Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Institute of Psychology, Social Work, Health and Human Communication, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Psychooncology. 2024 Mar;33(3):e6329. doi: 10.1002/pon.6329.
This review aimed to identify, characterize, map, and summarize existing knowledge about the relationship of perceived body image with the quality of life (QoL) of women who have undergone surgical treatment for breast cancer.
A scoping review was conducted following the PRISMA-ScR guidelines. PubMed, PsycINFO and Scopus databases were searched, and articles published until August 2022 were included.
The search resulted in 796 records, and 51 articles were included for analysis. A significant negative impact on body image perception and QoL after surgical treatment for breast cancer was found in the majority of studies. Sociodemographic variables such as age, education, socioeconomic status, unstable attachment styles and time after the surgery may have an effect on a worsening of the overall body image and QoL score of women. It was found that there was greater dissatisfaction with body image in women who underwent mastectomy compared to those who underwent conservative surgery.
Evidence has shown that breast cancer surgery affects the perceived body image and QoL of patients worldwide. Age, education, socioeconomic status, and the type of surgery are potential factors influencing these outcomes. It is worth noting that the review encompassed articles from various countries, reflecting a significant cultural diversity among the studied populations. However, most of these articles did not delve into an analysis of these cultural disparities. This review also indicated insufficient details regarding the assessment instruments used to assess perceived body image.
本综述旨在确定、描述、绘制和总结已有的关于接受乳腺癌手术治疗的女性感知体像与生活质量(QoL)之间关系的知识,分析其特点。
按照 PRISMA-ScR 指南进行了范围综述。检索了 PubMed、PsycINFO 和 Scopus 数据库,并纳入了截至 2022 年 8 月发表的文章。
搜索共产生了 796 条记录,其中有 51 篇文章被纳入分析。大多数研究发现,接受乳腺癌手术后,女性的体像感知和 QoL 会受到显著的负面影响。社会人口学变量,如年龄、教育、社会经济地位、不稳定的依恋模式和手术后的时间,可能会对女性整体体像和 QoL 评分的恶化产生影响。研究发现,与接受保乳手术的女性相比,接受乳房切除术的女性对体像的不满程度更大。
证据表明,乳腺癌手术会影响全球患者的体像感知和 QoL。年龄、教育、社会经济地位和手术类型是影响这些结果的潜在因素。值得注意的是,本综述涵盖了来自不同国家的文章,反映了研究人群中存在显著的文化多样性。然而,大多数文章并没有深入分析这些文化差异。本综述还表明,用于评估体像感知的评估工具的细节不足。