Psychological Resilience as a Protective Factor for the Body Image in Post-Mastectomy Women with Breast Cancer

European statistics confirm a rise in breast cancer among contemporary women. Those suffering from cancer and undergoing a surgery (mastectomy) are undoubtedly considered to be in difficult situations. The range of the numerous negative and/or positive emotions, thoughts, and behaviours depend on many psychological factors such as psychological resilience. The authors are currently drawing a report on their own studies where they are trying to determine factors that protect body image resilience in women suffering from breast cancer after mastectomies. The research group consisted of 120 women after a short (up to 2 years) or a long (over 2 years) duration having elapsed since their mastectomy. The results of the research groups show that psychological resilience is a significant protecting factor for the body image that prevents the excessive development of negative self-esteem in post-mastectomy women. Female patients ought to be provided aid in the short time immediately after the procedure and afterwards, when they are less capable of tolerating negative emotions. In order to significantly improve the general body image resilience to emotional and cognitive distortions in post-mastectomy women who experienced breast cancer, it is recommended that psychological interventions (from psychoeducation to psychological assistance and specialist psychotherapy) are conducted systematically throughout the course of treatment.

[1]  Zhiyi Meng,et al.  Post-traumatic stress disorder and post-traumatic growth among the adult survivors of the Lushan earthquake: Selecting resilience as the moderator , 2018 .

[2]  G Henrich,et al.  Psychological problems of cancer patients: a cancer distress screening with a cancer-specific questionnaire , 2004, British Journal of Cancer.

[3]  M. Rutter Implications of Resilience Concepts for Scientific Understanding , 2006, Annals of the New York Academy of Sciences.

[4]  Ann S Masten,et al.  Resilience in developing systems: Progress and promise as the fourth wave rises , 2007, Development and Psychopathology.

[5]  Jersey Liang,et al.  Changes in and predictors of severity of fatigue in women with breast cancer: A longitudinal study. , 2014, International journal of nursing studies.

[6]  M. Mullender,et al.  Body Image in Transmen: Multidimensional Measurement and the Effects of Mastectomy. , 2016, The journal of sexual medicine.

[7]  M. Antoni,et al.  Do sociodemographic and disease‐related variables influence benefit‐finding in cancer patients? , 2003, Psycho-oncology.

[8]  Xiaomei Ma,et al.  Global Burden of Cancer , 2006, The Yale journal of biology and medicine.

[9]  Norbert K. Semmer,et al.  Personality, Stress, and Coping , 2008 .

[10]  N. Ogińska-Bulik The role of social support in posttraumatic growth in people struggling with cancer , 2013 .

[11]  Robert Buras,et al.  Increasing National Mastectomy Rates for the Treatment of Early Stage Breast Cancer , 2013, Annals of Surgical Oncology.

[12]  Tzipi Weiss Posttraumatic Growth in Women with Breast Cancer and Their Husbands , 2002 .

[13]  S. Stewart,et al.  Body image and sexual problems in young women with breast cancer , 2006, Psycho-oncology.

[14]  M. Guha APA Dictionary of Psychology , 2007 .

[15]  C. R. Snyder,et al.  Coping with terminal illness: the role of hopeful thinking. , 2002, Journal of palliative medicine.

[16]  R. Ahmed,et al.  Stigma Perceived by Women Following Surgery for Breast Cancer , 2017, Indian Journal of Medical and Paediatric Oncology.

[17]  G. VandenBos APA dictionary of psychology, 2nd ed. , 2015 .

[18]  P. Vaupel,et al.  The impact of treatment for genital cancer on quality of life and body image--results of a prospective longitudinal 10-year study. , 2004, Gynecologic oncology.

[19]  T. F. Cash Cognitive-Behavioral Perspectives on Body Image , 2002 .

[20]  N. Ogińska-Bulik The role of resiliency in adjustment to cancer in women , 2012 .

[21]  L. Choate Toward a Theoretical Model of Women's Body Image Resilience , 2005 .

[22]  A. Cann,et al.  Gender Differences in Self-Reported Posttraumatic Growth: A Meta-Analysis , 2010 .

[23]  Ayla Gürsoy,et al.  Body Image of Women with Breast Cancer After Mastectomy: A Qualitative Research. , 2016, The journal of breast health.

[24]  B. Fredrickson,et al.  Psychological resilience and positive emotional granularity: examining the benefits of positive emotions on coping and health. , 2004, Journal of personality.

[25]  R. Tedeschi,et al.  TARGET ARTICLE: "Posttraumatic Growth: Conceptual Foundations and Empirical Evidence" , 2004 .

[26]  S. Grogan,et al.  Body image after mastectomy: A thematic analysis of younger women’s written accounts , 2017, Journal of health psychology.

[27]  Crystal L. Park,et al.  Measurement Issues in Assessing Growth Following Stressful Life Experiences. , 2006 .

[28]  J. Ostroff,et al.  Posttraumatic Growth After Breast Cancer: Patient, Partner, and Couple Perspectives , 2004, Psychosomatic medicine.

[29]  S. Luthar,et al.  Research on resilience: An integrative review , 2003 .

[30]  W. Ang,et al.  Losing the breast: A meta‐synthesis of the impact in women breast cancer survivors , 2018, Psycho-oncology.

