Breast Cancer Treatment in Older Women: Does Getting What You Want Improve Your Long-Term Body Image and Mental Health?

Figueiredo, Melissa I.; Cullen, Jennifer; Hwang, Yi‐Ting; Rowland, Julia H.; Mandelblatt, Jeanne S.

doi:10.1200/jco.2004.07.030

Cited by 126 publications

(83 citation statements)

References 34 publications

(4 reference statements)

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“…Some authors have stated that older women find body image to be less important in treatment decisions than younger women, yet a study by Figuerido et al (Figueiredo, Cullen et al 2004) showed that 31% of older women said that body image was an important factor in treatment decisions and that older women who underwent mastectomy had more body image concerns than women who received conservation treatment.…”

Section: Introductionmentioning

confidence: 99%

Living into old age with the consequences of breast cancer

Fenlon

Frankland

Foster

et al. 2013

European Journal of Oncology Nursing

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Purpose of the research: Breast cancer survival rates are improving with over 60% likely to live 20 years. As 30% diagnoses occur in women over 70 the prevalence of breast cancer survivors living into older age is increasing. The specific needs and experiences of this group have rarely been addressed. This study aimed to explore older women's experience of living with breast cancer alongside other health conditions, and to identify their information and support needs and preferences. Methods and sample: Data were collected from 28 semi-structured qualitative interviews and 2 focus groups (n´14), with breast cancer survivors aged 70-90, and were analysed using thematic analysis. Key Results: These older breast cancer survivors experienced a range of long-term physical problems resulting from treatment, including poor cosmetic results and poor shoulder movements, and bras and prostheses were often unsuitable. Many were keen to preserve their body image ideal irrespective of age. Reconstruction was rarely discussed, but all would have liked this option. Older women wanted to be treated as individuals rather than uniformly as older people, with their personal physical and social needs (including comorbidities) taken into account. They expressed a preference for information direct from health professionals. Conclusions: Many breast cancer survivors will live into advanced old age with permanent physical and emotional consequences of their treatment. Holistic and personalized assessment of needs becomes increasingly important with age, particularly with comorbidity. Effective rehabilitative care is important to reduce the impact of breast cancer into old age.Suggested Reviewers: Amanda Shewbridge MSc Consultant Nurse, Breast Cancer , Guy's and St Thomas' Hospital, London Amanda.Shewbridge@gstt.nhs.uk 17.7.2012Dear Alex, We would be grateful if you would consider publishing this paper which presents the findings of original research in elderly survivors of breast cancer. While it is known that women can experience many long term consequences of their breast cancer treatment, this paper highlights than women may continue to suffer physical and emotional consequences, not only in the long term, but into their advanced old age and which have not been addressed or resolved. This is having a permanent impact on their lives and ability to function into old age. Furthermore, their preferred form of receiving information in the form of professional communication is lacking and so elderly breast cancer survivors are not getting the support they need. Methods and sample: Data were collected from 28 semi-structured qualitative interviews and 2 focus groups (n´14), with breast cancer survivors aged 70-90, and were analysed using thematic analysis.Key Results: These older breast cancer survivors experienced a range of longterm physical problems resulting from treatment, including poor cosmetic results and poor shoulder movements, and bras and prostheses were often unsuitable.Many were keen to preserve their body image ide...

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Section: Introductionmentioning

confidence: 99%

Living into old age with the consequences of breast cancer

Fenlon

Frankland

Foster

et al. 2013

European Journal of Oncology Nursing

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“…For women with breast cancer, the impacts of breast surgery on body image and self-esteem, both of which are important contributors to sexual health, are well characterized [22,33,34]. For young women, at least one study showed that alterations in body image were a significant negative predictor of sexual activity, regardless of surgery type and whether reconstruction was performed [22].…”

Section: Surgerymentioning

confidence: 99%

Sexual Health as a Survivorship Issue for Female Cancer Survivors

2014

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As more and more people are successfully treated for and live longer with cancer, greater attention is being directed toward the survivorship needs of this population. Women treated for cancer often experience issues related to sexual health and intimacy, which are frequently cited as areas of concern, even among long-term survivors. Unfortunately, data suggest that providers infrequently discuss these issues. We reviewed a contemporary understanding of sexual health of women and the impact of treatment on both sexual function and intimacy.

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“…As pacientes que receberam a reconstrução mamária optam por esse tipo de cirurgia devido à sua preocupação com a aparência, pois acreditam que a reconstrução alivia o impacto da cirurgia radical 18 . Em outro estudo com mulheres mais velhas, com idade de 67 anos, verificou-se que 31% das pacientes submetidas à mastectomia se preocupavam mais com a sua imagem corporal do que as pacientes que receberam cirurgia conservadora 9 . Estudo com pacientes com câncer de mama após dois meses de mastectomia mostrou que a intervenção psicológica possui um efeito benéfico e imediato para as pacientes que têm problema com sua imagem corporal, ansiedade e sofrimento emocional.…”

Section: Discussionunclassified

“…Em outro estudo com amostra de 563 mulheres, verificou-se que as pacientes submetidas à mastectomia com três anos após a cirurgia apresentaram preocupação com a sua aparência física, demonstrando uma piora na saúde mental. Portanto, a imagem corporal alterada provocou um impacto emocional que, por sua vez, comprometeu negativamente a saúde mental destas 9 .…”

Section: Discussionunclassified

Indicadores de insatisfação relacionados à imagem corporal em pacientes submetidas à mastectomia

Prates¹,

Freitas‐Junior²,

Prates³

et al. 2014

Rev. Bras. Mastol.

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RESUMOApesar dos avanços no tratamento do câncer de mama, a mastectomia continua sendo bastante utilizada, podendo prejudicar a condição emocional e social da mulher, em decorrência da alteração de sua imagem corporal. Este estudo teve como objetivo levantar dados científicos sobre indicadores de insatisfação relacionados à imagem corporal de mulheres com mastectomia. Foi realizada uma revisão de literatura de artigos internacionais nas bases do PubMed no período de 2003 a 2012. Foram avaliados 232 artigos e selecionados 10 estudos. Foram utilizados os descritores "breast cancer" associado à "body image" e a "mastectomy". Foram incluídos estudos com mulheres mastectomizadas que abordassem o termo "imagem corporal", incluindo-se pesquisas quantitativas e qualitativas. Os resultados dos dez estudos selecionados mostraram que, na avaliação pós-operatória de câncer de mama, as mulheres mastectomizadas apresentaram níveis mais elevados de estresse em relação à imagem corporal e relataram a insatisfação com a aparência de suas mamas. Os indicadores de insatisfação relacionados à imagem corporal em pacientes submetidas à mastectomia são: vergonha de não terem uma mama, insatisfação com a sua aparência física, estresse, baixa autoconfiança, além de se sentirem menos atraentes sexualmente. ABSTRACT

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Breast Cancer Treatment in Older Women: Does Getting What You Want Improve Your Long-Term Body Image and Mental Health?

Cited by 126 publications

References 34 publications

Living into old age with the consequences of breast cancer

Living into old age with the consequences of breast cancer

Sexual Health as a Survivorship Issue for Female Cancer Survivors

Indicadores de insatisfação relacionados à imagem corporal em pacientes submetidas à mastectomia

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