The Importance of Alexithymia in Post-surgery. Differences on Body Image and Psychological Adjustment in Breast Cancer Patients
Open accessAbstract
Breast cancer is a disease that is difficult to face and that often hinders body acceptance. Body changes due to surgery can be very emotionally challenging for those who experience them. The aim of this study is to explore the differences on body image and psychological adjustment on women with breast cancer with high and low alexithymia according to the type of surgery. In this cross-sectional study, 119 women diagnosed with breast cancer (stages I, II, and III) were evaluated with different self-report questionnaires. Afterward, patients were divided into two groups (high and low levels of alexithymia) to analyze dependent variables (body image and psychological adjustment) according to the type of surgery (radical mastectomy or breast conserving therapy). The results of the General Linear Model suggest that when patients show high alexithymia combined with having undergone a radical mastectomy, they show higher levels of Hopelessness. Furthermore, in patients with high alexithymia, higher scores of maladaptive coping styles and greater distortion of body image were found. Alexithymia seems to play an important role in the way in which women cope with their disease, especially in those with radical mastectomy.
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In Spain, women who had radical mastectomy showed higher levels of hopelessness, body image issues, and psychological distress compared with other groups.
“Women who had radical mastectomy showed higher levels of hopelessness, body image issues, and had psychological distress when compared with other groups.”
From Coping in Post-Mastectomy Breast Cancer Survivors and Need for Intervention: Systematic Review. (2023) · cites this paper as [23]
The Results (pages unavailable) report greater body-image distortion after radical mastectomy and higher hopelessness particularly when mastectomy is combined with high alexithymia. The claim omits that qualification and adds psychological distress as a comparative finding, which the reported surgery comparisons do not establish. The Participants section also shows the sample included women from both Mexico and Spain, not Spain alone. (LLM, conf=0.88)
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Cites
Society and the Adolescent Self-Image
Rosenberg, M. (1965) · doi:10.1515/9781400876136 · Cited by 30,126 · see citing works
Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(94)90005-1 · Cited by 5,293 · see citing works
Al-Ghazal, S. K., Fallowfield, L. J., & Blamey, R. W. (2000) · European Journal of Cancer · doi:10.1016/s0959-8049(00)00197-0 · Cited by 656 · see citing works
Body image issues in women with breast cancer
Helms, R. L., O’Hea, E., & Corso, M. (2008) · Psychology Health & Medicine · doi:10.1080/13548500701405509 · Cited by 316 · cited 1× · see citing works
“, good conditioning and physical attractiveness) and the real image (Helms et al., 2008).”
BackgroundMy changed body: breast cancer, body image, distress and self‐compassion
Przezdziecki, A., Sherman, K. A., Baillie, A., Taylor, A., Foley, E., & Bilinski, K. L. (2012) · Psycho-Oncology · doi:10.1002/pon.3230 · Cited by 311 · see citing works
Parker, P. A., Youssef, A., Walker, S. B., Basen-Engquist, K. M., Cohen, L. G., Gritz, E. R., Wei, Q. X., & Robb, G. (2007) · Annals of Surgical Oncology · doi:10.1245/s10434-007-9413-9 · Cited by 301 · see citing works
Puts, M. T. E., Tapscott, B., Fitch, M. I., Howell, D., Monette, J., Wan-Chow-Wah, D., Krzyzanowska, M. K., Leighl, N., Springall, E., & Alibhai, S. M. H. (2014) · Cancer Treatment Reviews · doi:10.1016/j.ctrv.2014.12.010 · Cited by 265 · see citing works
Sheehan, J., Sherman, K. A., Lam, T., & Boyages, J. (2007) · Psycho-Oncology · doi:10.1002/pon.1067 · Cited by 240 · see citing works
Psychosocial outcomes of breast-conserving surgery versus mastectomy: A meta-analytic review.
Moyer, A. E. (1997) · Health Psychology · doi:10.1037//0278-6133.16.3.284 · Cited by 239 · cited 2× · see citing works
“…7 December 2020 | Volume 11 | Article 604004 Studies explaining body image distortion in breast cancer patients highlight the role of surgery as a relevant variable (Moyer, 1997; Al-Ghazal et al., 2000; Jabłoński et al., 2018), since the area of the breasts is especially threatened.”
