Impact of chemotherapy-induced alopecia distress on body image, psychosocial well-being, and depression in breast cancer patients

Choi, Eun Kyung; Kim, Im-Ryung; Chang, Olivia H.; Kang, Danbee; Nam, Seok‐Jin; Lee, Jeong Eon; Lee, Se Kyung; Im, Young‐Hyuck; Park, Yeon Hee; Yang, Jung‐Hyun; Cho, Juhee

doi:10.1002/pon.3531

Cited by 165 publications

(142 citation statements)

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“…Patients tried to conceal alopecia from co-workers and neighbors because of the negative stigma towards cancer patients (Kim et al, 2012a). Although Korean breast cancer patients might experience more altered appearance distress and poorer body image because of negative attitudes towards cancer patients in Korea, working breast cancer patients across the world might experience similar challenges and difficulties, especially women in Asian countries (Kim et :http://dx.doi.org/10.7314/APJCP.2014.15.20.8607 Socioeconomic Status andAltered Appearance Distress Among Breast Cancer Patients al., 2012a;Cho et al, 2013a;Cho et al, 2013b;Cho et al, 2014;Choi et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

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Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

Chang¹,

Choi²,

Kim³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: Breast cancer patients experience a variety of altered appearance -such as loss or disfigurement of breasts, discolored skin, and hair loss -which result in psychological distress that affect their quality of life. This study aims to evaluate the impact of socioeconomic status on the altered appearance distress, body image, and quality of life among Korean breast cancer patients. Materials and Methods: A cross-sectional survey was conducted at advocacy events held at 16 different hospitals in Korea. Subjects were eligible to participate if they were 18 years of age or older, had a histologically confirmed diagnosis of breast cancer, had no evidence of recurrence or metastasis, and had no psychological problems at the time of the survey. Employment status, marital status, education, and income were assessed for patient socioeconomic status. Altered appearance distress was measured using the NCI's cancer treatment side effects scale; body image and quality of life were measured by the EORTC QLC-C30 and BR23. Means and standard deviations of each outcome were compared by socioeconomic status and multivariate linear regression models for evaluating the association between socioeconomic status and altered appearance distress, body image, and quality of life. Results: A total of 126 breast cancer patients participated in the study; the mean age of participants was 47.7 (SD=8.4). Of the total, 83.2% were married, 85.6% received more than high school education, 35.2% were employed, and 41% had more than $3000 in monthly household income. About 46% had mastectomy, and over 30% were receiving either chemotherapy or radiation therapy at the time of the survey. With fully adjusted models, the employed patients had significantly higher altered appearance distress (1.80 vs 1.48; p<0.05) and poorer body image (36.63 vs 51.69; p<0.05) compared to the patients who were unemployed. Higher education (10.58, standard error (SE)=7.63) and family income (12.88, SE=5.08) was positively associated with better body image after adjusting for age, disease stage at diagnosis, current treatment status, and breast surgery type. Similarly, patients who were married and who had higher education had better quality of life were statistically significant in the multivariate models. Conclusions: Socioeconomic status is significantly associated with altered appearance distress, body image, and quality of life in Korean women with breast cancer. Patients who suffer from altered appearance distress or lower body image are much more likely to experience psychosocial, physical, and functional problems than women who do not, therefore health care providers should be aware of the changes and distresses that these breast cancer patients go through and provide specific information and psychosocial support to socioeconomically more vulnerable patients.

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Section: Discussionmentioning

confidence: 99%

“…Anyone could participate in the events and they were free of charge. Details of the study design and recruitment are described elsewhere (Cho et al, 2014;Choi et al, 2014).…”

Section: Study Participantsmentioning

confidence: 99%

Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

Chang¹,

Choi²,

Kim³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…Alopecia is a disturbing side effect of almost all effective adjuvant chemotherapy regimens. Chemotherapy is associated with a number of toxicities, but alopecia is the most publicly visible sign of this treatment with psychological impact [5–8]. Scalp cooling to prevent chemotherapy-induced alopecia has been in use since the 1970s, and was recently cleared for marketing in the United States [9].…”

