Psychosocial Reaction Patterns to Alopecia in Female Patients with Gynecological Cancer undergoing Chemotherapy

Ishida, Kazuko; Ishida, Junko; Kanda, Kiyoko

doi:10.7314/apjcp.2015.16.3.1225

Cited by 7 publications

(7 citation statements)

References 18 publications

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“…Colon and bladder stoma is another distress for cancer patients. Not only irreversible changes, but also temporary changes in appearance such as chemotherapy-induced alopecia, also give a psychological burden to cancer patients [ 18 , 19 ]. Moreover, these changes in appearance might relate to sexuality issues [ 20 , 21 ], and there was a significant correlation in Pearson’s analysis in this study.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in cancer-related distress in Japan: a retrospective observation study

Koyama

Matsuoka

Ohtake

et al. 2016

BioPsychoSocial Med

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BackgroundCancer care is currently the most important medical issue in Japan. Total pain of cancer patients consists of a combination of four factors: physical, psychological, social distress, and spiritual pain. Previous studies showed female cancer patients ask for more psychological support and seem to suffer different types of distress compared with male patients, for example, appearance-related symptoms. However, other factors of cancer distress related to gender have not been defined comprehensively. The aim of this study is to clarify the gender differences in cancer distress types in order to elucidate the measures that should be taken in Japan to improve the quality of whole cancer care based on gender-based medicine.MethodsThe data of new patients who had visited the psycho-oncology outpatient service of Kinki University Hospital during the period of May 2013 to October 2015 were collected. Demographic factors and all assessed items were extracted from the patients’ medical charts retrospectively. Based on an inquiry of cancer patients in 2010, each item representing the four factors of “total pain” of cancer patients was chosen, i.e., physical distress (pain, changes in appearance), psychological distress (anxiety, depression), social distress (family problems, job-related problems), and spiritual pain; together with sexuality issues, and answers were analyzed. Hospital Anxiety Depression Scale (HADS) was used for the assessment of psychological distress. Chi-square test and Fisher’s exact test were performed for gender differences in the cancer distress types. Pearson’s analysis and multiple logistic regression analysis were performed for the association of gender with each item.ResultsThe data of 101 cancer patients were analyzed and there were more female patients than male patients (female: male ratio = 71:30). Female cancer patients were more likely to suffer from psycho-social issues such as changes in appearance, family problems and sexuality issues than male patients, and male patients were more likely to have spiritual pain.ConclusionsThere were gender differences in the distress types of cancer patients. In order to improve the quality of whole cancer care, more intensive intervention by medical professionals and social support is needed from the viewpoint of gender-based medicine and psycho-oncology.

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Section: Discussionmentioning

confidence: 99%

Gender differences in cancer-related distress in Japan: a retrospective observation study

Koyama

Matsuoka

Ohtake

et al. 2016

BioPsychoSocial Med

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“…The temporary nature of hair loss provided reassurance and represented an opportunity for image reinvention, depicted by the provision of wigs or cutting hair shorter (Beisecker et al, 1997;Freedman, 1994;Frith et al, 2007). Similarly, some women described their poignant understanding of the need for chemotherapy, contextualising alopecia as insignificant compared to the risk of mortality (Ishida et al, 2015).…”

Section: Methodsmentioning

confidence: 99%

“…The loss of hair is often experienced by many women as the most traumatic or problematic part of the cancer and chemotherapy process (Can et al, 2013;Charalambous et al, 2017;Hsu et al, 2017;Ishida et al, 2015;Jayde et al, 2013;Kim et al, 2012;Smith et al, 2018;Trusson and Pilnick, 2017). For women with cancer, initial conversations about chemotherapy created psychological distress and anxiety…”

Section: Theme 1 'The Physical and Psychosocial Effect Of Alopecia'mentioning

confidence: 99%

“…Alopecia was a visible sign of cancer; irrevocably intertwined with illness and the potential lethality of cancer (Freedman, 1994;Hansen, 2007;Jayde et al, 2013;Kim et al, 2012;Passik et al, 2001;Sun et al, 2005). Alopecia is a visible indicator of a cancer diagnosis, and had a considerable impact CIA on women's social relationships (Erol et al, 2012;Freedman, 1994;Hansen, 2007;Ishida et al, 2015;Kim et al, 2012;Smith et al, 2018;Trusson and Pilnick, 2017). Unwanted visual reminders of illness and alopecia extended beyond appearance, sources of alopecia-related distress manifested in subtle forms such as hair in the shower, the bin and hairbrush (Jayde et al, 2013).…”

Section: Theme 3 'The Complexities Of a Visual Cancer Identity'mentioning

confidence: 99%

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The physical, psychological and social experiences of alopecia among women receiving chemotherapy: An integrative literature review

Boland

Brady

Drury

2020

European Journal of Oncology Nursing

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To conduct an integrative scoping review of the physical, psychological and social experiences of women who have experienced chemotherapy-induced alopecia (CIA). Method: An integrative review was undertaken. A systematic search of MEDLINE, CINAHL and PsycInfo identified 23 studies meeting the inclusion criteria. Data relating to women's experiences of alopecia was extracted and synthesized thematically. Results: Four analytical themes were formed; 'the physical and psychological effect of alopecia', 'more than the loss of hair', 'the complexities of a visual cancer identity' and 'coping with new internal and external relationships'. CIA involves a public and private representation of illness which disrupts women's identity and their acceptance in public, yet this is a highly individualised experience. There is disparity in current evidence regarding the experience of CIA for women among older age groups, with rarer forms of cancer, haematological malignancies and those receiving palliative care or targeted treatment modalities. Conclusions: This review highlights the continued pervasive psychosocial implications arising from CIA, however this is not exclusive to scalp hair as alopecia from the face and body has also been found to require adaptation and effective coping. Limited knowledge exists on the experience of alopecia induced by treatment for haematological cancers and rarer-tumour groups and emerging systemic anti-cancer treatment modalities. Healthcare professionals must endeavour to support and discuss the potential risks of alopecia, and provide patients with an opportunity to voice their fears, concerns, and experiences of CIA. Future research should incorporate the identified underserved populations and the experience of newer therapies.

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“…Hemşireler, cilt ve gözlerin korunması, gerekli bilginin verilmesi, öz bakım stratejilerinin öğretilmesi ile hastanın alopesi ile başa çıkmasında önemli rol oynamaktadırlar. Bu müdahalelerle, yıkıcı bir tecrübe yaşayan hastada yine iyilik duygusu yaratmak amaçlanmaktadır (Akçay ve Gözüm 2012;Batchelor 2001;Ishida, Ishida, Kiyoko 2015;Roe and Lennan 2014).…”

Section: Introductionunclassified

Perceptions And Attitudes of Nurses Towards Chemotherapy Induced Alopecia

Ateş¹,

Olgun²

2015

JAREN

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Psychosocial Reaction Patterns to Alopecia in Female Patients with Gynecological Cancer undergoing Chemotherapy

Cited by 7 publications

References 18 publications

Gender differences in cancer-related distress in Japan: a retrospective observation study

Gender differences in cancer-related distress in Japan: a retrospective observation study

The physical, psychological and social experiences of alopecia among women receiving chemotherapy: An integrative literature review

Perceptions And Attitudes of Nurses Towards Chemotherapy Induced Alopecia

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