BackgroundConcern About Aspects of Body Image and Adjustment to Early Stage Breast Cancer
Carver, C. S., Pozo-Kaderman, C., Price, A. A., Noriega, V., Harris, S. D., Derhagopian, R. P., Robinson, D. S., & Moffat, F. L. (1998) · Psychosomatic Medicine · doi:10.1097/00006842-199803000-00010 · Cited by 215 · see citing works
Hopwood, P., Haviland, J., Mills, J., Sumo, G., & Bliss, J. M. (2007) · The Breast · doi:10.1016/j.breast.2006.11.003 · Cited by 206 · cited 2× · see citing works
“The Hopwood Body Image Scale (Hopwood et al., 2007) was used.”
MethodEffects of breast cancer surgery and surgical side effects on body image over time
Collins, K. K., Liu, Y., Schootman, M., Aft, R., Yan, Y., Dean, G., Eilers, M., & Jeffe, D. B. (2010) · Breast Cancer Research and Treatment · doi:10.1007/s10549-010-1077-7 · Cited by 193 · see citing works
Gu, J., Groot, G., Boden, C., Busch, A. J., Holtslander, L. F., & Lim, H. J. (2018) · Clinical Breast Cancer · doi:10.1016/j.clbc.2017.12.013 · Cited by 190 · cited 1× · see citing works
“However, many women’s concerns for body image and femininity lead them to opt for BCT in order to preserve the shape of the affected breast as much as possible (Puts et al., 2015; Gu et al., 2018).”
BackgroundHope and Hopelessness: The Role of Hope in Buffering the Impact of Hopelessness on Suicidal Ideation
Huen, J. M. Y., Ip, B. Y. T., Ho, S. M. Y., & YIP, P. S. F. (2015) · PLoS ONE · doi:10.1371/journal.pone.0130073 · Cited by 175 · cited 1× · see citing works
“In this context, alexithymia has become a factor of special interest as it is considered a risk factor in those people who have previously attempted suicide (Hintikka et al., 2004; Huen et al., 2015).”
BackgroundCoping with breast cancer: a meta-analysis
Kvillemo, P., & Bränström, R. (2014) · PLoS ONE · doi:10.1371/journal.pone.0112733 · Cited by 169 · cited 1× · see citing works
“These coping styles increase the incidence of physical symptoms such as pain, fatigue, insomnia or loss of limb functionality (specifically, in the arm or armpit of the affected breast), which in turn, influence the probability of recurrence (Kvillemo and Bränström, 2014; Ahadzadeh and Sharif, 2018).”
BackgroundAaron, R. V., Fisher, E., de la Vega, R., Lumley, M. A., & Palermo, T. M. (2019) · Pain · doi:10.1097/j.pain.0000000000001487 · Cited by 162 · see citing works
Moreira, H., & Canavarro, M. C. (2010) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2010.04.001 · Cited by 158 · cited 1× · see citing works
“It is important to highlight that the chest is a part of the body closely linked to sexuality, femininity and the identity attributed to the sense of being a woman (Carver et al., 1998; Petronis et al., 2003; Moreira and Canavarro, 2010; Jabłoński et al., 2018).”
BackgroundAlexithymia and Suicide Risk in Psychiatric Disorders: A Mini-Review
Berardis, D. D., Fornaro, M., Orsolini, L., Valchera, A., Carano, A., Vellante, F., Perna, G., Serafini, G., Gonda, X., Pompili, M., et al. (2017) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2017.00148 · Cited by 150 · cited 3× · see citing works
“In addition, it can increase suicidal ideation as indicated by previous literature on the relationship of negative emotional state with suicidal thoughts in different clinical populations (Carano et al., 2012; De Berardis et al., 2017; De Berardis et al., 2020; Serafini et al., 2020).”
