Breast‐related stereotype threat contributes to a symptom cluster in women with breast cancer

Li, Jie; Gao, Wei; Cui, Shude; Zhu, Songying; Cao, Fenglin

doi:10.1111/jocn.13698

Cited by 9 publications

(8 citation statements)

References 44 publications

(76 reference statements)

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“…Breasts, as an external organ and symbol of women, are subject to long-term external gazes and comments (Li et al, 2017). In the absence of breast tissue, patients' femininity is undermined (Jabłoński et al, 2018), generating a sense of shame and affecting their body image cognition (Saeed et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Research on body image cognition, social support and illness perception in breast cancer patients with different surgical methods

Liu

et al. 2022

Front. Psychol.

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In parallel with the rapid rise in breast cancer incidence, there is also a noticeable rise in the number of patients who experience persistent negative body image cognition after breast cancer surgery. This study aimed to explore the differences in illness perception, social support, and body image cognition among breast cancer patients with different surgical methods, and the correlation, regression, and mediation among the three variables. The Brief Illness Perception Questionnaire (BIPQ), the Social Support Rating Scale (SSRS) and the Body Image Cognition after Breast Cancer Questionnaire (BIBCQ) were used to evaluate breast cancer patients’ illness perception, social support and body image cognition. Data analyses were performed by descriptive statistics, independent samples t-test, analysis of variance (ANOVA), Pearson correlation, and linear regression. The mediation was explored by the PROCESS V3.3. The study found that breast cancer patients undergoing radical mastectomy (RM) and modified radical mastectomy (MRM) demonstrated more negative illness perception, body image cognition, and lower social support compared with the patients receiving nipple-sparing mastectomy (NSM; p < 0.05). The subscale cognitive representation (CR) of BIPQ was strongly positively correlated with BIBCQ (p < 0.05). Illness perception positively predicted body image cognition (p < 0.01), while social support negatively predicted body image cognition. Social support partially mediated illness perception and body image cognition, exhibiting a positive role in post-operative body image cognition.

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Section: Introductionmentioning

confidence: 99%

Research on body image cognition, social support and illness perception in breast cancer patients with different surgical methods

Liu

et al. 2022

Front. Psychol.

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“…Operationalization of the psychoneurological symptom cluster was heterogeneous among studies. Similarly, patients with breast‐related stereotype threat were more likely to report a symptom cluster of anxiety, depression, and fatigue (J. Li et al, 2017). Significant associations were also reported between women/females and gastrointestinal type symptoms in esophageal (Guo et al, 2019) and bladder (Ren et al, 2017) cancer patients and circulatory type symptoms in heart failure patients (Son & Won, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…Stereotype threat—defined as when an individual who has a negative stereotype about a group conforms to the stereotype after becoming a member of the group; measured using a self‐report question (i.e., Do you think that disfigurement of your breast will decrease your womanliness? ; J. Li et al, 2017)…”

Section: Methodsmentioning

confidence: 99%

“… Neighborhood and Built Environment Residence—rural versus urban or country for multicountry studies Nutrition—adequacy of fruit and vegetable consumption Social and Community Context Age Sex/gender Race/ethnicity Married/partner status (e.g., single, married/living with a partner, divorced/separated, widowed) Living arrangement—who a participant cohabitates with (e.g., alone, with family) Religious belief—religious versus not religious or religion (e.g., Christian, Catholic, Buddhist) Social support—perceived level of support, notation of the main source of support, social difficulty, social constraint, or social function or well‐being Child care—percentage caring for a child(ren) Number of children Adult care—percentage caring for adult(s) Place of birth—country of birth Years in the United States Immigration age Acculturation—measured using a self‐report instrument (i.e., Stephenson Multigroup Acculturation Scale) Stereotype threat—defined as when an individual who has a negative stereotype about a group conforms to the stereotype after becoming a member of the group; measured using a self‐report question (i.e., Do you think that disfigurement of your breast will decrease your womanliness? ; J. Li et al, 2017) Perceived stress—measured using self‐report instruments (e.g., Perceived Stress Scale)…”

Section: Methodsmentioning

confidence: 99%

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Moving beyond Table 1: A critical review of the literature addressing social determinants of health in chronic condition symptom cluster research

et al. 2022

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Variability in the symptom experience in patients diagnosed with chronic conditions may be related to social determinants of health (SDoH). The purpose of this critical review was to (1) summarize the existing literature on SDoH and symptom clusters (i.e., multiple, co‐occurring symptoms) in patients diagnosed with common chronic conditions, (2) evaluate current variables and measures used to represent SDoH, (3) identify gaps in the evidence base, and (4) provide recommendations for the incorporation of SDoH into future symptom cluster research. We identified 118 articles including information on SDoH in chronic condition symptom cluster research. Articles primarily focused on cancer populations. Few articles had the explicit purpose of investigating relationships between SDoH and symptom clusters, and the inclusion of SDoH was often limited to variables used to describe samples. Future studies should be designed to “move beyond Table 1” in their utilization of SDoH as variables and examine relationships between SDoH and symptom clusters. Attention should be paid to the appropriateness of measures being used to collect information on SDoH, and analysis methods that estimate causal connections between variables should be considered. Research regarding the relationship of SDoH with symptom clusters in patients with chronic conditions has the potential to reveal mechanisms of symptom disparities and guide changes to alleviate these disparities.

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“…The diagnosis of cancer is a life-threatening event to every individual. Meanwhile, the function of breast relating to femininity and fostering increases the psychological stress greatly (Li et al, 2017). At the moment of recruitment, the participants were shocked by the diagnosis and were uncertain about the future, which may have aggravated their psychological stress.…”

Section: Discussionmentioning

confidence: 99%

Association of Depressive Symptoms with Perceived Stress and Proinflammatory Cytokines in Treatment-Naïve Patients with Breast Cancer

Zhang

et al. 2020

Biological Research For Nursing

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Objectives: This study aimed to explore the levels and associations among depressive symptoms, perceived stress, and proinflammatory cytokines (interleukin-1β, interleukin-6, and tumor necrosis factor-α) in treatment-naïve patients with breast cancer. Methods: A cross-sectional study with one case and two control groups. Patients with breast cancer, matched patients with depression, and matched healthy women completed questionnaires and blood collection between May 2015 and March 2017. Data were analyzed using the general linear model and linear regression model. Results: The severity of depressive symptoms and perceived stress among patients with breast cancer was significantly higher than that in healthy controls and lower than those in patients with depression. Interleukin-1β was lower in patients with breast cancer than the other two groups. Perceived stress was independently and positively associated with depressive symptoms in patients with breast cancer. There were no significant associations between cytokines and depressive symptoms. Conclusion: Women with breast cancer experienced increased perceived stress prior to anticancer treatment, which was a strong contributor to severe symptoms of depression. Results emphasize the need to screen and identify patients with high perceived stress shortly after the disclosure of the diagnosis of breast cancer. Further research in larger sample is needed to investigate the relationship between proinflammatory cytokines and depressive symptoms.

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Breast‐related stereotype threat contributes to a symptom cluster in women with breast cancer

Cited by 9 publications

References 44 publications

Research on body image cognition, social support and illness perception in breast cancer patients with different surgical methods

Research on body image cognition, social support and illness perception in breast cancer patients with different surgical methods

Moving beyond Table 1: A critical review of the literature addressing social determinants of health in chronic condition symptom cluster research

Association of Depressive Symptoms with Perceived Stress and Proinflammatory Cytokines in Treatment-Naïve Patients with Breast Cancer

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