Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
An-Najah National University Hospital, Nablus, Palestine.
BMC Womens Health. 2024 Oct 18;24(1):565. doi: 10.1186/s12905-024-03402-7.
Worldwide, breast cancer has replaced lung cancer and has become the most commonly diagnosed malignancy. Breast cancer poses a significant burden on the health and quality of life of women and can lead to substantial physical burdens and significant psychological problems, including distress, anxiety, depression, and sexuality-related issues, including negative body image. This study was conducted to assess how women diagnosed with, treated, and/or receiving treatment for breast cancer perceived their body image.
A cross-sectional study design was used to assess body image perceptions among Palestinian women diagnosed with breast cancer. The study was conducted in four different hospitals located in the West Bank of Palestine where women with breast cancer received their treatments or visited for follow-up care in the period between November 2023 and March 2024. An interviewer-administered questionnaire was used to collect the data. Body perception was assessed using the body image self-rating questionnaire for breast cancer (BISQ-BC).
In this study, 376 women with breast cancer completed the interviewer-administered questionnaire (response rate = 75.2%. The mean age of the women was 44.0 ± 5.3 years. Of the women, 74.7% agreed or strongly agreed that they cared about their body image. On the other hand, 43.1% of the women were not satisfied with their body image and 58.8% did not think that their body image was attractive. Multiple linear regression showed that younger age, employment status, living in cities, marital status, educational level, presence of comorbidities, and longer time passes since diagnosis with breast cancer were associated with the different aspects of body image perception and behavior.
The findings of this study indicated that Palestinian women with breast cancer were concerned about their body image. The findings also indicated that breast cancer and its treatment posed a significant burden on the physical and psychosocial well-being of the affected women and impacted the different dimensions of their lives, including their perceptions of their body image. Patients with significant physical and body image changes might benefit from reconstructive surgeries, psychosocial support, cognitive behavioral therapy, and nutritional, and physical activity interventions.
在全球范围内，乳腺癌已取代肺癌，成为最常见的恶性肿瘤。乳腺癌给女性的健康和生活质量带来了巨大负担，并可能导致身体负担加重和严重的心理问题，包括痛苦、焦虑、抑郁和与性相关的问题，包括负面的身体形象。本研究旨在评估诊断、治疗和/或接受乳腺癌治疗的女性如何看待自己的身体形象。
采用横断面研究设计评估巴勒斯坦乳腺癌女性的身体形象感知。该研究于 2023 年 11 月至 2024 年 3 月在巴勒斯坦西岸的 4 家不同医院进行，这些医院为接受乳腺癌治疗或随访的女性提供治疗。采用访谈者管理的问卷收集数据。使用乳腺癌身体形象自我评定问卷（BISQ-BC）评估身体感知。
本研究共纳入 376 例乳腺癌女性完成访谈者管理的问卷（应答率为 75.2%）。女性的平均年龄为 44.0±5.3 岁。74.7%的女性同意或强烈同意她们关心自己的身体形象。另一方面，43.1%的女性对自己的身体形象不满意，58.8%的女性认为自己的身体形象没有吸引力。多元线性回归显示，年龄较小、就业状况、居住在城市、婚姻状况、教育程度、并存疾病以及诊断后时间较长与身体形象感知和行为的不同方面有关。
本研究结果表明，巴勒斯坦乳腺癌女性关心自己的身体形象。研究结果还表明，乳腺癌及其治疗给受影响女性的身心健康带来了巨大负担，并对她们生活的不同方面产生了影响，包括对自己身体形象的认知。身体形象发生重大变化的患者可能受益于重建手术、社会心理支持、认知行为疗法以及营养和身体活动干预。
