Body image in older breast cancer survivors: A systematic review

Davis, Caitlin; Tami, Perrine; Ramsay, Diane; Melanson, Lydia; MacLean, Leah K.; Nersesian, Sarah; Ramjeesingh, Ravi

doi:10.1002/pon.5359

Cited by 57 publications

(78 citation statements)

References 41 publications

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“…Moreover, the present study has not been previously registered in any review protocol database, which may offer additional scientific information about the work. A meta-analysis of these studies would also be appropriate, and more interventions that enhance BI and self-esteem in BC women are needed due to their importance in the process of the disease, as well as to their ability to predict the psychological functioning and quality of life of this population [28,29,55].…”

Section: Discussionmentioning

confidence: 99%

Enhancing Self-Esteem and Body Image of Breast Cancer Women through Interventions: A Systematic Review

Morales-Sánchez

Luque-Ribelles

Gil‐Olarte

et al. 2021

IJERPH

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Breast Cancer (BC) is the most common neoplasm in women worldwide, considered a global public health problem. Among BC women, some of the most common psychological symptoms in the adaptation to the disease are reduction in self-esteem and distorted body image (BI). Although there are numerous studies with the goal of promoting different psychological variables, BI and self-esteem are often separately observed despite their relationship and their importance in the process of the illness. Moreover, there have been no reviews that have synthesized the findings related to interventions aimed at enhancing both self-esteem and BI in BC women. Therefore, the objective of this review was to identify and examine the implemented interventions aimed at boosting both variables in this population. For this purpose, a systematic review was implemented following the PRISMA statement. A thorough search was performed on the following databases: Web of Science, PubMed, PsychInfo, PsychArticles, and Scopus. Among 287 records, only eight articles met the eligibility criteria. Interventions were grouped into three types according to their characteristics: Group therapies, Physical activity therapies, and Cosmetic and beauty treatments. The levels of effectiveness of the different interventions varied between them, and within each, in their impact on self-esteem and BI. More interventions focused on developing BI and self-esteem in this population are needed due to their ability to predict psychological functioning and quality of life of women with breast cancer.

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Section: Discussionmentioning

confidence: 99%

Enhancing Self-Esteem and Body Image of Breast Cancer Women through Interventions: A Systematic Review

Morales-Sánchez

Luque-Ribelles

Gil‐Olarte

et al. 2021

IJERPH

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“…loss of a breast, lymphedema) [ 37 , 38 ]. Protective factors such as a strong romantic relationship or postmenopausal age may explain why some women suffer less from a distorted self-perception than others [ 39 , 40 ]. Different, but not all types of psychosocial interventions on body image outcomes were shown to be effective with varying effect sizes [ [41] , [42] , [43] ].…”

Section: Discussionmentioning

confidence: 99%

Breast-related and body-related quality of life following autologous breast reconstruction is superior to implant-based breast reconstruction - A long-term follow-up study

et al. 2021

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Introduction: The better survival rates after breast cancer allow for setting of long-term goals, such as Quality of Life (QoL) and aesthetic outcomes following breast reconstruction. Studies find a higher breast-related QoL and greater satisfaction with breasts following autologous breast reconstruction (ABR) compared to implant-based breast reconstruction (IBR). However, aesthetic results from donor sites can influence body image. This concern is little addressed in the literature. Therefore, the aim of this study was to compare the long-term breast-related and body-related QoL of women who underwent ABR to women who underwent IBR. Material and methods: A multicenter, cross-sectional survey was conducted between November and December 2020 among women who underwent postmastectomy breast reconstruction between January 2015 and December 2018. A general questionnaire, the BREAST-Q, and the BODY-Q were used to collect data. Multivariable linear regression was performed to adjust differences in Q-scores for potential confounders. Results: In total, 336 patients were included (112 IBR, 224 ABR). Autologous reconstruction resulted in significantly higher mean scores in all subdomains of the BREAST-Q. On the BODY-Q, IBR scored significantly higher on scars, while ABR scored moderately to significantly higher on all other scales. Despite a lower mean score on Hips & outer thighs in women with Lateral Thigh Perforator (LTP) flap reconstruction, no negative influence on body image was found in these women. Conclusions: Long-term breast-related and body-related outcomes of ABR are superior to IBR. Donor site aesthetic does not adversely affect body image in women who underwent free flap breast reconstruction.

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“…Yet body image experiences do not necessarily reflect objective changes to the body (Pruzinsky, 2004 ) or align with clinical severity of the condition (Rumsey & Harcourt, 2004 ). Research on BGCs is of importance as while the literature indicates a link between body image concerns in female-identified bodies with oncological conditions such as breast cancer (Davis et al, 2020 ), benign conditions have not received the same research attention.…”

mentioning

confidence: 99%

Body image concerns in individuals diagnosed with benign gynaecological conditions: scoping review and meta-synthesis

Sayer-Jones

Sherman

2021

Health Psychology and Behavioral Medicine

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Background: Benign gynaecological conditions (BCGs) and body image-related concerns are commonly experienced by reproductive-aged female-identified individuals. Qualitative evidence from cancer populations identifies a link between diseases of the sexual organs and body image distress encompassing appearance, sensory and functional aspects. Most BCGs and the impacts on body image have been studied separately. However, commonalities exist between these conditions including chronicity, diagnostic delays, and menstrual-related social stigma. This systematic scoping review and meta-synthesis aimed to compare and contrast the experience of body image in the benign conditions of endometriosis, polycystic ovarian cysts, uterine fibroids, and vulvar intraepithelial neoplasia. Method: Electronic databases (MEDLINE, PsycINFO, Scopus, CINAHL, Embase, and Allied and Complementary Medicine) were searched in February 2020 and relevant articles were examined to identify papers that qualitatively explored the relationship between body image and BCGs. Meta-synthesis was used to analyse the 17 papers that met the inclusion criteria. Results: Six main themes evolved from this iterative analysis: loss of control; regained control; silencemenstrual concealment; cultural differences; feeling abnormal, and functional impairment. Body image concerns were widespread although impacts on individual's lives were dependent on the unique symptom profile of each disease which interacted with socio-cultural factors, daily functioning, and feminine identity. Body image concerns were a common, but hidden, experience rarely screened in routine clinical settings despite causing significant distress. Conclusions: The chronicity and severity of individuals unique symptom profile often determined the intensity and type of body image concerns individuals described. Across conditions, body image concerns were often left untreated, were concealed, and were associated with reduced quality of life.

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Body image in older breast cancer survivors: A systematic review

Cited by 57 publications

References 41 publications

Enhancing Self-Esteem and Body Image of Breast Cancer Women through Interventions: A Systematic Review

Enhancing Self-Esteem and Body Image of Breast Cancer Women through Interventions: A Systematic Review

Breast-related and body-related quality of life following autologous breast reconstruction is superior to implant-based breast reconstruction - A long-term follow-up study

Body image concerns in individuals diagnosed with benign gynaecological conditions: scoping review and meta-synthesis

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