The Effects of Subjective Surgery Seriousness, Social Support, and Intentional Rumination on Body Image Coping Strategies in Women Surgical Patients with Breast Cancer

Abstract Background: This study aimed to assess the quality of life (QOL), social support and coping strategies, and illness adjustment among breast cancer patients in general and on type of breast surgery.Methods: We conducted a cross-sectional study at the Ali-Ebne-Abitaleb and Khatam-Al-Anbia hospitals in Zahedan, Iran, 2020. We recruited patients with breast cancer who underwent lumpectomy(n=44), mastectomy(n=64), and not any surgery (n=15) by census method. Data collection tools were the breast cancer-specific module (QLQ-BR 23), The adjustment to illness measurement inventory for Iranian women with breast cancer (AIMI- IBC), and the multidimensional scale of perceived social support (MSPSS) questionnaires. We performed statistical analysis by ANOVA, independent sample t-test, Kruskal-Wallis, Mann-Whitney U-test, and multiple linear regression analysis to adjust for covariates.Results: We recruited a total of 120 patients with breast cancer in this survey. 53.3% of patients underwent a mastectomy, 34.2% lumpectomy, and 12.5% of patients had not been surgery. Patients in the functioning scale reported high scores for body image (mean=78.61, SD=26.69) and future perspective (mean=55.27, SD=26.71). Patients on the symptom scale had a high score upset by hair loss (mean= 49.16, SD=38.88). Generally, patients received a high social support level, especially from family members, and used a positive coping strategy to have high illness adjustment more than a negative coping strategy. Also, patients who underwent lumpectomy had a better sexual life and body image and more illness adjustment than the other two groups of patients.Conclusion: Early detection of the disease, support for patients, and educational programs to use appropriate coping strategies can improve breast cancer women's quality of life and disease adaptation.

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The prevalence of anxiety and depression and its association with coping strategies, supportive care needs, and social support among women with breast cancer

Supportive Care in Cancer ◽

10.1007/s00520-021-06477-2 ◽

2021 ◽

Author(s):

Hassan Okati-Aliabad ◽

Alireza Ansari-Moghadam ◽

Mahdi Mohammadi ◽

Shiva Kargar ◽

Fariba Shahraki-Sanavi

Keyword(s):

Breast Cancer ◽

Social Support ◽

Supportive Care ◽

Coping Strategies ◽

Supportive Care Needs ◽

Anxiety And Depression ◽

Care Needs

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Partners of young breast cancer survivors: A cross-sectional evaluation of psychosocial issues and mental health.

Journal of Clinical Oncology ◽

10.1200/jco.2017.35.5_suppl.184 ◽

2017 ◽

Vol 35 (5_suppl) ◽

pp. 184-184 ◽

Cited By ~ 2

Author(s):

Nancy Borstelmann ◽

Shoshana M. Rosenberg ◽

Shari I. Gelber ◽

Meghan E Meyer ◽

Kathryn Jean Ruddy ◽

...

Keyword(s):

Breast Cancer ◽

Mental Health ◽

Social Support ◽

Coping Strategies ◽

Depression Scale ◽

Anxiety And Depression ◽

Full Time ◽

Maladaptive Coping ◽

Psychosocial Concerns ◽

The Impact

184 Background: While evidence of the challenges of cancer caregiving has been growing, scant research addresses the experience of partners of young adults with cancer. These individuals and their relationships may be particularly vulnerable to stress, especially when managing the complexity of cancer care and survivorship with their partner. We sought to evaluate psychosocial concerns and mental health in the partners of young survivors of early stage breast cancer (BC). Methods: We invited partners of young women w/BC diagnosed at age ≤ 40 yrs enrolled in a prospective cohort study to participate in a one-time survey evaluating psychosocial concerns including quality of life, coping, social support, financial insecurity, partnership concerns, parenting concerns, anxiety and depression. Logistic regression was used to explore predictors of anxiety (score > 8 on Hospital Anxiety and Depression Scale (HADS)). Results: Most respondents (284/289) were male, with median age 43 yrs (range 27-65). The median time of survey completion was 62 months (range 16 -114) after their partner’s dx. Respondents were mostly white (93%), working full time (94%), and college educated (78%); 29% reported some financial stress, 74% were parenting children < 18 yrs, and 32% reported at least a fair amount of relationship concern. 42% (106/250) had anxiety (39/289 respondents (13%) had incomplete/missing HADS). In univariable analyses, lower education, working full time, parenting concerns, insufficient social support and maladaptive coping were associated (p < .05) with anxiety. In the multivariable model, only maladaptive coping remained significantly associated with anxiety (p < .01, OR = 2.32 (95% CI: 1.22, 4.39)). Conclusions: Partners of young BC survivors who used less constructive/more maladaptive coping strategies experience negative mental health outcomes after tx has ended. Caregivers’ anxiety may have implications for both their own and survivors’ health and QOL. Future interventions might focus on the development of constructive coping strategies to enhance adjustment and role effectiveness in dealing with the impact of cancer.

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Effects of a Roy’s Adaptation Model–Guided Support Group Intervention on Sexual Adjustment, Body Image, and Perceived Social Support in Women With Breast Cancer

Cancer Nursing ◽

10.1097/ncc.0000000000000854 ◽

2020 ◽

Vol Publish Ahead of Print ◽

Author(s):

Figen Erol Ursavaş ◽

Özgül Karayurt

Keyword(s):

Breast Cancer ◽

Social Support ◽

Body Image ◽

Support Group ◽

Group Intervention ◽

Perceived Social Support ◽

Sexual Adjustment ◽

Roy's Adaptation Model ◽

Adaptation Model

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Illness perception and coping among women living with breast cancer in Ghana: an exploratory qualitative study

BMJ Open ◽

10.1136/bmjopen-2019-033019 ◽

2020 ◽

Vol 10 (7) ◽

pp. e033019

Author(s):

Nuworza Kugbey ◽

Kwaku Oppong Asante ◽

Anna Meyer-Weitz

Keyword(s):

Breast Cancer ◽

Social Support ◽

Coping Strategies ◽

Illness Perceptions ◽

Illness Perception ◽

Psychosocial Interventions ◽

Well Being ◽

Factual Knowledge ◽

Psychosocial Needs ◽

And Coping

ObjectiveIllness perception has been shown to have significant influence on the well-being and coping strategies of persons living with chronic medical conditions. Understanding of how women living with breast cancer cognitively and emotionally represent their illness and coping strategies used is likely to help in designing focused psychosocial interventions aimed at improving their health and well-being. This study explored the illness perceptions and coping strategies among women receiving care for breast cancer.DesignA qualitative phenomenological study (using semi-structured in-depth interviews).SettingOncology department of a tertiary hospital in Ghana.ParticipantsEleven women receiving breast cancer treatment were purposively sampled and in-depth individual interviews were conducted with questions based on illness perception and coping literature.ResultsIn terms of illness perceptions, it emerged that most of the participants lacked adequate factual knowledge about breast cancer and perceived causes but believed in the curability of their illness through medical treatments and the help of God. Spirituality, social support and diversion coping were the key resources for coping among the participants.ConclusionBreast cancer patients lacked adequate factual knowledge of breast cancer and their perception about the causes of breast cancer is rooted in biopsycho-spiritual model of illness. The reliance on spirituality and social support as the main coping strategies suggests the need for psychosocial interventions tailored to the spiritual and psychosocial needs of the patients.

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