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Ahn J, Suh EE. Body image alteration in women with breast cancer: A concept analysis using an evolutionary method. Asia Pac J Oncol Nurs 2023; 10:100214. [PMID: 37213808 PMCID: PMC10199402 DOI: 10.1016/j.apjon.2023.100214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 03/02/2023] [Indexed: 05/23/2023] Open
Abstract
Objective Women with breast cancer experience changes in body image, a key predictor of overall quality of life. Body image alteration has been recognized in scholarly circles and is actively being researched on; however, a comprehensive conceptualization of body image alteration from an oncological perspective is insufficient. Therefore, this study aimed to analyze the concept of body image alteration in women within the context of breast cancer based on Rodgers' evolutionary method. Methods A literature search using a combination of the keywords "breast neoplasms" and "body image" was conducted via PubMed, CINAHL, EMbase, PsycInfo, KISS, and RISS. Peer-reviewed journal articles related to body image alteration in women with breast cancer, published from 2001 to 2020, were included in this study. Results Three critical attributes of body image alteration were identified: "dismantling the existing body image," "transitioning to the altered body," and "re-integrating a new body image." Antecedents included "breast cancer and its treatment," "awakening to the sociocultural norms of a feminine body," and "triggering events for reflecting on one's body." The consequences were "psychological well-being or distress," "strengthening or breakdown of intimate relationships," "enhancement or impairment of social functioning," and "adherence or resistance to breast cancer treatment." Conclusions This study provides comprehensive conceptualizations that encompass individual, interpersonal, and sociocultural components and cover both negative and positive changes in body image from a long-term perspective. This may offer a useful framework that can be used to develop effective interventions for body image improvement and accelerate further research.
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Affiliation(s)
- Jeonghee Ahn
- College of Nursing, Seoul National Univeristy, Seoul, Republic of Korea
| | - Eunyoung Eunice Suh
- College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Republic of Korea
- Corresponding author.
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Che Ya SN, Muhamad R, Zakaria R, Mohd Zain N, Ishak A, Hassan II, Ab Hadi I, Low WY, Liamputtong P. "I Lost My Gift to Him": The Consequences of Female Sexual Dysfunction on Breast Cancer Survivors in Malaysia. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:1625-1635. [PMID: 34750771 DOI: 10.1007/s10508-021-02051-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Revised: 04/26/2021] [Accepted: 05/15/2021] [Indexed: 06/13/2023]
Abstract
Sexuality is currently neglected in the medical care of cancer patients although female sexual dysfunction (FSD) and sexual problems are highly prevalent among breast cancer patients in Malaysia. This paper explores the consequences of breast cancer and its treatment on the sexuality and sexual health of women with breast cancer using a qualitative design and a phenomenological methodology. Fourteen married women with breast cancer who fulfill the criteria for FSD from Kelantan, Malaysia participated in two interviews: in-depth interview and followed by photo-elicitation interview after two weeks duration. The interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis. We identified overlapping themes that can be explained by sexual script theory. Breast cancer treatments disturb the sex response cycle, leading to changes in sexuality, from intimacy in marriage to women preferring physical affection to intercourse. The women struggled with a perceived imperfection about symbol of femininity after noticing changes in their husbands' sexual performance and after experiencing their own sentiments of inadequacy as a wife. Fear and guilt surfaced as part of the journey, accompanied by frustration on the part of the spouse, or him becoming more attentive. This study highlights the problem of breast cancer and its treatment as regards the sexual well-being of patients and their spouses. Hence, recognizing and addressing sexual health will improve the overall experience for survivors.
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Affiliation(s)
- Siti Nuryati Che Ya
- Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia (USM), Kubang Kerian, Malaysia
| | - Rosediani Muhamad
- Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia (USM), Kubang Kerian, Malaysia.
