2016
DOI: 10.1177/1359105315589802
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Distress and body image disturbances in women with breast cancer in the immediate postsurgical period: The influence of attachment insecurity

Abstract: The aim of this study was to assess, in the immediate postsurgical period, the influence of attachment avoidance and anxiety on distress and body image disturbances in women facing breast cancer. Seventy-five women participated in the study 3 weeks after surgery. Questionnaires were used to assess study variables. To predict distress and body image disturbances, we controlled for several variables known to influence adjustment to the stress of breast cancer. The results of hierarchical regression analyses show… Show more

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Cited by 15 publications
(22 citation statements)
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“…According to our hypotheses, higher attachment anxiety and lower couple satisfaction are both predictive of more overt criticisms. Regarding attachment, women with higher anxiety tendencies may be more vulnerable to the situation; attachment anxiety has been shown to be directly linked to the psychological distress reported in the post‐surgery period (Favez et al ., ), and our results show that it may, in addition, have a negative impact on the attitude towards the partner, which in turn increases the likelihood of emotional disturbances. Regarding couple satisfaction, we do not have the necessary data to evaluate whether lower satisfaction was caused by the disease or was pre‐existing.…”
Section: Discussionmentioning
confidence: 59%
See 1 more Smart Citation
“…According to our hypotheses, higher attachment anxiety and lower couple satisfaction are both predictive of more overt criticisms. Regarding attachment, women with higher anxiety tendencies may be more vulnerable to the situation; attachment anxiety has been shown to be directly linked to the psychological distress reported in the post‐surgery period (Favez et al ., ), and our results show that it may, in addition, have a negative impact on the attitude towards the partner, which in turn increases the likelihood of emotional disturbances. Regarding couple satisfaction, we do not have the necessary data to evaluate whether lower satisfaction was caused by the disease or was pre‐existing.…”
Section: Discussionmentioning
confidence: 59%
“…It is thus likely that anxious tendencies will be linked with a tendency to be critical towards the partner in the situation of breast cancer (Maunder, Lancee, Nolan, Hunter, & Tannenbaum, ; Mikulincer & Shaver, , ). To date, the few studies that have assessed the impact of attachment in breast cancer have shown that women with anxious or avoidant tendencies have lower psychological adaptation indexes to the stress of the disease (Favez et al ., ; Rodin et al ., ; Tacón, Caldera, & Bell, ).…”
Section: Introductionmentioning
confidence: 99%
“…21 Studies have shown that there is a strong direct link between a supportive, satisfactory romantic relationship and a positive body image. [22][23][24] Women's relationship experiences, such as a sense of security or of being loved and valued, 25,26 trust in the partner, and jealousy, 27 may predict their body image. The few studies that have examined the role of the quality of the couple relationship in moderating the impact of treatmentrelated physical changes on the body image of women with breast cancer have highlighted a significant association between body image and relationship satisfaction.…”
Section: Introductionmentioning
confidence: 99%
“…Parece que estar casada, en comparación con estar soltera, disminuye el distrés por el apoyo del cónyuge (Budden et al, 2014;Fávez et al, 2015 (Andreu et al, 2012;Jacobsen et al, 2005;Kagee et al, 2018). La falta de significación del ingreso económico debe atribuirse a que es una variable con tamaño del efecto pequeño sobre el distrés (Carlson et al, 2004) o no significativo (Andreu et al, 2012;Jacobsen et al, 2005;Kagee et al, 2018), ya que el tratamiento en sus aspectos económicos, especialmente en el caso del cáncer de mama, es solventado por algún tipo de seguro o programa de beneficencia.…”
Section: Participantesunclassified
“…Se ha estudiado la relación del distrés, medido con el BSI-18, con variables sociodemográficas y clínicas. Un menor malestar emocional se asocia a una mayor edad (Andreu et al, 2012;Budden, Hayes, & Buettner, 2014;Carlson et al, 2004;Champion et al, 2014), un mayor grado de escolaridad (Miaja & Moral, 2014), un mayor nivel de ingresos económicos (Carlson et al, 2004) y estar casada (Budden et al, 2014;Fávez et al, 2015). A su vez, un menor malestar emocional se asocia a un intervalo más largo de tiempo transcurrido desde el diagnóstico (Andreu et al, 2012), un estadio menos avanzado del cáncer, no tener comorbilidad de diabetes o hipertensión (Holland et al, 2010), no estar en tratamiento activo (Carlson et al, 2004), no haber recibido quimioterapia (Hjörleifsdóttir, Hallberg, Bolmsjö, & Gunnarsdóttir, 2006) y no haber sufrido una intervención de mastectomía (Reich, Lesur, & Perdrizet-Chevallier, 2008).…”
Section: Introductionunclassified