Correlates of stigma for patients with breast cancer: a systematic review and meta-analysis

Tang, Wen-Zhen; Yusuf, Azlina; Jia, Kui; Iskandar, Yulita Hanum P.; Mangantig, Ernest; Mo, Xiaokui; Wei, Tianfu; Cheng, Shi-Li

doi:10.1007/s00520-022-07506-4

Cited by 15 publications

(12 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Research had shown that patients with breast cancer after surgery generally experienced stigma, which had an adverse impact on the QOL of patients ( 8 – 10 ), and patients’ self-disclosure and social support could improve the QOL, which had a positive impact ( 11 – 13 ). The stigma of breast cancer patients is negatively correlated with self-disclosure and social support ( 14 ). Self-disclosure could enhance the benefits of social support and promoted their mental health ( 15 ).…”

Section: Backgroundsmentioning

confidence: 99%

Construction of the structural equation model of stigma, self-disclosure, social support, and quality of life of breast cancer patients after surgery—a multicenter study

Chen

Zheng

et al. 2023

Front. Oncol.

View full text Add to dashboard Cite

PurposeStigma is common in patients with breast cancer after surgery, which has a negative impact on the quality of life (QOL). This study aimed to investigate the QOL of breast cancer patients after surgery and to analyze the multiple chains mediating effects of self-disclosure and social support between stigma and QOL.MethodsA total 292 patients of breast cancer patients after operation were recruited in this study. A questionnaire survey was conducted using the general information questionnaire, the consumer experiences of stigma questionnaire (CESQ), the distress disclosure index(DDI), the perceived social support scale(PSSS), and the functional assessment of cancer therapy-breast(FACT-B). Path analysis was conducted to test the hypothesized serial multiple mediation model.ResultsThe total scores of stigma, self-disclosure, social support and QOL were 15 (10 ~ 22), 39 (31 ~ 46), 58 (50 ~ 67) and 88 (74 ~ 104) respectively. QOL of breast cancer patients after the operation was negatively correlated with stigma (p < 0.01), and positively correlated with self-disclosure and social support (p < 0.01). Self-disclosure and social support played a complete mediating effect between stigma and QOL, and the total mediating effect value was 85. 87%.ConclusionsSelf-disclosure and social support play a complete intermediary role between stigma and QOL. In order to improve the quality of life of patients, medical staff should pay attention to the assessment of stigma, encourage patients to express their emotions, and encourage their families and friends to respond to their expression and needs of patients.

show abstract

Section: Backgroundsmentioning

confidence: 99%

Construction of the structural equation model of stigma, self-disclosure, social support, and quality of life of breast cancer patients after surgery—a multicenter study

Chen

Zheng

et al. 2023

Front. Oncol.

View full text Add to dashboard Cite

show abstract

“…Breast cancer stigma has been known to reduced social support, promote depression, and decrease quality of life. (43) Third, experiences with any cancer-related symptom relief through physical activity was identi ed as a facilitator of physical activity. Symptom relief could have been perceived as a type of success story that might have increased motivation for physical activity.…”

Section: Discussionmentioning

confidence: 99%

Physical activity and exercise behavior of Japanese breast cancer survivors: A nationwide cross-sectional survey