- Breast Cancer Awareness & Research Unit (BestARi), Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab II, Kubang Kerian, Kelantan, Malaysia.
| | - Rosnani Zakaria
- Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia (USM), Kubang Kerian, Malaysia
| | - Norhasmah Mohd Zain
- Nursing Program, School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Azlina Ishak
- Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia (USM), Kubang Kerian, Malaysia
| | - Intan Idiana Hassan
- Nursing Program, School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Imisairi Ab Hadi
- Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia
| | - Wah Yun Low
- Faculty of Medicine and Asia-Europe Institute, University of Malaya, Kuala Lumpur, Malaysia
| | - Pranee Liamputtong
- Translational Health Research Institute (THRI), Western Sydney University, Locked Bag 1797, Campbelltown, Penrith, NSW, 2751, Australia
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Lundberg PC, Phoosuwan N. Life situations of Swedish women after mastectomy due to breast cancer: A qualitative study. Eur J Oncol Nurs 2022; 57:102116. [DOI: 10.1016/j.ejon.2022.102116] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Revised: 02/08/2022] [Accepted: 02/19/2022] [Indexed: 12/14/2022]
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Che Ya SN, Muhamad R, Mohd Zain N, Zakaria R, Ishak A, Hassan II, Ab Hadi I, Yahya MM, Low WY, Liamputtong P. Coping Strategies for Sexual Problems and Sexual Dysfunction Amongst Malay Women With Breast Cancer. A Qualitative Study. Sex Med 2021; 9:100336. [PMID: 33794448 PMCID: PMC8240168 DOI: 10.1016/j.esxm.2021.100336] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 01/28/2021] [Accepted: 01/29/2021] [Indexed: 11/25/2022] Open
Abstract
Introduction Women’ sexuality becomes complex after breast cancer diagnosis and sexual health is highly neglected in the management of the illness. Aims To explore the coping and strategies to overcome sexuality problems and sexual dysfunction among women with breast cancer. Material and Methods Using the in-depth and photo-elicitation interview methods, this qualitative study following phenomenological analysis was conducted on fourteen married female respondents with breast cancer and had the positive result for female sexual dysfunction (FSD) screened by Female Sexual Function Index (FSFI-6 items) from Kelantan, Malaysia. The interviews data were audio-recorded, transcribed verbatim and managed in analytic computer software NVivo11 Pro. The transcriptions were analyzed using thematic analysis by referring to the meaning-making theory. Main Outcome Measures We identified overlapping themes of coping and strategies among women with breast cancer to overcome sexual problems and sexual dysfunction which correspond with meaning-making theory. Results Three themes have emerged. Women with breast cancer that developed sexuality problem and sexual dysfunction strived to accept the illness using religious belief and conform by altering sexual practices. These individuals positively look for a solution by seeking formal healthcare advice, modify their physical appearance, active discussion with the husband and support from other survivors. A few of them passively struggle with the subject by averting the intimacy and receptive toward polygamy. Conclusion This study highlighted the various mechanisms that emphasized the pivotal role of religious belief and relationship context as key factors in the coping strategies among women with breast cancer in Malaysia. The finding may not be generalized to other countries. Che Ya SN, Muhamad R, Zain NM, et al. Coping Strategies for Sexual Problems and Sexual Dysfunction Amongst Malay Women With Breast Cancer. A Qualitative Study. Sex Med 2021;9:100336.
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Affiliation(s)
- Siti Nuryati Che Ya
- Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Rosediani Muhamad
- Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia; BesTaRi Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
| | - Norhasmah Mohd Zain
- Nursing Program, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Rosnani Zakaria
- Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Azlina Ishak
- Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Intan Idiana Hassan
- Nursing Program, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Imisairi Ab Hadi
- Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia
| | - Maya Mazuwin Yahya
- BesTaRi Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia; Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Wah Yun Low
- Department of Medicine and Asia-Europe Institute, University of Malaya, Kuala Lumpur, Malaysia
| | - Pranee Liamputtong
- Translational Health Research Institute (THRI), Western Sydney University, Cambelltown, Locked Bag 1797, Penrith, NSW 2751, Australia
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The impact of mastectomy on Iranian women sexuality and body image: a systematic review of qualitative studies. Support Care Cancer 2021; 29:5571-5580. [PMID: 33754199 DOI: 10.1007/s00520-021-06153-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Accepted: 03/16/2021] [Indexed: 11/12/2022]
Abstract
PURPOSE Mastectomy in women is perceived as losing feminine identity and reducing sexual attraction. The aim of this review is to explore the perception and impacts of mastectomy on Iranian women with breast cancer on their sexuality and body image. METHODS The review used a systematic literature search that followed the guidelines of the Joanna Briggs Institute (JBI). The data sources PubMed, Scopus, Web of Science, Google Scholar, SID, ProQuest, MEDLINE, and CINAHL (via the EBSCOhost) were systematically searched. Quality appraisal, data extraction, and findings from the included studies were pooled using meta-aggregation with the Qualitative Assessment and Review Instrument (JBI-QARI). RESULTS Eight studies involving 163 women aged from 31 to 65 years, who had mastectomy, were included. A total of 31 findings were extracted and were aggregated into 4 categories and then further grouped into two synthesized findings: (1) fear of losing spouse's sexual monopoly and (2) overcoming the challenges of losing femininity. CONCLUSIONS This review found even in Muslim countries such as Iran women's breasts are perceived as sexually attractive, and changes in body shape can lead to subsequent challenges in marital relationships.
