Auto-concepto y bienestar emocional en pacientes con cáncer de mama
ISSN: 2171-2069
Datum der Publikation: 2017
Ausgabe: 8
Nummer: 2
Seiten: 76-84
Art: Artikel
Andere Publikationen in: Revista iberoamericana de psicología y salud
Zusammenfassung
Self-concept is a multi-dimensional factor that includes variables as body image, self-esteem and self-efficacy. Patients suffering from breast cancer present alterations in their self-concept and it affects the emotional well-being. The aim of this study is to analyze the relationship between variables of self-concept and emotional well-being. Methods: The sample consisted in 131 women diagnosed with breast cancer. The questionnaires used were HADS, RSES, BIS and a monoitem based in Bandura´s theory. Once the data was collected, they were coded in a database and subsequently analyzed using SPSS and for the structural model was used EQS 6.1 program. Results: Emotional well-being is influenced by alterations on self-concept. Patients who had more alterations in body image and less self-esteem and self-efficacy, had higher levels of anxiety and depression. Moreover, self-esteem and self-efficacy were mediating the relationship between body image and emotional well-being. Conclusions: This study provides evidence for mediating variables of self-concept that affect the emotional well-being of breast cancer patients and they can explain the symptoms of depression and anxiety.
Bibliographische Referenzen
- Al-Ghazal, S., Fallowfield, L., & Blamey, R. (2000). Comparison of psychological aspects and patient satisfaction following breast conserving surgery, simple mastectomy and breast reconstruction. European Journal of Cancer, 36, 1938-1943. doi: 10.1016/S0959-8049(00)00197-0
- Andersen, B., & LeGrand, J. (1991). Body image for women: Conceptualization, assessment, and a test of its importance to sexual dysfunction and medical illness. The Journal of Sex Research, 28, 457-477. doi: 10.1080/00224499109551619
- Anillo, L. (2000). Sexual life after breast cancer. Journal of Sex & Marital Therapy, 26, 241-248. doi: 10.1080/00926230050084632
- Arora, N., Gustafson, D., Hawkins, R., McTavish, F., Cella, D., Pingree, S., ...& Mahvi, D. (2001). Impact of surgery and chemotherapy on the quality of life of younger women with breast carcinoma: A prospective study. Cancer, 92, 1288-1298. doi:10.1002/1097- 0142(20010901)92:5<1288::AID- CNCR1450>3.0.CO;2-E
- Avis, N., Crawford, S., & Manuel, J. (2004). Psychosocial problems among younger women with breast cancer. Psycho-Oncology, 13, 295-308. doi: 10.1002/ pon.744
- Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37, 122-147. doi: 10.1037/0003-066X.37.2.122
- Begovic-Juhant, A., Chmielewski, A., Iwuagwu, S., & Chapman, L. A. Impact of body image on depression and quality of life among women with breast cancer. Journal of Psychosocial Oncology, 30, 446-460. doi:10.1080/07347332.2012.684856
- Berterö, C. (2002). Affected self-respect and self-value: The impact of breast cancer treatment on self-esteem and QoL. Psycho-Oncology, 11, 356-364. doi:10.1002/pon.577
- Bloom, J., Stewart, S., Chang, S., & Banks, P. (2004). Then and now: Quality of life of young breast cancer survivors. Psycho-Oncology, 13, 147-160. doi: 10.1002/pon.794
- Brandberg, Y., Sandelin, K., Erikson, S., Jurell, G., Liljegren, A., Lindblom, A., ...& Arver, B. (2008). Psychological reactions, quality of life, and body image after bilateral prophylactic mastectomy in women at high risk for breast cancer: A prospective 1-year follow- up study. Journal of Clinical Oncology, 26, 3943- 3949. doi: 10.1200/JCO.2007.13.9568.
- Brunet, J., Sabiston, C., & Burke, S. (2013). Surviving breast cancer: Women’s experiences with their changed bodies. Body Image, 10, 344-351. doi: 10.1016/j.bodyim.2013.02.002
- Carver, C., Smith, R., Antoni, M., Petronis, V., Weiss, S., & Derhagopian, R. (2005). Optimistic personality and psychosocial well-being during treatment predict psychosocial well-being among long-term survivors of breast cancer. Health Psychology, 24, 508-516. doi: 10.1037/0278-6133.24.5.508
- Chang, O., Choi, E., Kim, I., Nam, S., Lee, J., Lee, S., ...& Cho, J. (2014). Association between socioeconomic status and altered appearance distress, body image, and quality of life among breast cancer patients. Asian Pacific Journal of Cancer Prevention, 15, 8607-8612. doi: 10.7314/APJCP.2014.15.20.8607
- Choi, E., Kim, I., Chang, O., Kang, D., Nam, S. Lee, J., ...& Cho, J. (2014). Impact of chemotherapy- induced alopecia distress on body image, psychosocial well-being, and depression in breast cancer patients. Psycho-Oncology, 23, 1103-1110. doi: 10.1002/ pon.3531
- Collins, K., Liu, Y., Schootman, M., Aft, R., Yan, Y., Dean, G., ...& Jeffe, D. (2011). Effects of breast cancer surgery and surgical side effects on body image over time. Breast Cancer Research and Treatment, 126, 167-176. doi: 10.1007/s10549-010-1077-7
- Compas, B., & Luecken, L. (2002).Psychological adjustment to breast cancer. Current Directions in Psychological Science, 11, 111-114. Retrieved from http://journals.sagepub.com/doi/pdf/10.1111/1467- 8721.00180
- Cousson-Gélie, F., Bruchon-Schweitzer, M., Dilhuydy, J., & Jutand, M. (2007). Do anxiety, body image, social support and coping strategies predict survival in breast can–cer? A ten year follow-up study. Psychosomatics, 48, 211- 216. doi: 10.1176/appi.psy.48.3.211
- Falk, C.A., Reinertsen, K.V., Nesvold, I.L., Fossa, S.D., & Dahl, A.A. (2010). A study of body image in long-term breast cancer survivors. Cancer, 116 (15), 3549-57. doi: 10.1002/cncr.25251.
