The relationship between surgical treatment (mastectomy vs. breast conserving treatment) and body acceptance, manifesting femininity and experiencing an intimate relation with a partner in breast cancer patients

Jabłoński, Marcin; Streb, Joanna; Mirucka, Beata; Słowik, Agnieszka; Jach, Robert

doi:10.12740/pp/91916

Cited by 21 publications

(12 citation statements)

References 30 publications

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“…Studies explaining body image distortion in breast cancer patients highlight the role of surgery as a relevant variable (Moyer, 1997;Al-Ghazal et al, 2000;Jabłoński et al, 2018), since the area of the breasts is especially threatened. It is important to highlight that the chest is a part of the body closely linked to sexuality, femininity and the identity attributed to the sense of being a woman (Carver et al, 1998;Petronis et al, 2003;Moreira and Canavarro, 2010;Jabłoński et al, 2018). Body image distortion involves feeling ashamed of body changes (e.g., breast scar, weight gain, loss of function or loss of sensitivity), leading to rejection and problems in sexual intercourse (Han et al, 2010;Jabłoński et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…It is important to highlight that the chest is a part of the body closely linked to sexuality, femininity and the identity attributed to the sense of being a woman (Carver et al, 1998;Petronis et al, 2003;Moreira and Canavarro, 2010;Jabłoński et al, 2018). Body image distortion involves feeling ashamed of body changes (e.g., breast scar, weight gain, loss of function or loss of sensitivity), leading to rejection and problems in sexual intercourse (Han et al, 2010;Jabłoński et al, 2018). Other studies go a step further and specify which type of breast operation causes psychological sequelae (Moyer, 1997;Janni et al, 2001;Parker et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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Breast cancer is a disease that is difficult to face and that often hinders body acceptance. Body changes due to surgery can be very emotionally challenging for those who experience them. The aim of this study is to explore the differences on body image and psychological adjustment on women with breast cancer with high and low alexithymia according to the type of surgery. In this cross-sectional study, 119 women diagnosed with breast cancer (stages I, II, and III) were evaluated with different self-report questionnaires. Afterward, patients were divided into two groups (high and low levels of alexithymia) to analyze dependent variables (body image and psychological adjustment) according to the type of surgery (radical mastectomy or breast conserving therapy). The results of the General Linear Model suggest that when patients show high alexithymia combined with having undergone a radical mastectomy, they show higher levels of Hopelessness. Furthermore, in patients with high alexithymia, higher scores of maladaptive coping styles and greater distortion of body image were found. Alexithymia seems to play an important role in the way in which women cope with their disease, especially in those with radical mastectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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“…Although BCT is generally considered less mutilating than breast amputation, attention should be given to the problems of women undergoing this form of treatment, and emotional and psychosocial support should be provided. While research on the quality of life (QoL) related to the health of women undergoing surgery for breast cancer and the psychosocial consequences of breast surgery has a long history, research on satisfaction with the aesthetic effect and its impact on women’s lives is a topic that is only now beginning to be addressed [12,13,14]. The use of standardized assessment tools will allow for an exchange of patients’ opinions in the international context [15].…”

Section: Introductionmentioning

confidence: 99%

Satisfaction with the Aesthetic Effect and Quality of Life for Women after Breast Conserving Therapy (BCT)—Preliminary Research

Krzos

Stanisławek

Jędrych

et al. 2019

IJERPH

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All methods of breast cancer treatment may potentially lead to breast deformities, which are often associated with the reduced mental well-being of patients. Breast conserving therapy (BCT) is commonly used, and its core element is breast conserving surgery (BCS).The aim of this study was to determine the level of satisfaction with the aesthetic outcome of surgery and quality of life (QoL) of breast cancer patients undergoing BCT in a longitudinal study performed three months, six months and 12 months after surgery. This longitudinal observational study was carried out on a group of 91 women. The Breast-QTM BCT 1.0 questionnaire was used in this study. Before surgery, patients assessed their satisfaction with the appearance of their breasts (SwB) at an average level of M = 56.0. Satisfaction with the aesthetic outcome (SwO) of BCS was highest among all patients three months after surgery (M = 63.0). The mean score in the sub-scale of psychosocial well-being (Psycho-soc W-B) before surgery was M = 62.0, while in the subsequent periods of the study, it was higher. The mean score for physical well-being (Physical W-B) before surgery was M = 69.92; and in the subsequent study periods, it was lower. The level of patient satisfaction with the outcome of the surgery and the QoL related to health do not differ significantly in post-operative observation. QoL in terms of psychosocial functioning in patients undergoing BCT is significantly higher 12 months after surgery compared to the pre-operative period. Patient satisfaction with the BCS aesthetic outcome is positively related to the evaluation of QoL in terms of psychosocial functioning.

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“…In breast-conserving surgery, the breast tumor is resected mainly based on its position, so that the resection range is greatly reduced, the breast is effectively preserved and indiscriminate expansion of the partial resection range is avoided, thereby better retaining the breast aesthetics. At the same time, surgical trauma is relieved, postoperative recovery is better promoted and postoperative breast scars are reduced, further enhancing postoperative breast aesthetics and increasing patient's self-confidence [14] .…”

Section: Resultsmentioning

confidence: 99%

Effects of Breast-Conserving Surgery and Modified Radical Mastectomy on Early Breast Cancer

Wen¹,

Zhang²,

Tang³

et al. 2021

IJPS

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To compare the effects of breast-conserving surgery and modified radical mastectomy on early breast cancer is the objective of the study. 30 early breast cancer patients undergoing breast-conserving surgery and 30 cases undergoing modified radical mastectomy from January 2019 to February 2020 were selected. Their clinical data were retrospectively analyzed. Their operation conditions, postoperative pain score, immune function indices, incidence rate of postoperative complications, postoperative incision healing time, length of stay, excellent/good rate of breast appearance and quality of life score were compared. The rate of positive resection margin and operation time had no statistically significant differences between the two groups (p>0.05). In breast-conserving group, the intraoperative blood loss was smaller (p<0.05) and the postoperative incision healing time and length of stay were shorter than those in radical mastectomy group (p<0.05). The pain scores at 1-3 d after operation significantly declined in breast-conserving group compared with those in radical mastectomy group (p<0.05). After operation, the levels of cluster of differentiation 3 + and cluster of differentiation 4/cluster of differentiation 8 significantly declined in both groups compared with those before operation, while they were higher in breast-conserving group than those in radical mastectomy group (p<0.05). The incidence rate of postoperative complications in breast-conserving group was lower than that in radical mastectomy group (3.33 % vs. 20.00 %) (p<0.05) and the excellent/good rate of breast appearance in breast-conserving group was higher than that in radical mastectomy group (96.67 % vs. 76.67 %) (p<0.05). After operation, breast-conserving group had a higher quality of life score than that of radical mastectomy group (p<0.05). Both breast-conserving surgery and modified radical mastectomy can remove tumor lesions in patients with early breast cancer. However, breast-conserving surgery is superior in decreasing intraoperative blood loss, facilitating postoperative rehabilitation, relieving postoperative pain, protecting immune function and reducing postoperative complications, thereby improving quality of life of patients.

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The relationship between surgical treatment (mastectomy vs. breast conserving treatment) and body acceptance, manifesting femininity and experiencing an intimate relation with a partner in breast cancer patients

Cited by 21 publications

References 30 publications

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

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

Satisfaction with the Aesthetic Effect and Quality of Life for Women after Breast Conserving Therapy (BCT)—Preliminary Research

Effects of Breast-Conserving Surgery and Modified Radical Mastectomy on Early Breast Cancer

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