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Hopwood P, Hopwood N. New challenges in psycho-oncology: An embodied approach to body image. Psychooncology 2019; 28:211-218. [PMID: 30488572 DOI: 10.1002/pon.4936] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2018] [Accepted: 10/26/2018] [Indexed: 01/21/2023]
Affiliation(s)
- Penelope Hopwood
- Clinical Trials and Statistics Unit at The Institute of Cancer Research, London, UK
| | - Nick Hopwood
- School of Education, University of Technology Sydney, Ultimo, Australia
- Department of Curriculum Studies, University of Stellenbosch, Stellenbosch, South Africa
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Zeighami Mohammadi S, Mohammad Khan S, Zohreh Vanaki K. Reconstruction of feminine identity: the strategies of women with breast cancer to cope with body image altered. Int J Womens Health 2018; 10:689-697. [PMID: 30464645 PMCID: PMC6219266 DOI: 10.2147/ijwh.s181557] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Background Body image altered is the most important psychosocial concern associated with breast cancer. Yet, there is a paucity of information regarding strategies for coping with this problem. This study aimed to explore Iranian breast cancer women’s strategies for coping with body image altered. Methods This qualitative study was conducted in 2016–2017. A purposive sample of 36 women with breast cancer was selected with maximum variation from three health care centers in Alborz Province, Iran. Data were collected by semi-structured interviews and analyzed by performing conventional qualitative content analysis. Results The main theme of the study was “reconstruction of feminine identity” with the six main categories of physical appearance improvement, active information seeking, self-care for managing limits, psychological self-empowerment, maintaining maternal role, and maintaining wife role. Conclusion Iranian breast cancer women’s strategies for coping with body image altered are multidimensional and are mainly based on personal resources. Breast cancer women use these strategies to reconstruction of their feminine identity. Health policy-makers can use the findings of the present study to develop interventions and programs for improving breast cancer women’s body image care.
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Affiliation(s)
| | - Sima Mohammad Khan
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran,
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Cieslak A, Elkins G, Banerjee T, Marsack J, Hickman K, Johnson A, Henry N, Barton D. Developing a Hypnotic Relaxation Intervention to Improve Body Image: A Feasibility Study. Oncol Nurs Forum 2017; 43:E233-E241. [PMID: 27768128 DOI: 10.1188/16.onf.e233-e241] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE/OBJECTIVES To determine the content, feasibility, and best outcome of a mind-body intervention involving self-directed hypnotic relaxation to target body image.
. DESIGN A five-week, uncontrolled, unblinded feasibility intervention study.
. SETTING Behavioral therapy offices in Ann Arbor, Michigan, and Waco, Texas.
. SAMPLE 10 female breast cancer survivors and 1 breast and gynecologic cancer survivor.
. METHODS Adult women with a history of breast and gynecologic cancer and no major psychiatric history were eligible. The intervention included four face-to-face sessions with a research therapist lasting 40-60 minutes, logged home practice, one telephone check-in call at week 5, and one intervention feedback telephone call to complete the study. Descriptive statistics and paired t-tests were used to test feasibility and content validity.
. MAIN RESEARCH VARIABLES Stress from body changes as measured by the Impact of Treatment Scale, sexual function as measured by the Female Sexual Function Index, and sexual self-image as measured by the Sexual Self-Schema Scale for women were the variables of interest.
