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Cited by 258Cancer survivorship and careWomen's cancer prevention and managementBreast Implant and Reconstruction

A study of body image in long‐term breast cancer survivors

Open access
Falk Dahl, Christian A., Reinertsen, Kristin V., Nesvold, Inger‐Lise, Fosså, Sophie D., Dahl, Alv A.·2010·Cancer
DOI 10.1002/cncr.25251
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Abstract

BACKGROUND: In this controlled postdiagnosis study, the authors examined various aspects of body image of breast cancer survivors in cross‐sectional and longitudinal designs. METHODS: In 2004 and 2007 the Body Image Scale (BIS) was completed by the same 248 disease‐free women who had been treated for stage II and III breast cancer between 1998 and 2002. “Poorer” body image was defined as greater than the 70th percentile (N = 76 women) of the BIS scores in contrast to “better” body image (N = 172 women). Breast cancer survivors were examined clinically in 2004, and their BIS scores were compared with the scores from an age‐matched group of women from the general population. RESULTS: In this cross‐sectional study, poorer body image in 2004 was associated significantly with modified radical mastectomy, undergoing or planning to undergo breast‐reconstructive surgery, a change in clothing, poor physical and mental health, chronic fatigue, and reduced quality of life (QoL). In univariate analyses, most of these factors and manually planned radiotherapy were significant predictors of poorer body image in 2007. In multivariate analyses, manually planned radiotherapy, poor physical QoL and high BIS score in 2004 remained independent predictors of a poorer body image in 2007. Body image ratings were relatively stable from 2004 to 2007. Twenty‐one percent of breast cancer survivors reported body image dissatisfaction, similar to the proportion of dissatisfaction in controls. CONCLUSIONS: In this cross‐sectional analysis, body image in breast cancer survivors was associated with the types of surgery and radiotherapy and with mental distress, reduced health, and impaired QoL. Body image ratings were relatively stable over time, and the antecedent body image score was a strong predictor of body image at follow‐up. Body image in breast cancer survivors differed very little from that in controls. Cancer 2010. © 2010 American Cancer Society.

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  • Fatigue felt by survivors adds to their dissatisfaction with body image.

    “Fatigue felt by survivors adds to their dissatisfaction with their body image [38]”

    From Empowerment in the treatment of fatigue in breast cancer patients (2021) · cites this paper as [38]

    The comparison of survivors with poorer and better body image reports chronic fatigue more often in the poorer-body-image group. The Discussion also describes an association, but the study does not establish that fatigue adds to or causes dissatisfaction with body image. Page numbers are not available in our copy. (LLM, conf=0.88)

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Research works printed but not linked: 3

  1. Cash TF, Pruzinsky T, eds. Body Image: A Handbook. New York: Guilford Press; 2002.
  2. White CA. Body image dimensions and cancer: a heuristic cognitive behavioural model. Psycho-Oncology. 2000;9:183- 192.
  3. White CA: Body images in oncology. In: Cash TF, Pruzin- sky T, eds. Body Image: A Handbook. New York: Guilford Press; 2002:379-386.

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Authors
Falk Dahl, C. A., Reinertsen, K. V., Nesvold, I., Fosså, S. D., & Dahl, A. A.
Affiliations
Oslo University Hospital (NO)
Corresponding author
Dahl, Alv A.
ORCID
Venue
Cancer
Publisher
Wiley
Published
2010-07-20
Volume
116
Issue
15
Pages
3549-3557
ISSN
  • 0008-543X (ISSN-L)
  • 1097-0142
DOI
10.1002/cncr.25251
OpenAlex
W2038104021
Cited by
255
References
26
Citations by year
2026: 11 · 2025: 12 · 2024: 15 · 2023: 19 · 2022: 30 · 2021: 29 · 2020: 20 · 2019: 21 · 2018: 19 · 2017: 16 · 2016: 10 · 2015: 17 · 2014: 14 · 2013: 9 · 2012: 7
FWCI
3.48
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Cancer (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
  • Health Sciences › Medicine › Surgery › Breast Implant and Reconstruction
Keywords
body image, breast cancer survivors, modified radical mastectomy, breast reconstruction, radiotherapy, quality of life, chronic fatigue, psychological distress, physical health, body dissatisfaction
MeSH terms
Body Image, Breast Neoplasms, Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Mental Health, Middle Aged, Quality of Life, Mastectomy, Modified Radical, Mastectomy, Segmental, Survivors

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