scholarly journals Enhancing Self-Esteem and Body Image of Breast Cancer Women through Interventions: A Systematic Review

Author(s):  
Lucía Morales-Sánchez ◽  
Violeta Luque-Ribelles ◽  
Paloma Gil-Olarte ◽  
Paula Ruiz-González ◽  
Rocío Guil

Breast Cancer (BC) is the most common neoplasm in women worldwide, considered a global public health problem. Among BC women, some of the most common psychological symptoms in the adaptation to the disease are reduction in self-esteem and distorted body image (BI). Although there are numerous studies with the goal of promoting different psychological variables, BI and self-esteem are often separately observed despite their relationship and their importance in the process of the illness. Moreover, there have been no reviews that have synthesized the findings related to interventions aimed at enhancing both self-esteem and BI in BC women. Therefore, the objective of this review was to identify and examine the implemented interventions aimed at boosting both variables in this population. For this purpose, a systematic review was implemented following the PRISMA statement. A thorough search was performed on the following databases: Web of Science, PubMed, PsychInfo, PsychArticles, and Scopus. Among 287 records, only eight articles met the eligibility criteria. Interventions were grouped into three types according to their characteristics: Group therapies, Physical activity therapies, and Cosmetic and beauty treatments. The levels of effectiveness of the different interventions varied between them, and within each, in their impact on self-esteem and BI. More interventions focused on developing BI and self-esteem in this population are needed due to their ability to predict psychological functioning and quality of life of women with breast cancer.

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241961
Author(s):  
Birye Dessalegn Mekonnen

Background Breast cancer is common global public health problem. It is the principal cause of cancer related death. In Ethiopia, study findings regarding prevalence and associated factors of BSE among female healthcare workers have been inconsistently reported and highly variable. Thus, this systematic review and meta-analysis aimed to determine the pooled prevalence of breast self-examination practice and determinants in Ethiopia. Methods A systematic search of PubMed, Medline, EMBASE, Global Health, Google Scholar, CINAHL and Scopus from April 2, 2020 to April 24, 2020. Data were extracted from articles included in the review using a data extraction tool which was adapted from the Joanna Briggs Institute. the quality of each included article was evaluated using the Newcastle-Ottawa scale. Data analysis was done using STATA 11. The Cochrane Q and I2 test were used to assess heterogeneity between the studies; and publication bias was assessed using funnel plots and Egger’s test. A random effects meta-analysis was computed to determine the pooled prevalence of breast self-examination. The determinants for breast self-examination were examined. Forest plots were used to present the prevalence and odds ratio with 95% confidence interval. Results After reviewing 9605 studies, 12 studies involving 4129 female healthcare workers were included for this review and meta-analysis. The pooled prevalence of breast self-examination practice among healthcare workers in Ethiopia was 56.31% (95% CI: 44.37, 68.25). The subgroup analysis further revealed that the higher breast self-examination practice was observed among other healthcare workers, 58.60% (95% CI: 43.31, 73.90). Good knowledge (AOR = 3.02; 95% CI: 1.24, 7.35), positive attitude (AOR = 2.73; 95% CI: 1.95, 4.13) and family history of breast cancer (AOR = 3.21; 95% CI: 1.22, 6.52) were significantly associated with breast self-examination practice among healthcare workers. Conclusion This meta-analysis found that nearly half of the female healthcare workers were not performed breast self-examination. The finding of this study suggests the need of strengthening early diagnosis of breast cancer and control strategies with a collaborative effort of policymakers and other concerned stakeholders.


2021 ◽  
Vol 22 (9) ◽  
pp. 4480
Author(s):  
Maria Tziastoudi ◽  
Georgios Pissas ◽  
Georgios Raptis ◽  
Christos Cholevas ◽  
Theodoros Eleftheriadis ◽  
...  

Chronic kidney disease (CKD) is an important global public health problem due to its high prevalence and morbidity. Although the treatment of nephrology patients has changed considerably, ineffectiveness and side effects of medications represent a major issue. In an effort to elucidate the contribution of genetic variants located in several genes in the response to treatment of patients with CKD, we performed a systematic review and meta-analysis of all available pharmacogenetics studies. The association between genotype distribution and response to medication was examined using the dominant, recessive, and additive inheritance models. Subgroup analysis based on ethnicity was also performed. In total, 29 studies were included in the meta-analysis, which examined the association of 11 genes (16 polymorphisms) with the response to treatment regarding CKD. Among the 29 studies, 18 studies included patients with renal transplantation, 8 involved patients with nephrotic syndrome, and 3 studies included patients with lupus nephritis. The present meta-analysis provides strong evidence for the contribution of variants harbored in the ABCB1, IL-10, ITPA, MIF, and TNF genes that creates some genetic predisposition that reduces effectiveness or is associated with adverse events of medications used in CKD.