[31]  R. Sanderman,et al.  Psychometric properties of the Dutch version of the posttraumatic growth inventory among cancer patients , 2006, Psycho-oncology.

[32]  Piotr Mamcarz,et al.  Trauma egzystencjalna a wartości , 2015 .

[33]  M. Cordova,et al.  Posttraumatic growth following breast cancer: a controlled comparison study. , 2001, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[34]  M. Probst,et al.  Psychometric properties of the Polish version of the Body Attitude Test , 2014 .

[35]  Robert J. McGrath,et al.  The Relationship between Resilience and Body Image in College Women , 2009 .

[36]  J. Neuhaus,et al.  Identification of distinct depressive symptom trajectories in women following surgery for breast cancer. , 2011, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[37]  R. Tedeschi,et al.  The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma , 1996 .

[38]  Thomas O. Blank,et al.  Predicting posttraumatic growth in breast cancer survivors. , 2006, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[39]  D. Harcourt,et al.  Managing appearance changes resulting from cancer treatment: resilience in adolescent females , 2007, Psycho-oncology.

[40]  D. Epner,et al.  Managing body image difficulties of adult cancer patients: Lessons from available research , 2014, Cancer.

[41]  Nobhojit Roy,et al.  The Global Burden of Cancer 2013. , 2015, JAMA oncology.

[42]  J. Savla,et al.  Measuring Walsh’s Family Resilience Framework: Reliability and Validity of the Family Resilience Assessment Among Women with a History of Breast Cancer , 2017 .

[43]  Suniya S. Luthar,et al.  Resilience in Development: A Synthesis of Research across Five Decades , 2015 .

[44]  S. Posavac,et al.  Women's exposure to thin-and-beautiful media images: body image effects of media-ideal internalization and impact-reduction interventions. , 2005, Body image.

[45]  Resiliency and subjective health assessment. Moderating role of selected psychosocial variables , 2016 .

[46]  M. Espié,et al.  Long-term quality of life in premenopausal women with node-negative localized breast cancer treated with or without adjuvant chemotherapy , 2000, British Journal of Cancer.

[47]  Beti Dejanova,et al.  Resilience and Quality of Life in Breast Cancer Patients , 2015, Open access Macedonian journal of medical sciences.

[48]  Fauzia Naz,et al.  BODY IMAGE SATISFACTION, DISTRESS AND RESILIENCE IN WOMEN WITH BREAST CANCER SURGERY: A WITHIN GROUP STUDY , 2017 .

[49]  M. Gee,et al.  The psychosocial impact of contralateral risk reducing mastectomy (CRRM) on women: A rapid review , 2018, Psycho-oncology.

[50]  H. Hietanen,et al.  Patient Satisfaction With Delayed Breast Reconstruction: A Prospective Study , 2002, Annals of plastic surgery.

[51]  J. French,et al.  Body image and psychological distress in nipple‐sparing mastectomy: the roles of self‐compassion and appearance investment , 2017, Psycho-oncology.

[52]  J. Steiner,et al.  Cognitive appraisals, coping and depressive symptoms in breast cancer patients. , 2012, Stress and health : journal of the International Society for the Investigation of Stress.

[53]  B. Fredrickson,et al.  Resilient individuals use positive emotions to bounce back from negative emotional experiences. , 2004, Journal of personality and social psychology.

[54]  J. P. Janssens,et al.  Rak piersi: bezpośrednie i pośrednie czynniki ryzyka związane z wiekiem i stylem życia , 2009 .

[55]  J. Moskowitz,et al.  Positive affect and the other side of coping. , 2000, The American psychologist.

[56]  A. Stanton,et al.  The first year after breast cancer diagnosis: hope and coping strategies as predictors of adjustment , 2002, Psycho-oncology.

[57]  Gautam G. Rao,et al.  Pelvic floor disorders in women with gynecologic malignancies: a systematic review , 2017, International Urogynecology Journal.

[58]  P. Jacobsen,et al.  Symptom Structure of PTSD Following Breast Cancer , 2000, Journal of traumatic stress.

[59]  Stephen Joseph,et al.  Positive Change Following Trauma and Adversity: A Review , 2004, Journal of traumatic stress.

[60]  R. Tedeschi,et al.  A Clinical Approach to Posttraumatic Growth , 2012 .

[61]  E. Fradelos,et al.  Psychological Distress and Resilience in Women Diagnosed with Breast Cancer in Greece , 2017, Asian Pacific journal of cancer prevention : APJCP.

[62]  J. Moye,et al.  Posttraumatic stress in older adults: when medical diagnoses or treatments cause traumatic stress. , 2015, The Psychiatric clinics of North America.

[63]  Lawrence Calhoun,et al.  Expert Companions: Posttraumatic Growth in Clinical Practice , 2006 .

[64]  A. Baranyi,et al.  Posttraumatic stress symptoms after solid-organ transplantation: preoperative risk factors and the impact on health-related quality of life and life satisfaction , 2013, Health and Quality of Life Outcomes.

[65]  Lawrence G. Calhoun,et al.  Posttraumatic Growth: Conceptual Foundations and Empirical Evidence , 2004 .