervention ◽  
Psychological Features

In breast cancer survivors, own body image may change due to physical and psychological reasons, worsening women’s living. The aim of the study was to investigate whether body image may affect the functional and quality of life outcomes after a multidisciplinary and educational rehabilitative intervention in sixty women with primary nonmetastatic breast cancer who have undergone conservative surgery. To assess the quality of life was administered The European Organization for Research and Treatment of Cancer Study Group on Quality of Life core questionnaire, while to investigate the psychological features and self-image were administered the following scales: the Body Image Scale, the Hamilton Rating Scale for Depression, and the State-Trait Anxiety Inventory. To assess the recovery of the function of the shoulder were administered: the Disabilities of the Arm, Shoulder, and Hand Questionnaire and the Constant-Murley Score. Data were collected at the baseline, at the end of the intervention, and at 3-month follow-up. We found a general improvement in the outcomes related to quality of life, and physical and psychological features after treatment (P< 0.001). During follow-up period, a higher further improvement in women without alterations in body image in respect of those with an altered self-perception of their own body was found (P= 0.01). In conclusion, the body image may influence the efficacy of a rehabilitative intervention, especially in the short term of follow-up.

Follow-up study of a randomized clinical trial with quality of life diagnosis and therapy: Long-term quality of life of breast cancer survivors.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e20517-e20517
Author(s):  
Monika Klinkhammer-Schalke ◽  
Patricia Lindberg ◽  
Brunhilde Steinger ◽  
Michael Koller ◽  
Jeremy Wyatt ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
Randomized Trial ◽  
Cancer Patients ◽  
Breast Cancer Patients ◽  
Diagnosis And Therapy

e20517 Background: To improve breast cancer patients` quality of life (QoL) as second relevant outcome of care, a clinical pathway with diagnosis and therapy of diseased QoL has been developed, implemented and tested in a randomized trial (RCT) as part of a complex intervention. More than 6 years after RCT, long-term QoL of survivors was assessed and separately analyzed in 2 cohorts: QoL-intervention + guideline treatment in the first postoperative year (GC+) and guideline treatment alone (GC). Methods: Both cohorts were part of a randomized trial with 2 x 100 primary breast cancer patients, surgically treated between 2004 - 2006, with QoL measurement every 3 months during the first year (EORTC QLQ-C30, BR23). In GC+ cohort, QoL was presented to coordinating physicians in a QoL-profile, including recommendations for treatment of diseased QoL (cutoff <50 points on scale 0 = bad, 100 = good) in 10 dimensions (global QoL, physical, role, emotional, cognitive, social functioning, arm symptoms, body image, pain, fatigue) and up to 5 targeted therapies to improve QoL. GC was treated according to S3 guideline. At follow-up >6 years after diagnosis (range of months since surgery: GC+ 74-94; GC 74-96), rates of diseased QoL in both cohorts were analyzed and compared with QoL 12 months postoperatively. Results: Long-term QoL was assessed in 66 patients of GC+ (mean age 64.7 (±10.9)) and 67 of GC (mean age 63.7 (±10.9)) (death GC+=13, GC=18; response rate 79%). In GC+, 48% of patients reported at least 1 QoL deficit at 12 months compared with 52% at 6-year follow-up, while in GC rate of diseased QoL increased from 53% to 62%. Regarding single dimensions, in GC+ rates of diseased QoL increased from 12 months to 6 years (except global QoL), reaching significance for arm symptoms (9% vs 29%) and body image (3% vs 16%) (p<.01, McNemar`s test). In GC no dimension changed significantly, but rates of diseased QoL for arm symptoms (26% vs 31%) and body image (9% vs 17%) were already rather high at 12 months. Conclusions: Breast cancer patients need tailored QoL therapy, exceeding the first postoperative year. Similar to traditional medical care, QoL needs to be considered continuously by anchoring it in follow-up care.