BackgroundIndividual and dyadic predictors of body image in women with breast cancer
Zimmermann, T., Scott, J. L., & Heinrichs, N. (2009) · Psycho-Oncology · doi:10.1002/pon.1660 · Cited by 135 · see citing works
Concerns About Sexuality After Breast Cancer
Fobair, P., & Spiegel, D. (2009) · The Cancer Journal · doi:10.1097/ppo.0b013e31819587bb · Cited by 131 · cited 1× · see citing works
“, 2007), which is why this construct influences self-esteem (Sarwer and Cash, 2008) and sexuality (Fobair and Spiegel, 2009).”
BackgroundA longitudinal study of psychosocial distress in breast cancer: Prevalence and risk factors
Andreu, Y., Galdón, M. J., Durá, E., Martínez, P., Pérez, S., & Murgui, S. (2012) · Psychology & Health · doi:10.1080/08870446.2010.542814 · Cited by 129 · see citing works
Janni, W., Rjosk, D., Dimpfl, T., Härtl, K., Strobl, B., Hepp, F., Hanke, A., Bergauer, F., & Sommer, H. (2001) · Annals of Surgical Oncology · doi:10.1007/s10434-001-0542-2 · Cited by 121 · cited 1× · see citing works
“Other studies go a step further and specify which type of breast operation causes psychological sequelae (Moyer, 1997; Janni et al., 2001; Parker et al., 2007).”
BackgroundBrausch, A. M., & Decker, K. M. (2013) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-013-9822-0 · Cited by 119 · see citing works
Quality of life and satisfaction after breast cancer operation
Han, J., Grothuesmann, D., Neises, M., Hille, U., & Hillemanns, P. (2009) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-009-1302-y · Cited by 118 · cited 1× · see citing works
“, breast scar, weight gain, loss of function or loss of sensitivity), leading to rejection and problems in sexual intercourse (Han et al., 2010; Jabłoński et al., 2018).”
BackgroundGrassi, L. G., Buda, P., Cavana, L., Annunziata, M. A., Torta, R., & Varetto, A. (2004) · Psycho-Oncology · doi:10.1002/pon.826 · Cited by 115 · cited 1× · see citing works
“In some clinical studies with non-Hispanic populations, they have confirmed that the use of maladaptive strategies such as hopelessness and anxious preoccupation are effective indicators of the degree of maladjustment and psychological distress (Grassi et al., 2005).”
BackgroundKojima, M. (2012) · BioPsychoSocial Medicine · doi:10.1186/1751-0759-6-21 · Cited by 115 · cited 1× · see citing works
“It is important to understand that the problems that arise in adapting to the continuous changes that the disease causes usually stem from difficulties at the emotional level (Kojima, 2012).”
BackgroundBerardis, D. D., Vellante, F., Fornaro, M., Anastasia, A., Olivieri, L., Rapini, G., Serroni, N., Orsolini, L., Valchera, A., Carano, A., et al. (2019) · International Journal of Psychiatry in Clinical Practice · doi:10.1080/13651501.2019.1699575 · Cited by 103 · cited 2× · see citing works
“In addition, it can increase suicidal ideation as indicated by previous literature on the relationship of negative emotional state with suicidal thoughts in different clinical populations (Carano et al., 2012; De Berardis et al., 2017; De Berardis et al., 2020; Serafini et al., 2020).”
BackgroundAlexithymia and its relationships with body checking and body image in a non-clinical female sample
Berardis, D. D., Carano, A., Gambi, F., Campanella, D., Giannetti, P., Ceci, A., Mancini, E., Rovere, R. L., Cicconetti, A., Penna, L. L., et al. (2006) · Eating Behaviors · doi:10.1016/j.eatbeh.2006.11.005 · Cited by 98 · cited 1× · see citing works
“In these studies conducted with healthy populations, it is suggested that the difficulty in distinguishing emotional states reinforces the focus of attention on negative aspects of the body, which exacerbates the alterations in body image (Montebarocci et al., 2006; De Berardis et al., 2007).”
BackgroundMental adjustment to cancer and quality of life in breast cancer patients: An exploratory study
Ferrero, J., Barreto, M. P., & Toledo, M. (1994) · Psycho-Oncology · doi:10.1002/pon.2960030309 · Cited by 98 · cited 1× · see citing works
“To identify the coping strategies, the Spanish version of Mental Adjustment to Cancer Scale (MAC) was administered (Ferrero et al., 1994).”