Shimizu

Tsuji

Narisawa

et al. 2023

Preprint

View full text Add to dashboard Cite

Purpose Physical activity after breast cancer diagnosis has been associated with lower mortality rates. However, the physical activity levels of breast cancer survivors in Japan remain unclear. Methods A population-based sampling method was used to select 52 facilities throughout Japan. Thereafter, self-reported questionnaires were distributed to 30 consecutive breast cancer survivors without recurrence or metastasis at each facility. We then determined their background information, physical activity levels using the Global Physical Activity Questionnaire, and potential factors affecting physical activity. Results We ultimately analyzed 791 (77.5%) patients from 34 (65.4%) facilities. Among them, 50.5% satisfied the physical activity recommendations by the American Society of Clinical Oncology/American Cancer Society guidelines, whereas 61.8% were not physically active at all during their leisure time. Moreover, 37.7% engaged in regular exercise, among whom 68.0% satisfied the recommended activity level. Factors associated with satisfying guideline recommendations were higher self-efficacy [odds ratio (OR) per 1 standard deviation (SD) increase, 1.58; 95% CI, 1.29–1.94], stronger perceived social support (OR per 1SD increase, 1.54; 95% CI, 1.26–1.89), lower household annual income (OR, 1.58; 95% CI, 1.07–2.33), experience of any cancer-related symptom relief through physical activity (OR, 1.81; 95% CI, 1.13–2.94), and urban location (OR, 1.50; 95% CI, 1.03–2.20). Conclusions Physical activity levels of breast cancer survivors can be certainly be improved. There is need to encourage physical activity and disseminate appropriate information and support regarding the same throughout Japan, focusing particularly on self-efficacy and social support.

show abstract

“…[19][20][21] Few studies indicated that cancer stigma was positively associated with sleep disorders, while negatively associated with sleep quality. 22 In the study of gynecologic oncology patients, the influence of stigma on sleep disorders was only verified in breast cancer patients. 18 In view of the strong cultural beliefs around cancer, it was necessary to identify and understand the relationship between self-stigma and sleep disorders in Chinese gynecological cancer patients.…”

Section: Self-stigma and Sleep Disordersmentioning

confidence: 99%

Study on the Profiles of Sleep Disorders, Associated Factors, and Pathways Among Gynecological Cancer Patients – A Latent Profile Analysis

Gu,

Wang,

Yang

et al. 2024

NSS

View full text Add to dashboard Cite

Background: Gynecological cancer generally refers to malignant tumors in gynecology, commonly including cervical cancer, endometrial cancer, and ovarian cancer. Patients with gynecological cancer often suffer from sleep disorders after clinical treatment. Except for serious sleep disorders, female characteristics, family roles, and feudal beliefs make their self-stigma at a medium to high level, leading to huge pressure. This study aims to identify potential categories of sleep disorders, and analyze the relationship between self-stigma, perceived stress, and sleep disorders. Methods: A cross-sectional study was conducted in 2021-2022. Two hundred and two patients' data were collected from ShengJing Hospital Affiliated to China Medical University in Liaoning, Shenyang by using paper questionnaires for face-to-face surveys. The survey tools included the Pittsburgh Sleep Quality Index (PSQI), the Perceived Stress Scale (PSS), and the Social Impact Scale (SIS). Potential profile analysis (LPA), multiple logistic regression analysis, and structural equation modeling (SEM) were performed by Mplus 8.3, SPSS 26.0, and Amos 24.0 statistical tools, respectively. Results: Three latent patterns of sleep disorders were found: "Good Sleep group (42.5%)", "Sleep Deficiency group (32.4%)", and "Sleep Disturbance group (25.1%)". Patients with high perceived stress were more likely to report a moderate (OR=1.142, 95% CI: 1.061-1.230) or high (OR=1.455, 95% CI: 1.291-1.640) level of sleep disorders. Self-stigma did not have a direct effect on sleep disorders (0.055, P>0.05), but it could have indirect effect on sleep disorders through perceived stress (0.172, P<0.01). Conclusion:The perceptions of sleep disorders among gynecological cancer patients varies and exhibits individual differences. Gynecological cancer patients who feels alienated or discriminated may cause high pressure. This internal pressure can exacerbate sleep disorders.

show abstract

Correlates of stigma for patients with breast cancer: a systematic review and meta-analysis

Cited by 15 publications

References 47 publications

Construction of the structural equation model of stigma, self-disclosure, social support, and quality of life of breast cancer patients after surgery—a multicenter study

Construction of the structural equation model of stigma, self-disclosure, social support, and quality of life of breast cancer patients after surgery—a multicenter study

Physical activity and exercise behavior of Japanese breast cancer survivors: A nationwide cross-sectional survey

Study on the Profiles of Sleep Disorders, Associated Factors, and Pathways Among Gynecological Cancer Patients – A Latent Profile Analysis

Contact Info

Product

Resources

About