- Fertig, D.L. (1997). Depression in patients with breast cancer: Prevalence, diagnosis, and treatment. The Breast Journal, 3, 292-302. doi: 10.1111/j.15244741.1997.tb00184.x
- Fobair, P., Stewart, S., Chang, S., D’Onofrio, C., Banks, P., & Bloom, J. (2006). Body image and sexual problems in young women with breast cancer. Psycho-Oncology, 15, 579-594. doi: 10.1002/ pon.991
- Ganz, P., Desmond, K., Leedham, B., Rowland, J., Meyerowitz, B., & Belin, T. (2002). Quality of life in long-term, disease-free survivors of breast cancer: A follow-up study. Journal of the National Cancer Institute, 94, 39-49. doi:10.1093/jnci/94.1.39
- Han, W., Collie, K., Koopman, C., Azarow, J., Classen, C., Morrow, G., ...& Spiegel, D. (2005). Breast cancer and problems with medical interactions: Relationships with traumatic stress, emotional self-efficacy, and social support. Psycho- Oncology, 14, 318-330. doi: 10.1002/pon.852
- Hanson-Frost, M., Suman, V., Rumans, T., Dose, A., Taylor, M., Novotny, P., ...& R., Evans, R. (2000). Physical, psychological and social well-being of women with breast cancer: The influence of disease phase. Psycho- Oncology, 9, 221-231. doi:10.1002/1099- 1611(200005/06)9:3<221::AID- PON456>3.0.CO;2-T
- Helms, R., O’Hea, E., & Corso, M. (2008). Body image issues in women with breast cancer. Psychology, Health & Medicine, 13, 313-25. doi: 10.1080/13548500701405509.
- Hopwood, P., Fletcher, I., Lee, A., & Al Ghazal, S. (2001). A body image scale for use with cancer patients. European Journal of Cancer, 37, 189- 197.
- Hox, J., & Bechger, T.M. (1998). An introduction to structural equation modeling. Family Science Review, 11, 354-373. Retrieved from https: //pdfs.semanticscholar.or- g/9e96/82af7abfe39145981bb8feaf11a246b- 71fdb.pdf
- Karademas,E.,Karvelis,S.,&Argyropoulou,K. (2007). Stress-related predictors of optimism in breast cancer survivors. Stress and Health, 23, 161-168. doi: 10.1002/smi.1132
- Lam, W., & Fielding R. (2007). Is self-efficacy a predictor of short-term post-surgical adjustment among Chinese women with breast cancer? Psycho-Oncology, 16, 651-659. doi: 10.1002/pon.1116
- Leary, M. R., & Baumeister, R. F. (2000). The nature and function of self-esteem: Sociometer theory. In M. P. Zanna (Ed.), Advances in experimental social psychology (pp. 1-62). New York, NY: Academic Press.
