Sexual life after mastectomy in breast cancer survivors: A qualitative study

Fouladi, Nasrin; Pourfarzi, Farhad; Dolattorkpour, Negin; Alimohammadi, Sara; Mehrara, Elham

doi:10.1002/pon.4479

Cited by 30 publications

(31 citation statements)

References 27 publications

(50 reference statements)

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“…It seems that in Iranian society, for cultural reasons, women are placed under additional pressure following the diagnosis and treatment of BC. As a result, while suffering from physical complications of the disease and its treatment, BC patients suffer from stress and emotional problems [49]. The higher prevalence of depression among BC survivors in Iran can be explained as the result of lack of support from society and patients’ families.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, psychological problems and sexual dysfunction after BC treatment have been reported in the majority of patients [51,52]. For example, a study of Iranian patients suggested that after treatment (i.e., mastectomy), women had negative feelings about their bodies [49]. It has also been suggested that when Iranian women with BC are about to engage in sexual intercourse, they face anxiety, shame, and negative feelings about their bodies [49].…”

Section: Discussionmentioning

confidence: 99%

“…This issue is mainly due to the cultural context of society, and to some extent the religious beliefs of a community toward women’s responsibility as wives to build a satisfactory sexual relationship with their husbands. When facing challenges in fulfilling these expectations, patients may feel incompetent and sense that they are subject to tremendous pressure [49,51]. These factors, along with the physical complications of the disease and its treatments, may be unbearable to patients who need social and emotional support.…”

Section: Discussionmentioning

confidence: 99%

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Meta-analysis of the prevalence of depression among breast cancer survivors in Iran: an urgent need for community supportive care programs

Gharaei

Dianatinasab²,

Kouhestani

et al. 2019

Epidemiol Health

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OBJECTIVES: Depression, which is the most common comorbidity in breast cancer (BC) patients, has adverse effects on patients’ quality of life, disease progress, and survival.METHODS: The protocol of this study was registered in PROSPERO (registration No. CRD42019121494). We electronically searched published studies through January 2019 with the aim of finding articles that investigated the prevalence of depression among BC survivors. Web of Science, Scopus, PubMed/MEDLINE, Science Direct, and Google Scholar were searched to obtain relevant published studies. This review included 14 cross-sectional and 4 cohort studies published from 2000 to 2018. We used a random-effects model to conduct the meta-analysis and generated a summary estimate for the pooled prevalence with 95% confidence intervals (CIs). A subgroup analysis was also conducted based on the depression assessment tool used and the study design.RESULTS: The total sample size of the studies contained 2,799 women with BC, including 1,228 women who were diagnosed with depression. The pooled prevalence of depression among Iranian women with BC was 46.83% (95% CI, 33.77 to 59.88) with significant heterogeneity (I2 =98.5%; p<0.001). The prevalence of depression ranged from 14.00% (95% CI, 4.91 to 23.09) to 95.90% (95% CI, 91.97 to 99.83). The results of the subgroup analyses suggested that the depression assessment tool, year of publication, and study design were sources of heterogeneity.CONCLUSIONS: Our findings indicate a high prevalence of depression among BC patients, underscoring the urgent need for clinicians and health authorities to provide well-defined social and psychological supportive care programs for these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Meta-analysis of the prevalence of depression among breast cancer survivors in Iran: an urgent need for community supportive care programs

Gharaei

Dianatinasab²,

Kouhestani

et al. 2019

Epidemiol Health

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“…Because talking about sexual issues is a matter of great cultural sensitivity and is considered as a cultural taboo in Iran. 43 Also, sexual history taking is not routinely performed by clinicians. 41 Thus, nurses and clinicians need to learn the communication skills to discuss about patients’ sexual problems.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of feminine identity: the strategies of women with breast cancer to cope with body image altered

Mohammadi¹,

Kermanshahi²,

Vanaki³

2018

IJWH

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BackgroundBody image altered is the most important psychosocial concern associated with breast cancer. Yet, there is a paucity of information regarding strategies for coping with this problem. This study aimed to explore Iranian breast cancer women’s strategies for coping with body image altered.MethodsThis qualitative study was conducted in 2016–2017. A purposive sample of 36 women with breast cancer was selected with maximum variation from three health care centers in Alborz Province, Iran. Data were collected by semi-structured interviews and analyzed by performing conventional qualitative content analysis.ResultsThe main theme of the study was “reconstruction of feminine identity” with the six main categories of physical appearance improvement, active information seeking, self-care for managing limits, psychological self-empowerment, maintaining maternal role, and maintaining wife role.ConclusionIranian breast cancer women’s strategies for coping with body image altered are multidimensional and are mainly based on personal resources. Breast cancer women use these strategies to reconstruction of their feminine identity. Health policy-makers can use the findings of the present study to develop interventions and programs for improving breast cancer women’s body image care.