Section: Introductionmentioning

confidence: 99%

Scalp cooling with adjuvant/neoadjuvant chemotherapy for breast cancer and the risk of scalp metastases: systematic review and meta-analysis

Rugo

Melin

Voigt³

2017

Breast Cancer Res Treat

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PurposeThe risk of scalp metastases in patients using scalp cooling for preservation of hair during chemotherapy has been a concern but is poorly described.MethodsA systematic review and meta-analysis of longitudinal studies was undertaken to evaluate the effect of scalp cooling versus no scalp cooling on the risk of scalp metastasis in patients treated for breast cancer with chemotherapy. Electronic databases, journal specific, and hand searches of articles identified were searched. Patients were matched based on disease, treatment, lack of metastatic disease, and sex.ResultsA total of 24 full-text articles were identified for review. Of these articles, ten quantified the incidence of scalp metastasis with scalp cooling over time. For scalp cooling, 1959 patients were evaluated over an estimated mean time frame of 43.1 months. For no scalp cooling, 1238 patients were evaluated over an estimated mean time frame of 87.4 months. The incidence rate of scalp metastasis in the scalp cooling group versus the no scalp cooling group was 0.61% (95% CI 0.32–1.1%) versus 0.41% (95% CI 0.13–0.94%); P = 0.43.ConclusionThe incidence of scalp metastases was low regardless of scalp cooling. This analysis suggests that scalp cooling does not increase the incidence of scalp metastases.Electronic supplementary materialThe online version of this article (doi:10.1007/s10549-017-4185-9) contains supplementary material, which is available to authorized users.

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“…[5] CIA may have a negative impact on body image and quality of life. [26] Its impact is however considerably underestimated by both medical oncologists (MDs) and nurses. [7] CIA has received more attention in the literature in recent years,[89] including papers about guidance for nurses to inform and support patients who are facing and/or experiencing CIA.…”

Section: Introductionmentioning

confidence: 99%

Familiarity, opinions, experiences and knowledge about scalp cooling: a Dutch survey among breast cancer patients and oncological professionals

Peerbooms

Hurk

Breed

2015

Asia-Pacific Journal of Oncology Nursing

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Objective:Scalp cooling (SC) is applied to reduce chemotherapy-induced alopecia (CIA). The aim of this study was to investigate patients’ familiarity and opinions and oncological professionals’ attitude and knowledge about SC in the Netherlands.Methods:Ex breast cancer patients, nurses and medical oncologists (MDs) from SC and non-SC hospitals filled out questionnaires.Results:The majority of MDs and nurses were satisfied with the results of SC, as were SC patients. Over 33% of MDs and nurses perceived their knowledge level insufficient to inform patients about effectiveness, which was over 43% for information about safety. MDs main reason to not apply SC was doubt about effectiveness and safety. Nurses generally offered SC to a minority of eligible patients. Patients were frequently unfamiliar with SC before diagnosis. Seventy percent of SC patients with insufficient results (20/52) reported to mind it very much. With expected success rates of 35% and 50%, respectively, 36% and 54% of patients would use SC again.Conclusion:Room for improvement has been shown for both patients’ familiarity and oncological professionals’ knowledge about SC. Sharing knowledge about results, safety and patients’ experiences will improve patient counseling and SC availability. The results of this survey led to the development of a national standard on CIA and SC.

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Impact of chemotherapy-induced alopecia distress on body image, psychosocial well-being, and depression in breast cancer patients

Abstract: Chemotherapy-induced alopecia distress was negatively associated with body image, psychosocial well-being, and depression in women with breast cancer. It is necessary to develop specific interventions to minimize distress due to alopecia for women with breast cancer.

Cited by 165 publications

References 55 publications

Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

Scalp cooling with adjuvant/neoadjuvant chemotherapy for breast cancer and the risk of scalp metastases: systematic review and meta-analysis

Familiarity, opinions, experiences and knowledge about scalp cooling: a Dutch survey among breast cancer patients and oncological professionals

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