Body image and its relationship with coping strategies: The views of Iranian breast cancer women following surgery

Ardakani, Batool Yamani; Tirgari, Batool; Rashtabadi, Omsalimeh Roudi

doi:10.1111/ecc.13191

Cited by 25 publications

(19 citation statements)

References 35 publications

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“…Third, physical, psychological, and social well‐being were associated with avoidant coping. Previous studies have found significant relationships between heightened fear of recurrence, 23 poor body image, 24 greater fatigue, 25 lack of social support, 26 high social constraints, 27 and avoidance or avoidant coping. These relationships are cyclical, with some studies showing reciprocal relationships.…”

Section: Discussionmentioning

confidence: 94%

The mediating role of avoidant coping in the relationships between physical, psychological, and social wellbeing and distress in breast cancer survivors

et al. 2021

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Objective Many breast cancer survivors (BCSs) recover from the negative sequelae of cancer treatment. However, some report persistent and disruptive distress well into disease‐free survivorship. More information is needed on the predictors of distress in this growing population of BCS, including the role of avoidant coping, or attempts to avoid thoughts, feelings, and reminders of cancer, in mediating the relationship between distress and psychological, physical, and social domains of well‐being. Methods In a large cross‐sectional study, BCS (n = 1,127), who were 3 to 8 years post‐diagnosis, completed a survey assessing demographic characteristics, medical history, distress (anxiety and depressive symptoms), avoidant coping, and physical (fatigue), psychological (fear of recurrence, attention, body image), and social (social support from a partner, social constraints from a partner) well‐being. Multiple mediation analyses were conducted to determine if avoidant coping mediated the relationship between each distress variable (anxiety and depressive symptoms) and each well‐being (fear of recurrence, attention, body image, fatigue, social support, and social constraints) variable. Results In all six mediation models, avoidant coping significantly (p < 0.001) mediated the relationship between each well‐being variable (fear of recurrence, attention, body image, fatigue, social support, and social constraints) and each distress indicator (depression and anxiety). Avoidant coping mediated 19%–54% of the effects of the contributing factors on the distress variables. Conclusions Avoidant coping may indicate risk for, or presence of, distress among BCS. Interventions to reduce distress may benefit from addressing avoidant coping styles.

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Section: Discussionmentioning

confidence: 94%

The mediating role of avoidant coping in the relationships between physical, psychological, and social wellbeing and distress in breast cancer survivors

et al. 2021

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“…Two studies have compared the body image of women who underwent mastectomy with that of those who underwent breast-conserving therapy, showing that the former experienced worsened body images than the latter (Kwait et al, 2016;Moreira & Canavarro, 2010). In further corroboration, Ardakani et al, (2020) pointed out that, among Iranian women who were undergoing mastectomy, there were those who experienced a disruption in the harmony of their "perfect body" and were shown to have a worsened body image. Besides, a study has shown that women's age may affect their body image distortions after surgery; namely, younger women are more likely to report lower body image perceptions than older women (Paterson et al, 2016).…”

Section: Body Imagementioning

confidence: 99%

Body image and hopelessness among early‐stage breast cancer survivors after surgery in China: A cross‐sectional study

Yin

Wang

et al. 2021

Nursing Open

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Worldwide, breast cancer is the most common cancer among women (Ferlay et al., 2015). Based on data from the Global Cancer Statistics 2018, it accounted for nearly 2.1 million newly diagnosed cancer cases in 185 countries (Bray et al., 2018). In China, from 2009 to 2011, breast cancer cases were estimated to be around 15.1% of all newly diagnosed cancer cases (Chen et al., 2016), and it is predicted that 2.5 million new cases of breast cancer will be diagnosed among Chinese women by 2021 (Linos et al., 2008). Particularly, mastectomy has played an important role in this field, and it currently ranks among the most common treatments. In recent reports from Saudi Arabia (Al-Gaithy et al., 2019) and Brazil (Balabram et al., 2012), its rates ranged from 62.4% to 64.6% of all procedures related to breast cancer in 2011 (Brazil) and 2018 (Saudi Arabia); in some provinces of China (Huang et al., 2016;Lu et al., 2015), these numbers went as high as 80.41%-81.7% in 2014.Notwithstanding, such surgery procedures often cause many adverse effects towards breast cancer survivors' physical, psychological and spiritual health in the postsurgery period. Previous studies demonstrated that breast cancer surgery survivors could experience nausea and vomiting (Wesmiller et al., 2017

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“…Surgery can negatively affect body image by causing physical changes such as post-operative scarring, swelling, redness or lymphedema. Tumors, scars, and disfigurement can contribute to body image distress by causing a loss of identity and a sense of lost control over the body (Yamani Ardakani et al, 2020). Additionally, chemotherapy and hormone therapy can cause body changes such as hair loss, weight gain, vaginal dryness, etc.…”

Section: Body Image Distressmentioning

confidence: 99%

“…These changes can diminish self-perceived sexual attractiveness, libido, and even fertility (Kołodziejczyk and Pawłowski, 2019). Patients may also experience emotional distress caused by a sense of lost control over their bodies, impaired body image, and the fear of cancer recurrence (Yamani Ardakani et al, 2020). In breast cancer patients, body image distress has been linked to late cancer stage and increased time since diagnosis (Mcclelland et al, 2015).…”

Section: Body Image Distressmentioning

confidence: 99%

Mediator Roles of Social Support and Hope in the Relationship Between Body Image Distress and Resilience in Breast Cancer Patients Undergoing Treatment: A Modeling Analysis

et al. 2021

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Breast cancer and its treatment are particularly distressing for patients because of their potential impacts on body image. The most difficult phase of cancer treatment is usually the first year after a diagnosis. Cancer patients with strong resilience have the positive attitude, internal strength and external resources needed to cope with the disease and its treatment. This cross-sectional study investigated the mediator roles of hope and social support in the association between body image distress and resilience. A structured questionnaire was used to collect data for a convenience sample of 141 breast cancer patients undergoing treatment in southern Taiwan. Structural equation modeling was used for data analysis. The results showed that the final model had a good fit to the data and accounted for 51% of the total variance in resilience. The model of multiple parallel mediators of resilience revealed that hope and social support had mediator roles in the effect of body image distress on resilience. Hope had an important partial mediating role in the association between body image distress and resilience. Social support also had a partial mediating role in the relationship between body image distress and resilience. Social support did not directly affect resilience and indirectly affected resilience through hope. Psychosocial interventions aimed at reducing the impact of body image distress and increasing resilience in breast cancer patients should focus on cultivating hope and increasing social support, particularly support from family members and health professionals.

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Body image and its relationship with coping strategies: The views of Iranian breast cancer women following surgery

Cited by 25 publications

References 35 publications

The mediating role of avoidant coping in the relationships between physical, psychological, and social wellbeing and distress in breast cancer survivors

The mediating role of avoidant coping in the relationships between physical, psychological, and social wellbeing and distress in breast cancer survivors

Body image and hopelessness among early‐stage breast cancer survivors after surgery in China: A cross‐sectional study

Mediator Roles of Social Support and Hope in the Relationship Between Body Image Distress and Resilience in Breast Cancer Patients Undergoing Treatment: A Modeling Analysis

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