MethodPredictors of depressive symptoms 12 months after surgical treatment of early‐stage breast cancer
Oudsten, B. L. D., Heck, G. L. V., van der Steeg, A. F. W., Roukema, J. A., & Vries, J. D. (2009) · Psycho-Oncology · doi:10.1002/pon.1518 · Cited by 97 · see citing works
Alexithymia and Suicide Ideation in a Sample of Patients with Binge Eating Disorder
Carano, A., De Berardis, D., Campanella, D., Serroni, N., Ferri, F., Di Iorio, G., Acciavatti, T., Mancini, L., Mariani, G., Martinotti, G., et al. (2012) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000410982.08229.99 · Cited by 91 · see citing works
An evaluation of the absolute and relative stability of alexithymia in women with breast cancer
Luminet, O., Rokbani, L., Ogez, D., & Jadoulle, V. (2007) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.01.003 · Cited by 91 · see citing works
Alexithymia and suicidal ideation: A 12-month follow-up study in a general population
Hintikka, J. J., Honkalampi, K. M., Koivumaa-Honkanen, H. T., Antikainen, R., Tanskanen, A. J., Haatainen, K. M., & Viinamäki, H. T. (2004) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2004.06.008 · Cited by 84 · cited 1× · see citing works
“In this context, alexithymia has become a factor of special interest as it is considered a risk factor in those people who have previously attempted suicide (Hintikka et al., 2004; Huen et al., 2015).”
BackgroundAlexithymia in Cancer Patients: Review of the Literature
Vries, A. M. M. D., Forni, V., Voellinger, R., & Stiefel, F. (2012) · Psychotherapy and Psychosomatics · doi:10.1159/000330888 · Cited by 77 · cited 1× · see citing works
“In an oncology population, the studies carried out by Luminet et al. (2007) and De Vries et al. (2012) have confirmed that alexithymia is stable over time and that it increases in the presence of anxious and depressive states.”
BackgroundPsychological Distress and Intrusive Thoughts in Cancer Patients
Baider, L., & De‐Nour, A. K. (1997) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199705000-00010 · Cited by 74 · see citing works
Petronis, V. M., Carver, C. S., Antoni, M. H., & Weiss, S. M. (2003) · Psychology and Health · doi:10.1080/0887044021000020941 · Cited by 71 · see citing works
Determinants of suicidal ideation in patients with breast cancer
Kim, J., Jang, J., Stewart, R. J., Kim, S., Kim, S., Kang, H., Shin, I., Park, M., Yoon, J., & Yoon, J. (2013) · Psycho-Oncology · doi:10.1002/pon.3367 · Cited by 68 · see citing works
Alexithymia in female patients with eating disorders
Montebarocci, O., Codispoti, M., Surcinelli, P., Franzonı, E., Baldaro, B., & Rossi, N. C. F. (2006) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/bf03327739 · Cited by 67 · see citing works
The Alexithymia Personality Dimension
Taylor, G. J., & Bagby, R. M. (2012) · doi:10.1093/oxfordhb/9780199735013.013.0030 · Cited by 66 · see citing works
Baudic, S., Jayr, C., Albi-Feldzer, A., Fermanian, J., Masselin-Dubois, A., Bouhassira, D., & Attal, N. (2015) · Journal of Pain · doi:10.1016/j.jpain.2015.10.001 · Cited by 66 · see citing works
Alexithymia, coping, and illness behavior correlates of pain experience in cancer patients
Porcelli, P., Tulipani, C., Maiello, E., Cilenti, G., & Todarello, O. (2006) · Psycho-Oncology · doi:10.1002/pon.1115 · Cited by 61 · see citing works
Uncertainty and Quality of Life in Women With Breast Cancer
Ahadzadeh, A. S., & Sharif, S. P. (2018) · Cancer Nursing · doi:10.1097/ncc.0000000000000552 · Cited by 51 · cited 2× · see citing works
“Some studies have found that those who have undergone a BCT show an adaptive coping style and the perception they maintain of their own image is more adjusted (Al-Ghazal et al., 2000).”
