Understanding Psychological Distress and Body Image Disturbances among Breast Cancer Survivors: A Role of Surgery

Authors

  • Noor-e- Konain City College of Science and Commerce, University Campus, Multan, Pakistan Author
  • Rabia City College of Science and Commerce, University Campus, Multan, Pakistan Author
  • Kainat City College of Science and Commerce, University Campus, Multan, Pakistan Author
  • Arooj Fatima Lecturer City College of Science and Commerce, University Campus, Multan, Pakistan Author
  • Umar Hayat Ph.D Scholar Department of Business and Admisntration, NCBA&E Sub Campus, Multan, Pakistan Author
  • Warda Shahid City College of Science and Commerce, University Campus, Multan, Pakistan Author

DOI:

https://doi.org/10.61506/01.00570

Keywords:

Psychological distress, body image

Abstract

Breast cancer (BC) diagnosis and treatment can affect women both physically and psychologically. Women with BC undergo various painful and debilitating therapies as well as emotional trauma. Additionally, treatment modalities can bring about multiple changes, causing distress and alteration in one’s appearance. This study aimed to assess the psychological distress and body image disturbances after modified radical mastectomy (MRM) among BC survivors. Correlational research design was used to conduct this quantitative research. Survey was administered with closed ended questionnaires as method of data collection. Purpose sampling technique was employed to select the sample of study 50 (married=31, unmarried=19) breast cancer survivors. Three were two research instrument were used; DASS-21 (Henry & Crawford, 2005) and Body Image Scale ((Hopwood et al., 2001). Findings of study reveal that there is positive correlation between psychological distress and body image disturbance. Moreover, depression, anxiety and stress are the significant positive predictors of body image disturbance.  BC survivors experience high rates of depression, anxiety, stress, and body image dissatisfaction. Furthermore, unmarried breast cancer survivors report higher score of psychological distress and body image disturbance as compared to married. Depression, anxiety, stress, and body image issues are common among BC survivors. Follow-up management plans for BC survivors should also include evaluation and treatment of psychological distress and addressing body image disturbances in patients undergoing mastectomy.

References

Adeel, U. (2019). Analyzing the Impact of Government Expenditure on the Health Sector: Evidence from Pakistan. Journal of Business and Economic Options, 2(2), 54-66.

Akbar, R., & Hayat, A. (2020). Psychological Health of Children Engaged in Hazardous Labor: A Study in Lahore, Pakistan. Journal of Policy Options, 3(2).

Anees, M., & Yan, W. (2019). An Overview about the Challenges of Urban Expansion on Environmental Health in Pakistan. Journal of Energy and Environmental Policy Options, 2(3), 64-71.

Audi, M., & Roussel, Y. (2024). Exploring the Link Between Public Health and External Debt in Saudi Arabia. Journal of Business and Economic Options, 7(4), 1-12.

Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians, 68(6), 394-424. DOI: https://doi.org/10.3322/caac.21492

Burgess, C., Cornelius, V., Love, S., Graham, J., Richards, M., & Ramirez, A. (2005). Depression and anxiety in women with early breast cancer: five year observational cohort study. Bmj, 330(7493), 702. DOI: https://doi.org/10.1136/bmj.38343.670868.D3

Clark, B. E. (2017). Do Negative Expectations Affect Self-Reported Cognitive Functioning and Treatment Satisfaction after Chemotherapy Treatment for Cancer?.

Henry, J. D., & Crawford, J. R. (2005). The short‐form version of the Depression Anxiety Stress Scales (DASS‐21): Construct validity and normative data in a large non‐clinical sample. British journal of clinical psychology, 44(2), 227-239. DOI: https://doi.org/10.1348/014466505X29657

Hopwood, P., Fletcher, I., Lee, A., & Al Ghazal, S. (2001). A body image scale for use with cancer patients. European journal of cancer, 37(2), 189-197. DOI: https://doi.org/10.1016/S0959-8049(00)00353-1

Iqbal, F., & Mehmood, N. (2024). Critical Discussion on Impact of Classroom Physical Environment on Early Grade Literacy Outcomes. Journal of Policy Options, 7(2), 38-42.

