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The relationship between body image, age, and distress in women facing breast cancer surgery

Published online by Cambridge University Press:  14 August 2013

Sarah J. Miller ,
Julie B. Schnur ,
Sarah L. Weinberger-Litman  and
Guy H. Montgomery
Sarah J. Miller*
Affiliation:
Icahn School of Medicine at Mount Sinai, Department of Oncological Sciences, New York, New York
Julie B. Schnur
Affiliation:
Icahn School of Medicine at Mount Sinai, Department of Oncological Sciences, New York, New York
Sarah L. Weinberger-Litman
Affiliation:
Marymount Manhattan College, Department of Psychology, New York, New York
Guy H. Montgomery
Affiliation:
Icahn School of Medicine at Mount Sinai, Department of Oncological Sciences, New York, New York
*
Address correspondence and reprint requests to: Sarah Miller, Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1130, New York, NY 10029-6574. Phone: 1.212-659-5531; Fax: 1.212-849-2566; E-mail: [email protected]
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Abstract

Objectives:

Research suggests that the strength of the relationship between body image and emotional distress decreases with age. Past research has focused on expected aging-related body changes, and has not yet examined unexpected body changes (e.g., breast cancer surgery). The present post-hoc study assessed relationships between age, body image, and emotional distress in women facing breast cancer surgery.

Methods:

Older (≥65 years, n = 40) and younger (<65 years, n = 40) women were matched on race/ethnicity, marital status, and surgery type. Within one week prior to surgery, participants completed measures of demographics, aspects of body image, and emotional distress (general and surgery-specific).

Results:

Results indicated that: (1) body image did not differ by age (p > 0.999); (2) older women reported less pre-surgical emotional distress than younger women (p's < 0.01); and, (3) age moderated the relationship between body image and emotional distress (p's < 0.06).

Significance of results:

The results suggest that younger women, particularly those with poor body image, are at an increased risk for pre-surgical emotional distress. These women may benefit from pre-surgical interventions designed to improve body image or to reduce pre-surgical emotional distress.

Keywords

Breast cancerSurgeryBody imageEmotional distress
Type
Original Articles
Information
Palliative & Supportive Care , Volume 12 , Issue 5 , October 2014 , pp. 363 - 367
Copyright
Copyright © Cambridge University Press 2013 

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References

REFERENCES

American Cancer Society. (2011). Breast Cancer Facts & Figures 2011–2012. Atlanta: American Cancer Society, Inc.Google Scholar
Arora, N.K., Gustafson, D.H., Hawkins, R.P., et al. (2001). Impact of surgery and chemotherapy on the quality of life of younger women with breast carcinoma: A prospective study. Cancer, 92, 1288–1298.3.0.CO;2-E>CrossRefGoogle ScholarPubMed
Brady, M.J., Cella, D.F., Mo, F., Bonomi, A.E., et al. (1997). Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 15, 974–986.CrossRefGoogle ScholarPubMed
Cash, T.F., Theriault, J. & Annis, N.M. (2004). Body image in an interpersonal context: Adult attachment, fear of intimacy, and social anxiety. Journal of Social and Clinical Psychology, 23, 89–103.CrossRefGoogle Scholar
Collins, K.K., Liu, Y., Schootman, M., et al. (2011). Effects of breast cancer surgery and surgical side effects on body image over time. Breast Cancer Research and Treatment, 126, 167–176.CrossRefGoogle ScholarPubMed
DiLorenzo, T.A., Bovbjerg, D.H., Montgomery, G.H., et al. (1999). The application of a shortened version of the Profile of Mood States in a sample of breast cancer chemotherapy patients. British Journal of Health Psychology, 4, 315–325.CrossRefGoogle Scholar
He, W., Sengupta, M., Velkoff, V.A., et al. (2005). 65+ in the United States: 2005. Washington, DC: U.S. Department of Health and Human Services & U.S. Department of Commerce.Google Scholar
Horowitz, M., Wilner, N. & Alvarez, W. (1979). Impact of event scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209–218.CrossRefGoogle Scholar
King, M.T., Kenny, P., Shiell, A., et al. (2000). Quality of life months and one year after first treatment for early stage breast cancer: Influence of treatment and patient characteristics. Quality of Life Research, 9, 789–800.CrossRefGoogle ScholarPubMed
Montgomery, G.H., Bovbjerg, D.H., Schnur, J.B., et al. (2007). A randomized clinical trial of a brief hypnosis intervention to control side effects in breast surgery patients. Journal of the National Cancer Institute, 99, 1304–1312.CrossRefGoogle ScholarPubMed
Mosher, C.E. & Danoff-Burg, S. (2005). A review of age differences in psychological adjustment to breast cancer. Journal of Psychosocial Oncology, 23, 101–114.CrossRefGoogle ScholarPubMed
Paxton, S.J., Neumark-Sztainer, D., Hannan, P.J., et al. (2006). Body dissatisfaction prospectively predicts depressive mood and low self-esteem in adolescent girls and boys. Journal of Clinical Child and Adolescent Psychology, 53, 35, 539–549.CrossRefGoogle Scholar
Rosen, J.C., Saltzberg, E. & Srebnik, D. (1989). Cognitive behavior therapy for negative body image. Behavior Therapy, 20, 393–404.CrossRefGoogle Scholar
Schnur, J.B., Montgomery, G.H., Hallquist, M.N., et al. (2008). Anticipatory psychological distress in women scheduled for diagnostic and curative breast cancer surgery. International Journal of Behavioral Medicine, 15, 21–28.CrossRefGoogle ScholarPubMed
Shacham, S. (1983). A shortened version of the profile of mood states. Journal of Personality Assessment, 47, 305–306.CrossRefGoogle ScholarPubMed
Tiggemann, M. (2004). Body image across the adult life span: Stability and change. Body Image, 1, 29–41.CrossRefGoogle ScholarPubMed
Tjemsland, L., Soreide, J.A., Matre, R., et al. (1997). Pre-operative [correction of properative] psychological variables predict immunological status in patients with operable breast cancer. Psycho-Oncology, 6, 311–320.3.0.CO;2-C>CrossRefGoogle ScholarPubMed
Webster, J. & Tiggemann, M. (2003). The relationship between women's body satisfaction and self-image across the life span: The role of cognitive control. The Journal of Genetic Psychology, 164, 241–252.CrossRefGoogle ScholarPubMed
Wildes, J.E., Emery, R.E. & Simons, A.D. (2001). The roles of ethnicity and culture in the development of eating disturbance and body dissatisfaction: A meta-analytic review. Clinical Psychology Review, 21, 521–551.CrossRefGoogle ScholarPubMed