. FINDINGS The intervention content was confirmed. Changes in scores from the baseline to week 5 suggested that stress from body changes decreased and sexual self-schema and function improved during the intervention. Nine of the 11 women were satisfied with the intervention, and all 11 indicated that their body image improved.
. CONCLUSIONS Hypnotic relaxation therapy shows promise for improving body image and, in doing so, improving sexual health in this population. Additional testing of this intervention is warranted.
. IMPLICATIONS FOR NURSING Hypnotic relaxation therapy is feasible to improve body image and sexual health in women diagnosed with cancer and may be an important intervention that could be offered by nurses and other behavioral therapists.
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Fouladi N, Pourfarzi F, Dolattorkpour N, Alimohammadi S, Mehrara E. Sexual life after mastectomy in breast cancer survivors: A qualitative study. Psychooncology 2017; 27:434-441. [PMID: 28618128 DOI: 10.1002/pon.4479] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2016] [Revised: 05/14/2017] [Accepted: 06/09/2017] [Indexed: 01/08/2023]
Affiliation(s)
- Nasrin Fouladi
- Ardebil University of Medical Sciences Ringgold Standard Institution-Community Medicine, Faculty of Medicine; Ardebil The Islamic Republic of Iran
| | - Farhad Pourfarzi
- Ardebil University of Medical Sciences Ringgold Standard Institution-Community Medicine, Faculty of Medicine; Ardebil The Islamic Republic of Iran
| | - Negin Dolattorkpour
- Ardebil University of Medical Sciences Ringgold Standard Institution-Community Medicine, Faculty of Medicine; Ardebil The Islamic Republic of Iran
| | - Sara Alimohammadi
- Shahid Behesti University of Medical Sciences; Tehran The Islamic Republic of Iran
| | - Elham Mehrara
- University of Tabriz Ringgold standard institution; Tabriz East Azerbaijan The Islamic Republic of Iran
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Staring at My Body: The Experience of Body Reconstruction in Breast Cancer Long-term Survivors. Cancer Nurs 2017; 41:E56-E61. [PMID: 28537953 DOI: 10.1097/ncc.0000000000000507] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Breast cancer takes time for its survivors after a mastectomy to adjust to their changed bodies. There are limited studies about the process of how those survivors accept the changes of their bodies and how they reestablish their new selves. OBJECTIVE The aim of this study was to understand the perception of body from women diagnosed with breast cancer more than 5 years previously and whose treatment included a mastectomy. METHODS A phenomenological method was applied to this study. Women who received a mastectomy at least 5 years previously were invited to participate. Eight participants were recruited from southern Taiwan. RESULTS Twenty transcripts were obtained and analyzed using Colaizzi's method. Three themes were obtained from the data analysis: "restoration of the body image," "abandonment of objectification," and "redefinition of self." Subthemes were also identified and described. CONCLUSION The results indicate that women with breast cancer have embodied the recovering experience to a new self and have adapted to identify their new bodies. They overcome being a female body with an absent breast(s) by discovering the value of their existence and being free from self-objectification. IMPLICATIONS FOR PRACTICE This study contributes to the understanding of the perception of body in long-term breast cancer survivors, which reflects the process of adjusting to the loss of a breast/breasts to reconstructing a new body experience. Health professionals could help and encourage women undergoing a mastectomy to engage in self-recovery by searching for and affirming self-value.
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Cairo Notari S, Favez N, Notari L, Panes-Ruedin B, Antonini T, Delaloye JF. Women's experiences of sexual functioning in the early weeks of breast cancer treatment. Eur J Cancer Care (Engl) 2016; 27. [PMID: 29372622 DOI: 10.1111/ecc.12607] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/07/2016] [Indexed: 12/24/2022]
Abstract
This study describes women's sexual functioning in the early weeks of breast cancer treatment and the possible sexual changes that women may experience compared with pre-treatment functioning. Seventy-five patients filled out a questionnaire on sexual functioning and participated in a semi-structured interview on changes in sexual life and intimacy after treatment. Sixty-two women were sexually active before treatment; three post-treatment patterns of sexual behaviour were identified: 22.6% of these women were as active as before treatment, 35.5% stopped any sexual activity and 41.9% experienced quantitative and qualitative changes. Analyses showed that each pattern had specific characteristics regarding current sexual functioning, the kinds of changes reported (e.g. decreased frequency and increased tenderness) and the reasons for these changes (e.g. tiredness and sex not a priority). Even in the immediate post-surgical period, women may react in very different ways to treatment in terms of sexual functioning. Most women experience changes, but cessation of sexual activity is not inevitable. Positive changes (growing tenderness and affection) also exist. These important interindividual differences require a person-centred approach when the topic of sexuality is being addressed, and practitioners need to be sensitive to individual perceptions of change. Early detection of sexual changes may prevent the crystallisation of difficulties over time.