Kar, S. K., & Thakur, M. (2020). Unmet mental health needs in cancer patients in India: What needs to be done?. Cancer Research, Statistics, and Treatment, 3(1), 158-159. DOI: https://doi.org/10.4103/CRST.CRST_123_19

Khan, K. K. (2020). Assessing the Impact of Climate Change on Women's Health: A Case Study in Lahore, Punjab, Pakistan. Journal of Policy Options, 3(3), 82-89.

Large, A. M. (2018). The Relationship Between Self-concept and Body Image in Females with Deleterious BRCA1/2 Mutations.

Malvia, S., Bagadi, S. A. R., Pradhan, D., Chintamani, C., Bhatnagar, A., Arora, D., ... & Saxena, S. (2019). Study of gene expression profiles of breast cancers in Indian women. Scientific reports, 9(1), 10018. DOI: https://doi.org/10.1038/s41598-019-46261-1

Malvia, S., Bagadi, S. A., Dubey, U. S., & Saxena, S. (2017). Epidemiology of breast cancer in Indian women. Asia‐Pacific Journal of Clinical Oncology, 13(4), 289-295. DOI: https://doi.org/10.1111/ajco.12661

Marino, P., Mininni, M., Deiana, G., Marino, G., Divella, R., Bochicchio, I., ... & Sanseverino, F. (2024). Healthy lifestyle and cancer risk: modifiable risk factors to prevent cancer. Nutrients, 16(6), 800. DOI: https://doi.org/10.3390/nu16060800

Modibbo, H., & Inuwa, N. (2020). Health Outcomes and Economic Growth Nexus: Evidence from Nigeria. Journal of Business and Economic Options, 3(2), 46-55.

Musa, A. (2024). Impact of Ownership Structures on Financial Performance and Distress in Businesses. Journal of Policy Options, 7(3), 30-38.

Przezdziecki, A., Alcorso, J., & Sherman, K. A. (2016). My Changed Body: Background, development and acceptability of a self-compassion based writing activity for female survivors of breast cancer. Patient Education and Counseling, 99(5), 870-874. DOI: https://doi.org/10.1016/j.pec.2015.12.011

Raja, U., & Iqbal, N. (2019). Ensuring Worker Safety in Lahore’s Large Industries: A Study on Occupational Health, Safety, and Risk Management. Journal of Energy and Environmental Policy Options, 2(4), 117-124.

Rehman, A. U., & Malik, S. (2020). Environmental and Health Hazards of Pakistan's Leather Industry. Journal of Energy and Environmental Policy Options, 3(3), 96-103.

Savas, S., et al. (2020). Relationship between age, body image, and psychological distress in breast cancer survivors. European Journal of Cancer Care, 29(5), e13234.

Thakur, M., Gupta, B., Kumar, R., Mishra, A. K., Gupta, S., & Kar, S. K. (2019). Depression among women diagnosed with breast cancer: a study from North India. Indian Journal of Medical and Paediatric Oncology, 40(03), 347-352. DOI: https://doi.org/10.4103/ijmpo.ijmpo_43_18

Thakur, M., Sharma, R., Mishra, A. K., & Gupta, B. (2022). Body image disturbances among breast cancer survivors: A narrative review of prevalence and correlates. Cancer Research, Statistics, and Treatment, 5(1), 90-96. DOI: https://doi.org/10.4103/crst.crst_170_21

Yang, K., Ren, Y., Peng, W., Wang, X., Du, X., Wang, J., & Jiang, J. (2024). Subjective well-being among Chinese breast cancer patients: The unique contributions of death anxiety, self-esteem, and social support. Journal of Health Psychology, 29(3), 213-224. DOI: https://doi.org/10.1177/13591053231195391

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Published

2025-02-13

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Articles

How to Cite

Konain, N.- e-., Rabia, Kainat, Fatima, A. ., Hayat, U. ., & Shahid, W. . (2025). Understanding Psychological Distress and Body Image Disturbances among Breast Cancer Survivors: A Role of Surgery. Bulletin of Business and Economics (BBE), 14(1), 1-5. https://doi.org/10.61506/01.00570