Quantitative assessment of appearance changes and related distress in cancer patients

Nozawa, Keiko; Shimizu, Chikako; Kakimoto, Minako; Mizota, Yuri; Yamamoto, Seiichiro; Takahashi, Yumiko; Ito, Atsuko; Izumi, Hideko; Fujiwara, Yasuhiro

doi:10.1002/pon.3268

Cited by 56 publications

(62 citation statements)

References 33 publications

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“…Physical appearance changes, such as loss of eyebrows and eyelashes did not cause high distress among male patients while such symptoms were found to cause high distress among female patients with breast and gynecological cancer (2). However, there were many symptoms that directly led to inconvenience in daily activities, such as eczema, edema, desquamation of the hands and feet, split fingernails, and loss of fingernails.…”

Section: Altered Appearancementioning

confidence: 96%

“…Present situation of changes in physical appearance: experiences and psychological distress Based on Nozawa et al (2), 21 items on changes in physical appearance induced by anti-cancer drugs and two items on changes in physical appearance caused by surgery were developed. The three response choices for each item were 1 (never), 2 (experienced before) and 3 (experienced before and experiencing now).…”

Section: Methodsmentioning

confidence: 99%

“…Changes in physical appearance caused by cancer treatment can lead to severe distress in patients (1,2). Such problems are usually reported in relation to body image and quality of life (3-5) using a sample of patients with a specific disease such as breast cancer (6,7) or head and neck cancer (5,(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

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

Nozawa

Tomita

Takahashi

et al. 2017

Japanese Journal of Clinical Oncology

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Objective: This study aims to reveal the present situation of changes in physical appearance induced by treatment, the effects of these changes on social activities, and support from medical staff in male cancer patients. Methods: A questionnaire survey was administered to 949 male patients (response rate: 90.1%) visiting the National Cancer Center Hospital in Tokyo over 3 days in January 2015. Results: The final respondents were 823 patients (mean age: 65.3, standard deviation (SD) = 12.32). Fifty-two percent of the sample, and 79.4% of patients aged under 65 were employed. A total of 84.9% experienced changes in physical appearance, and the highest mean scores of psychological were observed for stoma (3.1) and skin eczema (2.9). A total of 66.4% reported no difference in daily life even after their physical appearance changed. However, patients younger than 65 years old who were employed experienced high social difficulties (12.5%). Many wanted to stop going to work and experienced severe distress in their social lives; 74.1% reported it is important to have the same physical appearance at work as before treatment. The majority of patients obtained information from doctors (35.2%) and consulted with their wife or partner (66.2%) regarding their appearance changes, and 5.7% did not have anyone to consult with. Conclusion: This study clarified important aspects for supporting male cancer patients: timing, content, target audience and steps of information provision. Appropriate information provision from medical staff prior to treatment can be useful in preparing patients for physical appearance changes and decreasing the severity of symptoms.

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Section: Altered Appearancementioning

confidence: 96%

Section: Methodsmentioning

confidence: 99%

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

Nozawa

Tomita

Takahashi

et al. 2017

Japanese Journal of Clinical Oncology

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“…Hair loss is also a traumatic experience and can impose detrimental and long-lasting impacts on body image, sexuality and self-concept (Batchelor, 2001;Münstedt et al, 1997). In fact, women with breast cancer often consider scalp hair loss as the most distressing appearance-altering side effect of chemotherapy treatment, followed by the loss of eyebrows and loss of eyelashes (Nozawa et al, 2013). One study found that body satisfaction which dropped during treatment, failed to improve to pre-treatment levels when the hair started to grow back (Münstedt et al, 1997).…”

Section: What Is the Impact Of An Altered Appearance For Women With Bmentioning

confidence: 99%

“…Chemotherapy treatment brings about numerous side-effects which change appearance, including hair loss, weight fluctuation, hot flushes related to early-onset menopause, and skin and nail discolouration (Nozawa et al, 2013). Challenges can arise from radiation treatment due to skin reactions and discolouration, in addition to slow progressive long-term neurological changes (Sanitt, 2006).…”

Section: How Is Appearance Affected Due To Treatment For Breast Cancer?mentioning

confidence: 99%

Physical and psychological scars: the impact of breast cancer on women's body image

Lewis‐Smith

2015

Journal of Aesthetic Nursing

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Lewis-Smith, H. (2015) Physical and psychological scars: The impact of breast cancer on women's body image. Journal of Aesthetic Nursing, 4 (2). pp. 80-83. ISSN 2050-3717 UWE makes no representation or warranties of commercial utility, title, or fitness for a particular purpose or any other warranty, express or implied in respect of any material deposited. UWE makes no representation that the use of the materials will not infringe any patent, copyright, trademark or other property or proprietary rights. UWE accepts no liability for any infringement of intellectual property rights in any material deposited but will remove such material from public view pending investigation in the event of an allegation of any such infringement. PLEASE SCROLL DOWN FOR TEXT. Body image concerns among women with breast cancer Helena Lewis-Smith is a PhD Researcher at the Centre for Appearance Research, University of the West of England, Bristol. AbstractWhilst breast cancer remains the most common cancer amongst women in the United Kingdom, advances in medicine have seen survival rates improve over the years and the number of women living with the residual consequences of the disease and its treatment is growing. Women are likely to undergo a number of treatments at once, or in succession of one another, each of which brings about various changes to appearance, e.g. hair loss. These wide ranging appearance alterations can impose an adverse impact on body image, causing substantial distress for many women (Dahl et al., 2010).This article reviews research exploring the body image of women with breast cancer, a group who experience a wide range of changes to their appearance as a side effect of treatment for the disease.

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Effects of the appearance care program for breast cancer patients receiving chemotherapy: A mixed method study

et al. 2020

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BackgroundTreatment of breast cancer entails surgery, often followed by chemotherapy. Alopecia is a major, intractable side effect with potentially profound impacts on appearance. We developed a nurse‐facilitated program targeting appearance‐related symptoms.AimsThis study explored the effects of the appearance care program on quality of life (QOL). The program was delivered across three sessions, each involving personal reflections on appearance concerns, short lectures on skincare and makeover techniques, and small group discussions.Method and ResultsSeventy‐two women who attended the appearance care program were invited to participate. We employed a mixed‐method design combining quantitative and qualitative methods. QOL instruments were used to measure effects of the program at the first and final sessions and at a one‐month follow‐up. The qualitative data were collected as open‐ended notes regarding participants' perception of the program at the final session and at a one‐month follow‐up. Fifty‐seven women completed all three sessions. Of them, 55 participated in this study. Their mean age was 46.4 years; 39 (70.9%) had partners, and 34 (61.8%) had children. Most participants experienced hair loss at one‐month post‐program; however, cancer‐specific QOL improved after attending the program. Patients' experience of fatigue and weakness may explain observations of decreased physical well‐being. Emotional well‐being continued to increase 1 month following the program, while social and functional well‐being was consistent. Participants felt empowered by the information on skincare and cosmetic techniques and valued the intimate support from the group members facing similar circumstances.ConclusionsThis study showed that the appearance care program increased or maintained the well‐being of participants. Findings suggest the appearance care program which promoted group sharing experiences empowered participants and may have enhanced their coping strategies.

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Quantitative assessment of appearance changes and related distress in cancer patients

Abstract: Cancer patients are concerned about a variety of AS, and these may result in greater distress than non-AS. AS-related information and care are increasingly being sought in advance of treatment.

Cited by 56 publications

References 33 publications

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

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

Physical and psychological scars: the impact of breast cancer on women's body image

Effects of the appearance care program for breast cancer patients receiving chemotherapy: A mixed method study

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