Hubungan body image dengan kualitas hidup pada pasien kanker payudara yang menjalankan kemoterapi

2019 ◽  
Vol 3 (2) ◽  
pp. 54
Author(s):  
Fitri Haryati ◽  
Dian Nur Adkhana Sari
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
Cancer Patients ◽  
World Health ◽  
Breast Cancer Patients ◽  
Kendall’S Tau ◽  
Kendall's Tau ◽  
The World

Breast cancer ranks first in the number of cases of cancer as well as the biggest cause of death due to cancer in the world each year. Breast cancer is a malignant tumor that is at risk of affecting body image. Quality of life is the concept of analyzing the ability of individuals to get a normal life. This study is to know there is a relationship between body image with quality of life in breast cancer patients (ca mammae) who run chemotherapy in RSUD Panembahan Senopati Bantul Yogyakarta. This research used correlation design with cross sectional approach. The population in this research was breast cancer patient (camammae) who run chemotherapy. The samples were 30 breast cancer patients (camammae) with accidental sampling techniques, instruments used Body Image Satisfaction (BIS) and The World Health Organization Quality of Life (WHOQOL)-BREF. The results were analyzed by Kendall's Tau test. The results of this study showed that the body image in the category was mostly 22 people (73.3%), while the quality of life in breast cancer patients (camammae) who run chemotherapy mostly included in the category both with percentage (70.0%) of 21 people. Kendall's Tau test results obtained correlation coefficient = 0.966 and with significance p = 0.000 <0.01 (significance level). There was a relationship between body image with quality of life in breast cancer patients (camammae) who run chemotherapy.

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

Cathartic Effect of Suicide Attempts Not Limited to Depression

Crisis ◽  
2003 ◽  
Vol 24 (2) ◽  
pp. 73-78 ◽  
Author(s):  
Yves Sarfati ◽  
Blandine Bouchaud ◽  
Marie-Christine Hardy-Baylé
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Personality Traits ◽  
Rating Scales ◽  
Suicide Attempts ◽  
World Health ◽  
Life Questionnaire ◽  
Short Term

Summary: The cathartic effect of suicide is traditionally defined as the existence of a rapid, significant, and spontaneous decrease in the depressive symptoms of suicide attempters after the act. This study was designed to investigate short-term variations, following a suicide attempt by self-poisoning, of a number of other variables identified as suicidal risk factors: hopelessness, impulsivity, personality traits, and quality of life. Patients hospitalized less than 24 hours after a deliberate (moderate) overdose were presented with the Montgomery-Asberg Depression and Impulsivity Rating Scales, Hopelessness scale, MMPI and World Health Organization's Quality of Life questionnaire (abbreviated versions). They were also asked to complete the same scales and questionnaires 8 days after discharge. The study involved 39 patients, the average interval between initial and follow-up assessment being 13.5 days. All the scores improved significantly, with the exception of quality of life and three out of the eight personality traits. This finding emphasizes the fact that improvement is not limited to depressive symptoms and enables us to identify the relative importance of each studied variable as a risk factor for attempted suicide. The limitations of the study are discussed as well as in particular the nongeneralizability of the sample and setting.

Different Types of Auricular Keloids and Treatment by Intralesional Cryosurgery: Best Practice for Obtaining Long-Lasting Clinical Results

Dermatology ◽  
2021 ◽  
pp. 1-10
Author(s):  
Yaron Har-Shai ◽  
Lior Har-Shai ◽  
Viktor A. Zouboulis ◽  
Christos C. Zouboulis
Keyword(s):  
Quality Of Life ◽  
Body Image ◽  
Recurrence Rate ◽  
Best Practice ◽  
Clinical Results ◽  
Psychosocial Impact ◽  
Aesthetic Outcome ◽  
The Past ◽  
Different Types

<b><i>Background:</i></b> Auricular keloids belong to the most perplexing medical conditions, which have significant psychosocial impact on the patient’s body image and quality of life. <b><i>Summary:</i></b> The article is purposed to provide dermatologists and plastic surgeons with the best proven practice using intralesional cryosurgery for the treatment of the different auricular keloid types in order to obtain superior clinical results by minimizing the probability of recurrence. In the past 20 years, the authors have developed novel procedures in order to increase the effectiveness of intralesional cryosurgery on auricular keloids, including hydrodissection, warm gauze technique, and excision of dangling skin. Long-lasting clinical results with a low recurrence rate and a satisfactory aesthetic outcome are achieved with no deformation of the ear framework.

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