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A comparative study of coping skills and body image: Mastectomized vs. lumpectomized patients with breast carcinoma.

Mahapatro F, Parkar SR - Indian J Psychiatry (2005)

Bottom Line: Coping strategies employed were effective in the resolution of concerns except for sexual role and performance, and recurrence or relapse.No statistically significant difference was found in the depression and anxiety levels of the two groups.Specific psychological intervention is necessary to enhance coping strategies with regard to concerns of body image, and sexual role and performance.

View Article: PubMed Central - PubMed

Affiliation: Associate Professor, Department of Psychiatry, Padmashree Dr D.Y. Patil Medical College and Rajawadi Hospital, Mumbai.

ABSTRACT

Background: The diagnosis of breast cancer encompasses not only physical, but also social and psychological implications because of the importance of the breast in a woman's body image, sexuality and motherhood. Women may experience a range of concerns and fears including physical appearance and disfigurement, the uncertainty about recurrence and the fear of death. There are no Indian studies on this subject.

Aim: This study explores the various concerns of mastectomized and lumpectomized (breast conserved) patients, determines the coping mechanisms employed and the resolution of concerns. The levels of anxiety and depression in both groups were also studied.

Methods: Seventy-five patients with breast carcinoma (50 mastectomized and 25 lumpectomized) were evaluated. The concern and coping checklist of Devlen was used. The severity of anxiety and depression was measured using the Hospital Anxiety and Depression Scale (HADS).

Results: Body image or disfigurement was a concern only in the mastectomized group. Concerns were equally resolved between the two groups except for sexual role and performance, wherein the concern was resolved to a lesser extent in the mastectomized group. Coping strategies employed were effective in the resolution of concerns except for sexual role and performance, and recurrence or relapse. No statistically significant difference was found in the depression and anxiety levels of the two groups.

Conclusion: Concern regarding sexual role and performance was resolved to a lesser extent in the mastectomized group. Specific psychological intervention is necessary to enhance coping strategies with regard to concerns of body image, and sexual role and performance.

No MeSH data available.


Related in: MedlinePlus

Comparison of the resolution of concerns between the lumpectomized and mastectomized groups using unpaired t test
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Figure 0002: Comparison of the resolution of concerns between the lumpectomized and mastectomized groups using unpaired t test

Mentions: Figure 2 shows that there was no statistically significant difference between the resolution of concerns in the two groups except for sexual role and performance, where resolution in the mastectomized group was to a lesser extent than the lumpectomized group (p<0.01; statistically significant).The mean (SD) was 3.82±1.68 and 4.76±0.83, respectively. In this particular resolution, the mean score for the lumpectomized group was significantly higher than for the mastectomized group, indicating that resolution was less often seen in the mastectomized group than the lumpectomized group. As all the values are zero for concern regarding body image in the lumpectomized group, no statistical test can be applied to detect differences between the two groups.


A comparative study of coping skills and body image: Mastectomized vs. lumpectomized patients with breast carcinoma.

Mahapatro F, Parkar SR - Indian J Psychiatry (2005)

Comparison of the resolution of concerns between the lumpectomized and mastectomized groups using unpaired t test
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2921133&req=5

Figure 0002: Comparison of the resolution of concerns between the lumpectomized and mastectomized groups using unpaired t test
Mentions: Figure 2 shows that there was no statistically significant difference between the resolution of concerns in the two groups except for sexual role and performance, where resolution in the mastectomized group was to a lesser extent than the lumpectomized group (p<0.01; statistically significant).The mean (SD) was 3.82±1.68 and 4.76±0.83, respectively. In this particular resolution, the mean score for the lumpectomized group was significantly higher than for the mastectomized group, indicating that resolution was less often seen in the mastectomized group than the lumpectomized group. As all the values are zero for concern regarding body image in the lumpectomized group, no statistical test can be applied to detect differences between the two groups.

Bottom Line: Coping strategies employed were effective in the resolution of concerns except for sexual role and performance, and recurrence or relapse.No statistically significant difference was found in the depression and anxiety levels of the two groups.Specific psychological intervention is necessary to enhance coping strategies with regard to concerns of body image, and sexual role and performance.

View Article: PubMed Central - PubMed

Affiliation: Associate Professor, Department of Psychiatry, Padmashree Dr D.Y. Patil Medical College and Rajawadi Hospital, Mumbai.

ABSTRACT

Background: The diagnosis of breast cancer encompasses not only physical, but also social and psychological implications because of the importance of the breast in a woman's body image, sexuality and motherhood. Women may experience a range of concerns and fears including physical appearance and disfigurement, the uncertainty about recurrence and the fear of death. There are no Indian studies on this subject.

Aim: This study explores the various concerns of mastectomized and lumpectomized (breast conserved) patients, determines the coping mechanisms employed and the resolution of concerns. The levels of anxiety and depression in both groups were also studied.

Methods: Seventy-five patients with breast carcinoma (50 mastectomized and 25 lumpectomized) were evaluated. The concern and coping checklist of Devlen was used. The severity of anxiety and depression was measured using the Hospital Anxiety and Depression Scale (HADS).

Results: Body image or disfigurement was a concern only in the mastectomized group. Concerns were equally resolved between the two groups except for sexual role and performance, wherein the concern was resolved to a lesser extent in the mastectomized group. Coping strategies employed were effective in the resolution of concerns except for sexual role and performance, and recurrence or relapse. No statistically significant difference was found in the depression and anxiety levels of the two groups.

Conclusion: Concern regarding sexual role and performance was resolved to a lesser extent in the mastectomized group. Specific psychological intervention is necessary to enhance coping strategies with regard to concerns of body image, and sexual role and performance.

No MeSH data available.


Related in: MedlinePlus