Impact of surgery and chemotherapy on the quality of life of younger women with breast carcinoma

Arora, Neeraj; Gustafson, David H.; Hawkins, Robert P.; McTavish, B S Fiona; Cella, David; Pingree, Suzanne; Mendenhall, John; Mahvi, David M.

doi:10.1002/1097-0142(20010901)92:5<1288::aid-cncr1450>3.0.co;2-e

Cited by 212 publications

(173 citation statements)

References 49 publications

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“…Similarly, time since diagnosis did not correlate significantly with body image concerns, also contrary to the results of Hopwood et al (2001), which found higher scores after 6 months from the time of first surgery. Research on this matter is not consistent, as some studies indicate a better body image soon after diagnosis and a worsening with time (Bloom et al, 1998;Hartl et al, 2003), others report a significant improvement in body image over time (Arora et al, 2001;Ganz et al, 1992b) and others demonstrate a stability on body image through the disease (DeFrank et al, 2007). This inconsistency may be due to the different measures of body image that were used and not to the real effect of time.…”

Section: Discussionmentioning

confidence: 99%

The Portuguese version of the Body Image Scale (BIS) – psychometric properties in a sample of breast cancer patients

Moreira

Silva

Marques

et al. 2010

European Journal of Oncology Nursing

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Keywords:Body image scale Instrument Body image Cancer Portuguese version EORTC Breast cancer a b s t r a c t Purpose: The aim of this study was to analyse the psychometric properties of the Portuguese version of the body image scale (BIS; Hopwood, P., Fletcher, I., Lee, A., Al Ghazal, S., 2001. A body image scale for use with cancer patients. European Journal of Cancer, 37,[189][190][191][192][193][194][195][196][197]. This is a brief and psychometric robust measure of body image for use with cancer patients, independently of age, cancer type, treatment or stage of the disease and it was developed in collaboration with the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Study Group. Method: The sample is comprised of 173 Portuguese postoperative breast cancer patients that completed a battery of measures that included the BIS and other scales of body image and quality of life, in order to explore its construct validity. Results: The Portuguese version of BIS confirmed the original unidimensional structure and demonstrated adequate internal consistency, both in the global sample (a ¼ .93) as in surgical subgroups (mastectomy ¼ .92 and breast-conserving surgery ¼ .93). Evidence for the construct validity was provided through moderate to largely sized correlations between the BIS and other related measures. In further support of its discriminant validity, significant differences in BIS scores were found between women who underwent mastectomy and those who underwent breast-conserving surgery, with the former presenting higher scores. Age and time since diagnosis were not associated with BIS scores. Conclusions: The Portuguese BIS proved to be a reliable and valid measure of body image concerns in a sample of breast cancer patients, allowing a brief and comprehensive assessment, both on clinical and research settings.

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Section: Discussionmentioning

confidence: 99%

The Portuguese version of the Body Image Scale (BIS) – psychometric properties in a sample of breast cancer patients

Moreira

Silva

Marques

et al. 2010

European Journal of Oncology Nursing

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“…Some studies found that women with a mastectomy were more likely to report body image dissatisfaction than those with breast conserving treatment (Beckmann et al, 1983;Steinberg et al, 1985;Ganz et al, 1992;Yurek et al, 2000;Lee et al, 1992;Schain et al, 1994;Taylor et al, 2002;Arora et al, 2001;Polivy, 1977;Avis et al, 2004), while other studies did not find type of surgery to be a significant problem (Wolberg et al, 1989;Ashcroft et al, 1985;Penman et al, 1986;Goldberg et al, 1992;Holmberg et al, 1989). Length of time since treatment can be a factor in how women feel about their appearance.…”

Section: Body Image Sexuality and Sexual Problemsmentioning

confidence: 99%

“…Sexual functioning declined during the first year after breast cancer treatment with chemotherapy in three studies (Ganz et al, 2004;Yurek et al, 2000;Arora et al, 2001). During the first six months after treatment Ganz et al (2004) found that sexual functioning was worse for women who received chemotherapy than for those who did not, regardless of type of surgery.…”

Section: Body Image Sexuality and Sexual Problemsmentioning

confidence: 99%

“…Menopausal status was important to the woman's subsequent sexual desire and sexual arousal, while extent of treatment was related to her ability to experience orgasm and total sexual responsiveness (Yurek et al, 2000). Arora et al (2001) found that women who received chemotherapy were significantly less satisfied with their sex lives.…”

