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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

Coping strategies (most frequently) used for concern regarding body image or disfigurement in the mastectomized group
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Figure 0003: Coping strategies (most frequently) used for concern regarding body image or disfigurement in the mastectomized group

Mentions: From Fig. 3 it can be seen that helplessness, talking to others, family and friends, and distractive action were the most frequently used coping strategies for the concern regarding body image in the mastectomized group. Other coping mechanisms were observed for the other concerns. It would be a Herculian task to mention all those here. In the mastectomized group, the coping strategy most frequently used for the concern regarding sexual role and performance was temporary acceptance (22%) and for that regarding recurrence or relapse, it was talking to others, mainly professionals (28%).


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

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

Coping strategies (most frequently) used for concern regarding body image or disfigurement in the mastectomized group
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0003: Coping strategies (most frequently) used for concern regarding body image or disfigurement in the mastectomized group
Mentions: From Fig. 3 it can be seen that helplessness, talking to others, family and friends, and distractive action were the most frequently used coping strategies for the concern regarding body image in the mastectomized group. Other coping mechanisms were observed for the other concerns. It would be a Herculian task to mention all those here. In the mastectomized group, the coping strategy most frequently used for the concern regarding sexual role and performance was temporary acceptance (22%) and for that regarding recurrence or relapse, it was talking to others, mainly professionals (28%).

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