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“…Estos revelan problemas de tipo sentimental, y sexual, a partir del tratamiento, en especial en mujeres mastectomizadas, o en el caso del cáncer de cuello uterino por la estigmatización que tiene la enfermedad al estar asociada al contagio del Virus del Papiloma Humano (21,22) . En este estudio, los problemas con la pareja se acentúan por la dinámica de las relaciones familiares y la migración de las mujeres.…”

Section: Discussionunclassified

Significados que construyen mujeres afrodescendientes frente al cáncer de mama y cuello uterino, atendidas en Medellín, Colombia

Ramos-Jaraba

Carrillo-Pineda

2018

Univ. Salud

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Significados que construyen mujeres afrodescendientes frente al cáncer de mama y cuello uterino, atendidas en Medellín, ColombiaMeanings that build Afro-descendant women facing breast and cervical cancer, who were attended in Medellin, ColombiaSara Milena Ramos-Jaraba 1* orcid.org/0000-0002-8638-5209Marcela Carrillo-Pineda 1 orcid.org/0000-0002-3200-8600 Se realizaron entrevistas semiestructuradas a mujeres con CaMa y CaCu y grupos focales con población afrodescendiente sin cáncer; observaciones en citas médicas, quimioterapia y lugares cotidianos. El análisis fue guiado por el método de comparación constante. Resultados: Emergieron tres categorías: "El señor cáncer" que da cuenta de la enfermedad concebida como fatal y peligrosa, "La enfermedad desplaza", producto de la migración de las mujeres a Medellín para recibir tratamientos; y "Parte la vida en dos" por los cambios que conlleva la enfermedad. Conclusión: La enfermedad se concibió más allá de lo biológico al experimentar una alteración de la vida social, familiar y emocional. Se requiere mayor visibilidad del proceso salud-enfermedad de las afrodescendientes, por su rol ancestral como cuidadoras y forjadoras de unidad familiar.Palabras clave: Cáncer de mama; cáncer de cuello uterino; mujeres afrodescendientes; significados; investigación cualitativa. (Fuente: DeCS, Bireme). AbstractIntroduction: Research on the health of Afro-descendant women is scarce in Colombia, especially when it comes to studies that show the relationship between ethnicity and cancer. Breast cancer and cervix need to be investigated from the voice of Afro-descendant women who suffer from it. Objective: To understand the meanings facing breast or cervix cancer that are built by Afro-descendant women in the health services of Medellín, Colombia. Materials and methods: A qualitative research with an ethnographic approach was made. Semi-structured interviews were conducted for women with breast and cervix cancer and there were focal groups with Afro-descendant population without cancer with observations in medical appointments, chemotherapy and everyday places. The analysis was guided by the Constant Comparative method. Results: Three categories emerged: "Lord Cancer" which accounts for the disease conceived as fatal and dangerous, "the disease displaces", product of the migration of women to Medellin to receive treatments; and "it parts life in two" because of the changes that the disease brings. Conclusion: The disease was conceived beyond the biological part by experiencing an alteration of social, familiar and emotional life. There is a need for greater visibility of the health-disease process of the afro-descendants, or their ancestral role as caregivers and family unit builders.

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Sexual life after mastectomy in breast cancer survivors: A qualitative study

Cited by 30 publications

References 27 publications

Meta-analysis of the prevalence of depression among breast cancer survivors in Iran: an urgent need for community supportive care programs

Meta-analysis of the prevalence of depression among breast cancer survivors in Iran: an urgent need for community supportive care programs

Reconstruction of feminine identity: the strategies of women with breast cancer to cope with body image altered

Significados que construyen mujeres afrodescendientes frente al cáncer de mama y cuello uterino, atendidas en Medellín, Colombia

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