Psychosocial Impact of Breast Cancer: A Critical Review
Abstract
This article reviews recent literature on the psychosocial impact of breast cancer, with a focus on the adjustment period, treatment, and psychosocial interventions. These studies have shown that as many as one-quarter of women with breast cancer suffer marked psychological morbidity associated with diagnosis and treatment, though for many women psychological distress declines substantially within a year after treatment. Research regarding treatment options has shown that, for women who can be treated with breast-conserving surgery, less invasive surgery may result in less body image concern and better sexual functioning. Factors which appear to moderate the impact of breast cancer on women's psychological health include coping styles, information preferences, social support, and pre-treatment psychiatric morbidity. Studies of psychosocial interventions suggest positive effects of social support, cognitive therapy, and supportive information. Future research efforts should be directed toward understanding special subgroups of women, and developing and testing behavioral interventions to improve psychosocial adjustment among women at high risk. Approaches which enhance patient–provider communication and patient involvement in care may be most beneficial.
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The diagnosis and treatment of breast cancer bring psychosocial consequences for many patients, ranging from mild distress to diagnosable mood and anxiety disorders.
“The diagnosis and treatment of breast cancer bring psychosocial consequences for many patients (Glanz & Lerman, 1992; Moyer & Salovey, 1996), ranging from mild distress to diagnosable mood and anxiety disorders (Antoni, 2003; Holland, 1998).”
From An online stress management workbook for breast cancer (2014) · cites this paper as Glanz & Lerman, 1992
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Thors, C. L., Broeckel, J. A., & Jacobsen, P. B. (2001) · Cancer Control · doi:10.1177/107327480100800508 · Cited by 91 · see citing works
Utilization of BRCA1/BRCA2 Mutation Testing in Newly Diagnosed Breast Cancer Patients
Schwartz, M. D., Lerman, C., Brogan, B. M., Peshkin, B., Isaacs, C., Demarco, T. A., Halbert, C., Pennanen, M., & Finch, C. (2005) · Cancer Epidemiology, Biomarkers and Prevention · doi:10.1158/1055-9965.epi-03-0545 · Cited by 95 · see citing works
“Finally, for some patients, BRCA1/BRCA2 testing may represent an added psychological burden during the already stressful period following a breast cancer diagnosis (9, 13, 15).”
BackgroundInfluentialSelf-citationRush, S. E., & Sharma, M. (2017) · Journal of Evidence-Based Complementary & Alternative Medicine · doi:10.1177/2156587216661467 · Cited by 89 · see citing works
Green, H. J., Pakenham, K. I., Headley, B. C., & Gardiner, R. A. (2002) · Psycho-Oncology · doi:10.1002/pon.599 · Cited by 84 · see citing works
“Emotion-focused coping has been associated with higher HRQoL in some studies (Glanz and Lerman, 1992), but with lower HRQoL in others (Osowiecki and Compas, 1998), especially when avoidant emotion-focused coping is used (Holahan et al., 1996).”
BackgroundMethodYounger Women's Perceptions of Coping With Breast Cancer
Manuel, J. C., Burwell, S. R., Crawford, S. L., Lawrence, R. H., Farmer, D. F., Hege, A., Phillips, K., & Avis, N. E. (2007) · Cancer Nursing · doi:10.1097/01.ncc.0000265001.72064.dd · Cited by 85 · see citing works
Memories of Treatment: The Immediacy of Breast Cancer
Thomas‐MacLean, R. (2004) · Qualitative Health Research · doi:10.1177/1049732304263658 · Cited by 83 · see citing works
“However, in another review, Glanz and Lerman (1992) concluded that breast conservation yields better results for body image.”
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Spiritual Correlates of Functional Well-Being in Women With Breast Cancer
Levine, E. G., & Targ, E. (2002) · Integrative Cancer Therapies · doi:10.1177/1534735402001002008 · Cited by 81 · see citing works
“While for many patients, the distress of cancer surgery and treatment declines over time, it has been estimated that up to 30% of women continue to have some disruption in quality of life one year after treatment for breast cancer.(9,10) One landmark study of 215 cancer patients found that 47% of the sample had severe…”
BackgroundBeyond dichotomies of health and illness: life after breast cancer
Thomas‐MacLean, R. (2005) · Nursing Inquiry · doi:10.1111/j.1440-1800.2005.00268.x · Cited by 81 · see citing works
An online stress management workbook for breast cancer
Carpenter, K. M., Stoner, S. A., Schmitz, K., McGregor, B. A., & Doorenbos, A. Z. (2014) · Journal of Behavioral Medicine · doi:10.1007/s10865-012-9481-6 · Cited by 80 · see citing works
“The diagnosis and treatment of breast cancer bring psychosocial consequences for many patients (Glanz & Lerman, 1992; Moyer & Salovey, 1996), ranging from mild distress to diagnosable mood and anxiety disorders (Antoni, 2003; Holland, 1998).”
Short-term effects of telephone therapy for breast cancer patients.
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The effects of age and emotional acceptance on distress among breast cancer patients
Politi, M. C., Enright, T. M., & Weihs, K. L. (2006) · Supportive Care in Cancer · doi:10.1007/s00520-006-0098-6 · Cited by 78 · see citing works
“Much of the breast cancer literature focuses only on European-American women [32], and participants in the majority of intervention studies are often Caucasian, welleducated women [33].”
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Coping with Early Breast Cancer: Couple Adjustment Processes and Couple-Based Intervention
Naaman, S., Radwan, K., & Johnson, S. M. (2009) · Psychiatry · doi:10.1521/psyc.2009.72.4.321 · Cited by 74 · see citing works
The Feasibility and Effectiveness of Expressive Writing for Rural and Urban Breast Cancer Survivors
Henry, E. A., Schlegel, R. J., Talley, A. E., Molix, L. A., & Bettencourt, B. A. (2010) · Oncology nursing forum · doi:10.1188/10.onf.749-757 · Cited by 71 · see citing works
“Increases in stress levels and depressive symptoms, which can lower immune functioning and have negative implications for survival, commonly accompany the breast cancer experience (Anderson, KiecoltGlaser, & Glaser, 1994; Glanz & Lerman, 1992; Herbert & Cohen, 1993a, 1993b).”
BackgroundBlomberg, B. B., Álvarez, J. P., Diaz, A., Romero, M. G., Lechner, S. C., Carver, C. S., Holley, H., & Antoni, M. H. (2009) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2009.05.016 · Cited by 72 · see citing works
“Throughout this process, the women confront a variety of personal, psychological, and physical losses [9–14], which may affect their ability to adjust, a process that we have referred to as psychosocial adaptation [15].”
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- Authors
- Glanz, K., & Lerman, C.
- Affiliations
- Fox Chase Cancer Center (US)
- Corresponding author
- Glanz, Karen
- ORCID
- Glanz, Karen
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 1992
- Volume
- 14
- Issue
- 3
- Pages
- 204-212
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- OpenAlex
- W2257891381
- Cited by
- 292
- References
- 0
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 4 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 5 · 2015: 5 · 2014: 5 · 2013: 6 · 2012: 10
- FWCI
- 1.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Behavioral Medicine (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
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- breast cancer, psychosocial impact, psychological distress, psychosocial adjustment, breast-conserving surgery, body image, sexual function, coping styles, social support, information preferences, cognitive therapy, patient-provider communication, behavioral interventions
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