2019 ◽  
Vol 53 ◽  
pp. 30 ◽  
Author(s):  
Leonessa Boing ◽  
Gustavo Soares Pereira ◽  
Camila Da Cruz Ramos de Araújo ◽  
Fabiana Flores Sperandio ◽  
Monique Da Silva Gevaerd Loch ◽  
...  

OBJECTIVE: To analyze the factors associated with the presence of depression symptoms in women after breast cancer. METHODS: Cross-sectional study with 181 women with breast cancer, aged 57.0 years (SD = 9.5), who were undergoing treatment or after treatment in the Oncology Research Center in Florianópolis, state of Santa Catarina, Brazil. The questionnaire comprised items addressing general and health information, economic level, anthropometric measures, depression symptoms (Beck Depression Inventory), self-esteem (Rosenberg Self-Esteem Scale), and body image (Body Image After Breast Cancer Questionnaire). Descriptive and inferential statistical analysis were performed by chi-square and Fisher’s exact tests to verify association, Mann-Whitney U test to compare the groups and Poisson regression to identify the prevalence ratio of the factors associated with presence of depression symptoms (p < 0.05). RESULTS: We found an association between the presence of depression symptoms and the group of younger women (aged 40–60 years), those who had another disease besides cancer, those who had mastectomy surgery, those who suffered from lymphedema, and those who presented low–medium self-esteem. Less educated women presented more depressive symptoms, as did women with worse body image on the subscales of limitations, transparency, and arm concerns. CONCLUSIONS: Age, educational attainment, diagnosis of other diseases, type of surgery, lymphedema, self-esteem, and body image were factors associated with the presence of depression symptoms in Brazilian women after breast cancer. Health professionals should be aware of these relationships and try to detect depression symptoms earlier and improve the care they provide to these women.


2019 ◽  
Vol 18 ◽  
pp. 153473541986691 ◽  
Author(s):  
Tsai-Ju Chien ◽  
Chia-Yu Liu ◽  
Ching-Ju Fang

Background: Breast cancer–related lymphedema (BCRL) is hard to control. Management may include lymphatic drainage, skin care, bandaging, or even surgery. Since acupuncture has been proven to affect the neurophysiology and neuroendocrine systems, it has the potential to control BCRL. Aim: To evaluate the effect of acupuncture in BCRL in randomized controlled trials. Design: A literature search was performed, following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement and without language restrictions. Data Sources: Five databases were searched from inception tthrough September 2018. Only studies that fulfilled the eligibility criteria of evaluating the effect of acupuncture on lymphedema in breast cancer were included. The methodological quality of these trials was assessed using the Cochrane criteria, and meta-analysis software (RevMan 5.3) was used for analysis. Results: We examined 178 breast cancer patients from 6 trials. All included randomized controlled trials had medium to high quality, based on the modified Jadad scale. The systematic review showed that acupuncture is safe and has a trend to improve symptoms, but trials did not consistently measure outcomes. The meta-analysis showed that acupuncture produced no significant improvement in the extent of lymphedema as compared with the control intervention (−1.90; 95% confidence interval = −5.39 to 1.59, P = .29). None of the studies reported severe adverse events. Conclusions: Acupuncture is safe and has a trend to improve the lymphedema related to breast cancer, yet it did not significantly change arm circumference in BCRL. Future studies should include both subjective and objective measurements and large-scale studies are warranted.


Kinesiology ◽  
2016 ◽  
Vol 48 (1) ◽  
pp. 39-48 ◽  
Author(s):  
Ferenc Köteles ◽  
Maria Kollsete ◽  
Hannah Kollsete

The research aimed at studying relationships between characteristics of CrossFit training (time elapsed from starting with training, weekly session frequency) and indicators of well-being, self-esteem, body awareness, satisfaction with body image, and perceived body competence. Participants, 186 Norwegian individuals (57.5% female; mean age: 28.9±7.81 years) regularly participating in CrossFit, completed online surveys (WHO-5 Well-being Scale, PANAS, Rosenberg Self-Esteem Scale, Body Awareness Questionnaire, Body Image Ideals Questionnaire, Body Competence Scale, motivations for doing CrossFit). Weekly frequency of CrossFit sessions was not connected with positive affect (Kendall tau_b=-.02, p=.766), negative affect (-.01, p=.861), or well-being (.10, p=.068) in the correlation analysis. Similarly, overall CrossFit experience (duration x frequency) was not related to global self-esteem (Kendall tau_b=.01, p=.778), body awareness (-.04, p=.379), body image dissatisfaction (.04, p=.423), and body competence (-.07, p=.184). In the regression analysis, well-being was connected with male gender (β=-.205, p&lt;.01), time elapsed from starting with CrossFit (β=-0.178, p&lt;.05), dissatisfaction with body image (β=-.218, p&lt;.01), and body awareness (β=.149, p&lt;.05). Global self-esteem was related to age (β=.164, p&lt;.05), body competence (β=.152, p&lt;.05), and body image dissatisfaction (β=-.276, p&lt;.001). CrossFit training was not connected with higher levels of psychological functioning (well-being, affect, body awareness, and self-esteem) and satisfaction with body image.