- Lemieux, J., Maunsell, E., & Provencher, L. (2008). Chemotherapy-induced alopecia and effects on quality of life among women with breast cancer: A literature review. Psycho-Oncology, 17, 317-328. doi: 10.1002/ pon.1245
- McClelland, S., Holland, K., & Griggs, J. (2015). Quality of life and metastatic breast cancer: The role of body image, disease site, and time since diagnosis. Quality of Life Research, 24 (12), 2939-2943. doi: 10.1007/s11136-015-1034-3
- Meyerowitz, B. (1980). Psychosocial correlates of breast cancer and its treatment. Psychological Bulletin, 87, 108-131. doi: 10.1037/0033-2909.87.1.108
- Miller, S., Schnur, J., Weinberger-Litman, S., & Montgomery, G. (2014). The relationship between body image, age, and distress in women facing breast cancer surgery. Palliative & Supportive Care, 12, 363- 367. doi: 10.1017/S1478951513000321
- Peralta, F. J., & Sánchez, M. D. (2003). Relationship between self-concept and academic achievement in primary students. Electronic Journal of Research in Educational Psychology and Psycho-Pedagogy, 1, 95-120. Retrieved from http://www.investigacion- psicopedagogica.org/revista/articulos/1/english/ Art_1_7.pdf
- Petronis, V., Carver, C., Antoni, M., & Weiss, S. (2003). Investment in body image and psychosocial well-being among women treated for early stage breast cancer: Partial replication and extension. Psychology & Health, 18, 1-13. doi: 10.1080/0887044021000020941
- Poinsot, R., Brédart, A., This, P., De La Rochefordière, A., & Dolbeault, S. (2005). The impact of hormone treatment on the quality of life and sexuality of breast cancer patients. Revue Francophone de Psycho- Oncologie, 4, 161-169. doi: 10.1007/s10332-005- 0077-z
- Przezdziecki, A., Sherman, K., Baillie, A., Taylor, A., Foley, E., & Stalgis-Bilinski, K. (2013). My changed body: Breast cancer, body image, distress and self- compassion. Psycho-Oncology, 22, 1872-1879. doi: 10.1002/pon.3230
- Raich, R. (2000). Imagen corporal: Conocer y valorar el propio cuerpo. Madrid, Spain: Pirámide.
- Ridolfi, D., & Crowther, J. (2013).The link between women’s body image disturbances and body- focused cancer screening behaviors: A critical review of the literature and a new integrated model for women. Body Image, 10, 149-162. doi: 10.1016/j. bodyim.2012.11.003
- Rogers, L., McAuley, E., Courneya, K., & Verhulst, S. (2008). Correlates of physical activity self-efficacy among breast cancer survivors. American Journal of Health Behavior, 32, 594-603. doi: 10.5555/ ajhb.2008.32.6.594.
- Rosenberg, M. (1965). Society and adolescent self- image. Princeton, NJ: Princeton University Press.
- Schmid-Büchi, S., Halfens, R., Dassen, T., & van den Borne, B. (2011). Psychosocial problems and needs of post-treatment patients with breast cancer and their relatives. European Journal of Oncology Nursing, 15, 260-266. doi: 10.1016/j.ejon.2009.11.001
- Schmid-Büchi, S., Halfens, R., Müller, M., Dassen, T., & van den Borne, B. (2013). Factors associated with supportive care needs of patients under treatment for breast cancer. European Journal of Oncology Nursing, 17, 22-29. doi: 10.1016/j.ejon.2012.02.003
- Schover, L., Yetman, L., Tuason, L., Meiser, E., Esselsfym, C., Hermann, R., ...& Dowden, R. (1995). Partial mastectomy and breast reconstruction. A comparison of their effects on psychosocial adjustment, body image, and sexuality. Cancer, 75, 54-64. doi: 10.1002/1097-0142(19950101)75:1<54::AID- CNCR2820750111>3.0.CO;2-I
- Shavelson, R. J., & Bolus, R (1992). Self-concept: The interplay of theory and methods. Journal of Educational Psychology, 74, 3-17.
- Skrzypulec, V., Tobor, E., Drosdzol, A., & Nowosielski, K. (2007). Biopsychosocial functioning of women after mastectomy. Journal of Clinical Nursing, 18 (4), 613-619. doi: 10.1111/j.1365- 2702.2008.02476.x
- Taylor, S., Lichtman, R., & Wood, J. (1984). Attributions, beliefs about control, and adjustment to breast cancer. Journal of Personality and Social Psychology, 46, 489-502. doi: 10.1037/0022- 3514.46.3.489
- Tish, M. (2006). The influence of endocrine effects of adjuvant therapy on quality of life outcomes in younger breast cancer survivors. The Oncologist, 11, 96-110. doi: 10.1634/ theoncologist.11-2-96
- Ussher, J., Perz, J., & Gilbert, E. (2012). Changes to sexual well-being and intimacy after breast cancer. Cancer Nursing, 35, 456-465. doi: 10.1097/ NCC.0b013e3182395401.
- Wong-Kim, E., & Bloom, J. (2005). Depression experienced by young women newly diagnosed with breast cancer. Psycho-Oncology, 14, 564- 573. doi: 10.1002/pon.873
- Yurek, D., Farrar, W., & Andersen, B. (2000). Breast cancer surgery: Comparing surgical groups and determining individual differences in postoperative sexuality and body change stress. Journal of Consulting and Clinical Psychology, 68, 697-709. doi: 10.1037/0022-006X.68.4.697
- Zachariae, R., Pedersen, C., Jensen, A., Ehrnrooth, E., Rossen, P., & Von der Maase, H. (2003). Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease. British Journal of Cancer, 88, 658-665. doi: 10.1038/sj.bjc.6600798
- Zhao, W., Whu, J., Zhu, M., Fam, S., Si, S., & Lian, H. (2001). Depression, anxiety and coping style in patients with breast cancer. Chinese Journal of Clini- cal Psychology, 9, 286-289.
- Zigmond, A., & Snaith, R. (1983). The hospital de pression and anxiety scale. Acta Psychriatrica Scan- dinavica, 67, 361-370.