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Affiliation(s)
- S Cairo Notari
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - N Favez
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - L Notari
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - B Panes-Ruedin
- Senology Unit, University Hospital of Lausanne, Lausanne, Switzerland
| | - T Antonini
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - J-F Delaloye
- Senology Unit, University Hospital of Lausanne, Lausanne, Switzerland
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Koçan S, Gürsoy A. Body Image of Women with Breast Cancer After Mastectomy: A Qualitative Research. THE JOURNAL OF BREAST HEALTH 2016; 12:145-150. [PMID: 28331752 DOI: 10.5152/tjbh.2016.2913] [Citation(s) in RCA: 107] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 01/04/2016] [Accepted: 02/09/2016] [Indexed: 01/03/2023]
Abstract
OBJECTIVE To gain a holistic and deep understanding about how mastectomy effects the body image of women who have breast cancer. MATERIALS AND METHODS The sample of this qualitative descriptive study consisted of twenty patients who underwent mastectomy procedures. Semi-structured interviews were conducted during the second week after mastectomy. Each interview was transcribed verbatim, and a thematic analysis was performed. RESULTS After the mastectomy, the findings related to the women's body image and their experiences were specified as four main themes and seven sub-themes. The main themes were: meaning of the breast, mastectomy and me, my body image and body image changes, and social life. Most of the participants in this study stated that the breast meant femininity, beauty, and motherhood. It was found that the meaning of mastectomy varied according to individuals. Women used quite negative statements about their appearances. The participants also said that they felt that half themselves was missing, as individuals and women. The women stated that they preferred clothes that hid their lack of breast. Some of the participants mentioned that relations with their husbands were not like before, and they abstained from social interaction. CONCLUSION Our findings suggest that mastectomy as a surgical treatment for breast cancer may negatively affect a woman's body image and her self-image.
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Affiliation(s)
- Sema Koçan
- Vocational School of Health Services, Recep Tayyip Erdogan University, Rize, Turkey
| | - Ayla Gürsoy
- Karadeniz Technical University, School of Health Sciences, Trabzon, Turkey
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Cairo Notari S, Notari L, Favez N, Delaloye JF, Ghisletta P. The protective effect of a satisfying romantic relationship on women's body image after breast cancer: a longitudinal study. Psychooncology 2016; 26:836-842. [DOI: 10.1002/pon.4238] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2015] [Revised: 07/26/2016] [Accepted: 07/26/2016] [Indexed: 12/22/2022]
Affiliation(s)
- Sarah Cairo Notari
- Faculty of Psychology and Educational Sciences; University of Geneva; Geneva Switzerland
| | - Luca Notari
- Faculty of Psychology and Educational Sciences; University of Geneva; Geneva Switzerland
| | - Nicolas Favez
- Faculty of Psychology and Educational Sciences; University of Geneva; Geneva Switzerland
| | | | - Paolo Ghisletta
- Faculty of Psychology and Educational Sciences; University of Geneva; Geneva Switzerland
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14
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Santos DB, Santos MAD, Cesnik-Geest VM, Vieira EM. Interrupção e Retomada da Vida Sexual após o Câncer de Mama. PSICOLOGIA: TEORIA E PESQUISA 2016. [DOI: 10.1590/0102.3772e324219] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Investigou-se a interrupção/retomada da vida sexual após o tratamento do câncer de mama e sua relação com a satisfação e outros aspectos valorizados em um relacionamento. Foram empregados métodos mistos de pesquisa com a análise dos dados de uma survey realizada com 139 mulheres e dados provenientes de entrevistas com roteiro semiestruturado realizadas com 24 participantes. Um percentual expressivo de mulheres (66%) sexualmente ativas interrompeu as atividades sexuais durante o tratamento. Observou-se que a interrupção e retomada da vida sexual relacionou-se às concepções pessoais de sexualidade, influenciadas pelas relações de gênero e pela qualidade do relacionamento amoroso. A identificação de necessidades relacionadas à intimidade sexual pelo profissional de saúde pode contribuir para a assistência apropriada no processo de reabilitação psicossocial da mulher.