2021 ◽  
Vol 11 (34) ◽  
pp. 266-276
Author(s):  
Básia Menezes Hagen ◽  
Amuzza Aylla Pereira dos Santos ◽  
Isabel Comassetto ◽  
Juliana Bento de Lima Holanda ◽  
Maira De Melo Freire ◽  
...  

O estudo objetivou descrever o (re)significar da sexualidade para a mulher ao descobrir-se com neoplasia maligna da mama. É um estudo qualitativo, exploratório e descritivo, realizado com 15 mulheres em um Centro de Alta Complexidade em Oncologia (CACON) no estado do nordeste brasileiro. Os resultados encontrados foram divididos em dois categorias: Os sentimentos relacionados à (re)significação da imagem corporal e A cura acima da (re)significação da Imagem corporal diante do diagnóstico de câncer de mama. Esse estudo possibilitou perceber que as mulheres, após o diagnóstico de neoplasia maligna da mama, (re)significaram de maneiras diferentes a relação entre o diagnóstico do câncer de mama e a sexualidade, além de apontar ainda que elas necessitam de informações para fortalecer sua autoestima e se colocar como protagonista no processo de adoecimento.Descritores: Neoplasias da Mama, Sexualidade, Enfermagem Oncológica. Breast cancer: (re)signifying female body imageAbstract: The woman's view of her body image is essential in her sexuality, and the breasts play a large role, associating with woman's femininity. The study has as objective to describe the (re)meaning of sexuality for the woman when discovering herself with malignant neoplasm of the breast. It is a qualitative, exploratory and descriptive study, carried out with 15 women in a Center of High Complexity in Oncology (CACON) in Maceió-AL. The results were divided in two themes: The feelings related to (re)signification of the body image and The cure above the (re)signification of the body image before the diagnosis of breast cancer. This study made it possible to perceive that women, after diagnosis of malignant neoplasm of the breast, (re)mean in different ways the relationship between diagnosis and sexuality. He also pointed out that they need information to strengthen their self-esteem and stand as a protagonist.Descriptors: Breast Neoplasms, Sexuality, Oncology Nursing. Cáncer de mama: (re)significando la imagen corporal femeninaResumen: La visión de la mujer sobre su imagen corporal es esencial en su sexualidad y las mamas tienen un gran papel, asociando la feminidad de la mujer. El estudio tiene como objetivo descrever el (re)significar de la sexualidad para la mujer al descubrirse con neoplasia maligna de la mama. Es un estudio cualitativo, exploratorio y descriptivo, realizado con 15 mujeres en un Centro de Alta Complejidad en Oncología (CACON) en Maceió-AL. Los resultados encontrados fueron divididos en dos temas: Sentimientos relacionados con la (re)significación de la imagen corporal y La curación por encima de la (re) significación de la imagen corporal ante el diagnóstico de cáncer de mama. Este estudio permitió percibir que las mujeres, después del diagnóstico de neoplasia maligna de la mama, (re)significan de maneras diferentes la relación entre el diagnóstico y la sexualidad. También apunta que necesitan información para fortalecer su autoestima y colocarse como protagonista.Descriptores: Neoplasias de la Mama, Sexualidad, Enfermería Oncológica.


Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1078
Author(s):  
Vlad Ioan Covrig ◽  
Diana Elena Lazăr ◽  
Victor Vlad Costan ◽  
Roxana Postolică ◽  
Beatrice Gabriela Ioan

Background and Objectives: It is well known that among all cancers, cancers of the head and neck (HNC) have a major impact on patients’ quality of life. Disfigurement, anxiety and disabling physical and psychological symptoms affect people with HNC to such an extent that the suicide rate in this category of patients is exceeded only by that of patients with pancreatic cancer. The aim of this review was to summarize the published literature describing the severity of body image and quality of life impairment in patients with HNC over time, and to examine the psychosocial and functional associations and interventions implemented to improve body image and quality of life. Materials and Methods: We conducted a literature search from 1 January 2018 to June 2021 that included electronic searches of six major databases (PubMed, ScienceDirect, ProQuest, PsycINFO, PsychArticles and Scopus) and review of references of articles screened. Of 620 records, only 9 articles met the eligibility criteria. Results: Numerous studies have been conducted to analyze various psychological variables, but there is still a lack of standardization in the assessment of body image perception (BI) and quality of life, resulting in small-scale testing of interventions with poor results. Conclusions: Expected longitudinal studies describing the flow of body image problems and the mediation and balance factors associated with body image will allow researchers to design methods aimed at limiting body image disorders and thus improving quality of life of patients with head and neck cancer.


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