Section: Body Image Sexuality and Sexual Problemsmentioning

confidence: 99%

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Body image and sexual problems in young women with breast cancer

et al. 2005

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SUMMARYPurpose: The purpose of this study was to determine the frequency of body image and sexual problems in the first months after treatment among women diagnosed with breast cancer at age 50 or younger.Background: Breast cancer treatment may have severe effects on the bodies of younger women. Surgical treatment may be disfiguring, chemotherapy may cause abrupt menopause, and hormone replacement is not recommended.Methods: A multi-ethnic population-based sample of 549 women aged 22-50 who were married or in a stable unmarried relationship were interviewed within seven months of diagnosis with in situ, local, or regional breast cancer.Results: Body image and sexual problems were experienced by a substantial proportion of women in the early months after diagnosis. Half of the 546 women experienced two or more body image problems some of the time (33%), or at least one problem much of the time (17%). Among sexually active women, greater body image problems were associated with mastectomy and possible reconstruction, hair loss from chemotherapy, concern with weight gain or loss, poorer mental health, lower self-esteem, and partner's difficulty understanding one's feelings. Among the 360 sexually active women, half (52%) reported having a little problem in two or more areas of sexual functioning (24%), or a definite or serious problem in at least one area (28%). Greater sexual problems were associated with vaginal dryness, poorer mental health, being married, partner's difficulty understanding one's feelings, and more body image problems, and there were significant ethnic differences in reported severity.Conclusions: Difficulties related to sexuality and sexual functioning were common and occurred soon after surgical and adjuvant treatment. Addressing these problems is essential to improve the quality of life of young women with breast cancer.

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“…Surgery for gynaecologic cancers may involve the removal of parts of the body involved in sexual arousal (Stead, 2003), and chemotherapy in particular often results in fatigue which affects both sexual functioning and interest (Arora et al, 2001). There is a lack of research into the effects of physical activity in this area with cancer survivors, but Dahn et al (2005) found that sexual functioning was positively associated with PA levels in a sample of prostate cancer survivors who had undergone radiation therapy, and there is also evidence which links physical activity to improved sexual functioning in the general population (Bacon et al, 2003;Hsiao et al, 2012;Laumann et al, 2005).…”

Section: Physical Healthmentioning

confidence: 99%

Physical Activity and Cancer

Bk¹,

Ih²,

Rohde³

2013

Encyclopedia of Behavioral Medicine

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It is widely accepted that physical activity is important for physical functioning and well-being, and as such the promotion of active lifestyles is becoming increasingly significant in public health policy both in the UK and worldwide. Sedentary lifestyles have been associated with increased risk of obesity and preventable disease including diabetes, coronary heart disease and some cancers. With regards cancer specifically, this chapter will provide a brief overview on current opinions on the link between physical activity and cancer prevention.The published evidence focuses both on primary and secondary prevention. More recent evidence has investigated the use of physical activity in secondary prevention for those who have been diagnosed with cancer and proposed a link between physical activity, morbidity and mortality in those with cancer. The evidence-base for secondary prevention is more limited. Nevertheless, studies to date have indicated that physical activity can improve both physical functioning and psychological outcomes in cancer survivors, and significantly improve quality of life.The exact nature of those interventions which confer the most positive effects is less well-established, and there is a current lack of consensus on the most appropriate type, intensity and duration of activity for people with cancer. It has not yet been wellestablished as to which stage of the treatment programme physical activity should be encouraged (during or following treatment) or the most appropriate length of time during which structured physical activity interventions should be delivered to achieve beneficial results.These factors will be discussed in this chapter, and barriers to engaging in physical activity for those with a diagnosis of cancer will be considered. The chapter will conclude with a summary of key findings and the potential for further research.

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Impact of surgery and chemotherapy on the quality of life of younger women with breast carcinoma

Cited by 212 publications

References 49 publications

The Portuguese version of the Body Image Scale (BIS) – psychometric properties in a sample of breast cancer patients

The Portuguese version of the Body Image Scale (BIS) – psychometric properties in a sample of breast cancer patients

Body image and sexual problems in young women with breast cancer

Physical Activity and Cancer

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