Helms Rebecca L, O'Hea Erin L, Corso Marlaena
La Salle University, Philadelphia, Pennsylvania, USA.
Psychol Health Med. 2008 May;13(3):313-25. doi: 10.1080/13548500701405509.
Diagnosis and treatment of breast cancer affects women physically as well as psychologically. There are many obvious and real factors that are related to psychological distress in women coping with breast cancer, such as facing a life-threatening illness, painful and impairing treatments, and significant role changes. Although these factors are clearly important, issues related to body image in women faced with breast cancer can also add to psychological distress. Women, in general, are concerned with their appearance, their weight, and their body, with recent studies suggesting 89% of women reported concerns with weight. Such premorbid concerns are often deeply ingrained and can contribute to psychological distress in women treated for breast cancer. The present article is a summary of the literature that has examined body image issues and related psychological adjustment in women with breast cancer. Implications for clinical practice and recommendations for future investigations are discussed.
乳腺癌的诊断与治疗对女性的身体和心理都会产生影响。在应对乳腺癌的女性中,有许多明显且实际的因素与心理困扰相关,比如面临危及生命的疾病、痛苦且有损伤性的治疗,以及重大的角色转变。尽管这些因素显然很重要,但乳腺癌女性患者的身体形象问题也会加重心理困扰。一般来说,女性关注自己的外表、体重和身材,最近的研究表明,89%的女性表示担心体重问题。这种病前的担忧往往根深蒂固,会给接受乳腺癌治疗的女性带来心理困扰。本文是对有关乳腺癌女性患者身体形象问题及相关心理调适的文献综述。文中还讨论了对临床实践的启示以及对未来研究的建议。