Distress from changes in physical appearance and support through information provision in male cancer patients

Nozawa, Keiko; Tomita, Makiko; Takahashi, Eriko; Toma, Shoko; Takahashi, Miyako

doi:10.1093/jjco/hyx069

Cited by 6 publications

(10 citation statements)

References 20 publications

(21 reference statements)

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“…Socioeconomic circumstances may, therefore, influence perception of trauma or ability to successfully mediate distress and hence impact potential for PTG. Cancer treatment experiences also vary by site (and stage); some treatments may alter appearance and lead to distress and social difficulties [57] while others can be invisible but still have long-term negative consequences (e.g., colostomy) [58]. Feelings of stigma and shame associated with some cancers (e.g., lung) may influence emotional and psychological reactions to the diagnosis [59,60].…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic growth after cancer: a scoping review of qualitative research

Menger

Halim

Rimmer

et al. 2021

Support Care Cancer

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Purpose Interest is growing in post-traumatic growth (PTG) after cancer prompted, in part, by observations of positive associations with health-related quality of life. Qualitative research provides valuable insight into survivors’ experiences. We conducted a scoping review of qualitative evidence on PTG in cancer, determining the number, nature, range and scope of studies, and gaps in the literature. Methods We systematically searched Medline, Scopus, CINAHL, Web of Science, and PsycINFO for qualitative research exploring positive changes after cancer published from 1996. From eligible studies, we extracted: terms used for PTG; design, methodological orientation, and techniques, and participant characteristics. Using descriptive mapping, we explored whether study findings fit within Tedeschi and Calhoun’s PTG framework, and evidence for unique positive changes post-cancer. Results Twenty-eight studies were eligible. Cancer sites included were: breast, 14; mixed, 6; haematological, 4; head and neck cancer, 2; bone, 1, and testis, 1. Multiple studies were conducted in: the USA (12), Australia (3), Iran (2), and the UK (2). Twenty-three studies collected data using individual interviews (21) or focus groups (2). Definitions of PTG varied. Studies largely focused on descriptive accounts of PTG. Findings mapped onto existing PTG dimensions; health behaviour changes were often reported, under ‘new possibilities’. Conclusions A range of PTG outcomes can occur after cancer. Positive health behaviour changes warrant further exploration. Future research should include more diverse patient populations, collect longitudinal data, and focus on pathways towards positive changes.

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Section: Discussionmentioning

confidence: 99%

Post-traumatic growth after cancer: a scoping review of qualitative research

Menger

Halim

Rimmer

et al. 2021

Support Care Cancer

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“…Compared to non-employed people, employed individuals have more opportunities for personal contact in their social activities, and chances of them experiencing uncomfortable emotional experiences due to others discovering their skin markings are likely higher. 19 However, in order to examine the relationship between employment status and uncomfortable emotional experiences toward skin markings, it is necessary to take into account the influence of various factors including internal factors, such as age and medical condition, as well as the type of work and form of employment, place of work, and understanding in the workplace. 20–22 We did not obtain this information in the present study, but plan to address these factors in the future.…”

Section: Discussionmentioning

confidence: 99%

Emotional Experiences of Skin Markings Among Patients Undergoing Radiotherapy and Related Factors: A Questionnaire-Based Cross-Sectional Study

Asada¹,

Takahashi²,

Ono³

et al. 2022

PPA

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Purpose Patients undergoing radiotherapy often have their skin marked. Previous studies on skin markings examined the durability and physical effects of the markings, but no study has focused on patients’ emotional experiences toward the markings. This study aimed to clarify how patients undergoing radiotherapy feel about skin markings, as well as factors that affect patients’ emotional experiences. Patients and Methods We conducted a cross-sectional study using a self-administered questionnaire and medical records. Participants were patients aged ≥20 years undergoing cancer radiotherapy at a designated cancer care hospital. The primary outcome was the level of uncomfortable emotions toward skin markings, and the secondary outcome was the level of favorable ratings on skin markings. To examine factors related to uncomfortable emotions, ordinal logistic regression analysis was performed. Results Questionnaire forms were distributed to 153 patients, and responses were collected from 132 (86%). Among 108 patients included in the analysis, 56% (59/105, excluding 3 who did not answer this question) responded that they were uncomfortable with skin markings. The proportion of patients who favorably rated skin markings was 63% (59/93, excluding 15 who did not answer this question). No factors were significantly associated with the primary outcome. Conclusion Many patients accepted skin markings with resignation, as they understood the necessity of the markings in their treatment. Medical staff should understand the emotional experiences of patients toward skin markings and take sufficient care to ensure that they are provided with explanations, including the impact of skin markings on their daily lives, as well as a sense of security that treatment is being performed in a precise manner.

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“…It seems that besides the variables included in this study, other factors are accountable. In future research, the role of the partner and the quality of the relationship should be further investigated, because the presence of a partner seems to be of importance when appearance changes are discussed in clinical consultations [40] and patients with higher relationship quality seem to have less appearance concerns [41].…”

Section: Discussionmentioning

confidence: 99%

Body changes after cancer: female cancer patients’ perceived social support and their perspective on care

Melissant

Uden–Kraan

Lissenberg‐Witte

et al. 2019

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PurposeThe aim of this study was to investigate among female cancer patients their perceived social support from health care professionals (HCPs), family and friends, and public media, and their perspective on care concerning body changes.MethodsA study-specific questionnaire was completed by 235 female cancer patients. Descriptive statistics were used to describe social support and perspective on care. Logistic regression analyses were used to investigate the associations between social support and sociodemographic and clinical factors, psychosocial impact, and importance of appearance.ResultsMore than half of the patients received sufficient support from HCPs (54%) and family and friends (55%), and a third from the media (32%). Higher educated patients and those who found appearance not important during illness perceived lower support from HCPs. Patients without a partner, and those with a surgical treatment only, perceived lower support from family and friends. Patients who were older, higher educated, without a partner, and those who found appearance not important during illness perceived lower support from the media. In total, 15–50% of the patients received sufficient care for different domains of body changes. Patients expressed the highest need for psychological support (28%) and nutrition (28%).ConclusionsHalf of the female cancer patients reported to receive sufficient social support concerning body changes after cancer. Perceived support depended on age, education, relationship status, and treatment modality. The need for more care was moderate.Electronic supplementary materialThe online version of this article (10.1007/s00520-019-04729-w) contains supplementary material, which is available to authorized users.

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Distress from changes in physical appearance and support through information provision in male cancer patients

Cited by 6 publications

References 20 publications

Post-traumatic growth after cancer: a scoping review of qualitative research

Post-traumatic growth after cancer: a scoping review of qualitative research

Emotional Experiences of Skin Markings Among Patients Undergoing Radiotherapy and Related Factors: A Questionnaire-Based Cross-Sectional Study

Body changes after cancer: female cancer patients’ perceived social support and their perspective on care

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