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15
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Fouladi N, Ali-Mohammadi H, Pourfarzi F, Homaunfar N. Exploratory study of factors affecting continuity of cancer care: Iranian Women's perceptions. Asian Pac J Cancer Prev 2014; 15:133-7. [PMID: 24528014 DOI: 10.7314/apjcp.2014.15.1.133] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Today, breast cancer is increasing in nearly all societies. Currently, cancers are the third leading cause of death in Iran after cardiovascular diseases and accidents. Of the cancers, breast cancer is spreading particularly rapidly among Iranian women. Negative effects of discontinuation of care on patient survival have been well documented. Inhibiting or facilitating factors affecting continuity of care at different stages of the patient care continuum should be identified. MATERIALS AND METHODS The current study implemented a qualitative method that provided tools to examine factors in detail. This study was conducted on 22 women, undergoing surgery and chemotherapy after being diagnosed with breast cancer. Content analysis was the technique adopted. RESULTS The effective factors in continuity of care from the patients' perception, based on the participant statements, were classified into three categories of evaluation of symptoms, psychological reactions, and care triggers with several subcategories. CONCLUSIONS According to the outcomes of the current study, it can be noted that, the patient experiences can be brought into use by health-care professionals and assist them in providing patient sand their families with adequate consulting services. It can also provide an opportunity for making interventions tailored to the community culture, and closer adherence of patients to the prescribed treatments.
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Affiliation(s)
- Nasrin Fouladi
- Department of Community Medicine, Faculty of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran E-mail :
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16
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Averyt JC, Nishimoto PW. Addressing sexual dysfunction in colorectal cancer survivorship care. J Gastrointest Oncol 2014; 5:388-94. [PMID: 25276411 DOI: 10.3978/j.issn.2078-6891.2014.059] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2014] [Accepted: 08/01/2014] [Indexed: 12/27/2022] Open
Abstract
Despite the high prevalence of sexual dysfunction in survivors of colorectal cancer, studies have shown that patients and providers rarely discuss how these symptoms may be influencing overall quality of life. The type and severity of symptoms of sexual dysfunction can vary greatly depending on the type of colorectal cancer and treatment, and assessment of sexual dysfunction is key to understanding how patients may be affected by these symptoms. Although patients would like to discuss these issues with their provider, they are often reluctant to ask questions about sexual functioning during appointments. Likewise, health care providers may hesitate to address sexual dysfunction due to time limitations or lack of knowledge regarding treatment of sexual problems. Health care providers can facilitate discussion of sexual dysfunction by (I) assessing sexual functioning throughout treatment; (II) initiating discussions about symptoms of sexual dysfunction at each appointment; and (III) maintaining adequate referral resources for treatment of sexual dysfunction.
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Affiliation(s)
- Jennifer C Averyt
- 1 Department of Behavioral Health, 2 Department of Oncology/Hematology, Tripler Army Medical Center, Honolulu, Hawaii 96859, USA
| | - Patricia W Nishimoto
- 1 Department of Behavioral Health, 2 Department of Oncology/Hematology, Tripler Army Medical Center, Honolulu, Hawaii 96859, USA
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Pillai-Friedman S, Ashline J. Women, breast cancer survivorship, sexual losses, and disenfranchised grief – a treatment model for clinicians. SEXUAL AND RELATIONSHIP THERAPY 2014. [DOI: 10.1080/14681994.2014.934340] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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18
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Porroche-Escudero A. The ‘invisible scars’ of breast cancer treatments (Respond to this article at http://www.therai.org.uk/at/debate). ANTHROPOLOGY TODAY 2014. [DOI: 10.1111/1467-8322.12111] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Ana Porroche-Escudero
- Researcher and educator whose PhD was internationally recognized with the Barbara Rosenblum Award for her commitment to cancer advocacy. She sits on the Breast Cancer Consortium Advisory Board
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