The Importance of Alexithymia in Post-surgery. Differences on Body Image and Psychological Adjustment in Breast Cancer Patients

Gutiérrez, Lorena; Furlong, Lilian Velasco; Sánchez-Román, Sofía; Costumero, Lorena Salas

doi:10.3389/fpsyg.2020.604004

Cited by 6 publications

(6 citation statements)

References 59 publications

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“…The type of surgery performed as part of the treatment does not indicate significant results, although the MBI analysis shows that women undergoing conservative surgery have 43.7% beneficial chances on the anxiety scale, and 55.6% trivial effect. These results are consistent with other studies indicating that women undergoing MST reported worse body image, greater pain, higher depression, higher anxiety and hopelessness scores than women undergoing BCT [14,15].…”

Section: Discussionsupporting

confidence: 92%

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Related Factors with Depression and Anxiety in Mastectomized Women Breast Cancer Survivors

Álvarez-Pardo

Paz

Romero-Pérez

et al. 2023

IJERPH

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Breast cancer (BC) is the most common cancer diagnosis with the highest mortality rate worldwide. The aim of this study was to identify factors related to depression and anxiety in mastectomized women BC survivors. A cross-sectional study was conducted with a sample of 198 women diagnosed with BC aged 30–80 years in Mexico. Depression and anxiety were assessed using the 14-item Hospital Anxiety and Depression Scale (HADS). The results showed that 94.44% and 69.18% of the women scored more than eight points on HADS in the anxiety and depression subscales, respectively; 70.20% and 10.60% were identified as pathological. The following variables were analyzed: age, time elapsed since the start of treatment, received treatment at the time of the evaluation, type of surgery, family history, marital status and employment status. Time elapsed since surgery, having a partner, and employment showed significant results as factors associated to levels of depression and anxiety in these patients. In conclusion, it has been shown that BCSs under 50 years of age receiving some kind of treatment, without family history, without a partner, with a job, with more than secondary education and with more than 5 years since diagnosis could have higher rates of clinical depression. On the other hand, BCSs older than 50 years receiving some kind of treatment, without family history, without a partner, with a job, with more than secondary education and with more than 5 years since diagnosis, could have higher rates of clinical anxiety. In conclusion, the variables studied provide valuable information for the implementation of psychotherapy plans in healthcare systems to reduce the risk of depression and/or anxiety in women with BC who have undergone mastectomy.

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Section: Discussionsupporting

confidence: 92%

“…This option is the used when women want to preserve their body image. Women who had MST showed the greatest difficulties in understanding their own emotions [14].…”

Section: Introductionmentioning

confidence: 99%

Related Factors with Depression and Anxiety in Mastectomized Women Breast Cancer Survivors

Álvarez-Pardo

Paz

Romero-Pérez

et al. 2023

IJERPH

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“…The tendency to focus thinking towards concrete situations is related to the confrontation that these women activate during their treatment, focusing on the avoidance of situations that cause them to suffer [34][35]. These data address some of the limitations found in previous studies, such as that proposed by Gritti et al [23] and Gutiérrez et al [33], in which conclusive results on the di culty of emotional identi cation in the active phase of treatment was found.…”

Section: Discussionsupporting

confidence: 74%

Does Treatment Impact on the Quality of Life in Breast Cancer Patients? A Comparative Study Between Treatments

Gutiérrez

Furlong

Román

et al. 2021

Preprint

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BackgroundBreast cancer involves complicated emotional processes. One of the factors that impacts the psychological symptoms and decreases QoL is the side effects of treatment. This study compared the psychological and physical impacts of women with early stages of breast cancer (stages I to III) being treated with chemotherapy versus hormone therapy. This study also intended to identify which symptoms could predict a decrease in quality of life (QoL) and functionality according to the treatment. MethodThis study had a cross-sectional design. The participant sample comprised 129 women with breast cancer (63 receiving chemotherapy and 66 hormone therapy). ResultsSignificant differences were found in groups regarding QoL, functionality, symptomatology (fatigue and nausea), coping strategies, and alexithymia. Furthermore, in patients receiving chemotherapy, both symptomatologies explained the variance in QoL, but only fatigue explained role functioning. For patients receiving hormone therapy, fatigue was the symptom that explained the variance for both QoL and role functioning. ConclusionsThe results confirmed that women undergoing chemotherapy are more physically and psychologically impacted. For both treatments, fatigue was a crucial symptom that affected QoL and role functioning. These results show the need to help women alleviate their psychological symptoms because they can affect their physical condition.

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“…The present review observed that women face several issues, including choosing the right undergarment and appearance of chest. 14,16,23,24 Qualitative research done in this aspect on women who have undergone mastectomy has shown that the surgery adversely affects women. The research clearly showed that women miss their self-image and hence their body appearance due to mastectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, coping in these women was directly associated with their body image and subsequent psychological adaptation for the same. 23 Body image issues are further augmented by the fact that women post-mastectomy have issues in finding right undergarments for use. This is one of the factors that makes it difficult for women post-mastectomy to socially adapt in society.…”

Section: Body Image Issues and Coping Post-mastectomymentioning

confidence: 99%

Coping in Post-Mastectomy Breast Cancer Survivors and Need for Intervention: Systematic Review

Mishra,

Nair,

Sharan

2023

Breast Cancer�(Auckl)

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Background: Breast cancer is the most prominent cancer type to affect women. Surgical treatment of invasive breast cancers involves mastectomy. Due to mastectomy, women are subjected to social, emotional, and cultural problems which need to be addressed. Objective: The objective of the study is to understand how women cope with body image–related issues, trauma, anxiety, and depression post-mastectomy. Design: A systematic literature review was conducted for understanding the coping in post-mastectomy patients. The methods for identifying the studies were based on Preferred Reporting Items for Systematic reviews and Meta-analysis (PRISMA) guidelines. Databases: Medline/PubMed, PsycInfo, and Cochrane databases were used for searching relevant articles. A final of 19 studies were analyzed for the work. Methods: Search strings such as “coping strategies and post mastectomy,” “body image coping and post mastectomy” and “anxiety coping and post mastectomy” were used for identification of references from databases. Eligibility criteria were used for finalizing the references. Results: Analysis of the 19 studies has clearly shown that women who undergo mastectomy suffer from anxiety, stress, and trauma. This study has observed that women have problems with their body image post-mastectomy along with bouts of depression. Self-coping has been observed in relatively few studies. Psychological interventions before surgery have been observed to be a better coping strategy. In most of the studies, women opted for breast reconstruction to overcome the trauma associated with mastectomy. Conclusion: Mastectomy has a severe impact on women’s appearance and psychology. Breast reconstruction and acceptance have played an important role in coping among these women. However, breast reconstruction is not accepted by many women due to a multitude of factors. Thus, it is essential to have proper intervention programs in place to ensure women can cope with this situation and can lead healthy lives. Registration: Systematic literature review (SLR) is submitted to PROSPERO. The application confirmation number is 449135. Registration awaited from the database.

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The Importance of Alexithymia in Post-surgery. Differences on Body Image and Psychological Adjustment in Breast Cancer Patients

Cited by 6 publications

References 59 publications

Related Factors with Depression and Anxiety in Mastectomized Women Breast Cancer Survivors

Related Factors with Depression and Anxiety in Mastectomized Women Breast Cancer Survivors

Does Treatment Impact on the Quality of Life in Breast Cancer Patients? A Comparative Study Between Treatments

Coping in Post-Mastectomy Breast Cancer Survivors and Need for Intervention: Systematic Review

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