BackgroundPerkins, N. M., & Brausch, A. M. (2019) · International Journal of Eating Disorders · doi:10.1002/eat.23116 · Cited by 50 · see citing works
Saita, E., Acquati, C., & Kayser, K. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.00088 · Cited by 30 · cited 1× · see citing works
“However, more research is needed to explain alexithymia’s influence as a personality factor that damages body image and promotes the use of maladaptive coping strategies as possible risk factors for women with breast cancer (Saita et al., 2015).”
BackgroundSebastián, J., Manos, D., Bueno, M. ª. J., & Mateos, N. (2007) · Hispana · Cited by 29 · see citing works
Quality of Life and Religious Coping in Women with Breast Cancer
Ursaru, M., Crumpei, I., & Crumpei, G. (2014) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2013.12.705 · Cited by 28 · see citing works
The psychological impact of anal cancer screening on HIV‐infected men
Landstra, J. M. B., Ciarrochi, J., Deane, F. P., Botes, L. P., & Hillman, R. J. (2012) · Psycho-Oncology · doi:10.1002/pon.3040 · Cited by 27 · cited 1× · see citing works
“Furthermore, it seems to be related to the way in which patients with cancer and other diseases describe their experience of pain, as well as to maladaptive coping and unhealthy behaviors such as a sedentary lifestyle (Porcelli et al., 2007; Landstra et al., 2013).”
BackgroundGregorowitsch, M. L., van den Bongard, H. J. G. D., Young‐Afat, D. A., Pignol, J., van Gils, C. H., May, A. M., & Verkooijen, H. M. (2017) · Breast Cancer Research and Treatment · doi:10.1007/s10549-017-4495-y · Cited by 25 · cited 1× · see citing works
“In this context, low adaptation is defined by manifested anxiety and depression (Gregorowitsch et al., 2018) as a consequence of stress caused by personal insecurity, which explains why strategies focused on cognitive avoidance, helplessness or persistent worries tend to be the most common to deal with the disease.”
BackgroundBody Image: Interfacing Behavioral and Medical Sciences
Sarwer, D. B., & Cash, T. F. (2008) · Aesthetic Surgery Journal · doi:10.1016/j.asj.2008.03.007 · Cited by 24 · cited 2× · see citing works
“…as the subjective representation of physical appearance and a source of satisfaction or dissatisfaction when this perception does not match with social ideals (Parker et al., 2007), which is why this construct influences self-esteem (Sarwer and Cash, 2008) and sexuality (Fobair and Spiegel, 2009).”
BackgroundJabłoński, M. J., Streb, J., Mirucka, B., Słowik, A., & Jach, R. (2018) · Psychiatria Polska · doi:10.12740/pp/91916 · Cited by 24 · cited 3× · see citing works
“Studies explaining body image distortion in breast cancer patients highlight the role of surgery as a relevant variable (Moyer, 1997; Al-Ghazal et al., 2000; Jabłoński et al., 2018), since the area of the breasts is especially threatened.”
BackgroundMontebarocci, O., Dato, F. L., Baldaro, B., Morselli, P. G., & Rossi, N. C. F. (2007) · Psychological Reports · doi:10.2466/pr0.101.1.100-106 · Cited by 22 · see citing works
Serafini, G., Berardis, D. D., Valchera, A., Canepa, G., Geoffroy, P. A., Pompili, M., & Amore, M. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.10.046 · Cited by 21 · see citing works
Review of Breast Conservation Therapy: Then and Now
Hoover, S. J., Bloom, E. S., & Patel, S. M. (2011) · ISRN Oncology · doi:10.5402/2011/617593 · Cited by 19 · cited 2× · see citing works
“MSTR surgery is the most commonly used method to remove the affected nodes (Hoover et al., 2011).”
MethodResultAssociation between quality of life and positive coping strategies in breast cancer patients
Furlong, L. V., Gutiérrez, L., Castillejos, N. A., Quiróz-Friedman, P., Peñacoba, C., Catalá, P., & Sánchez-Román, S. (2020) · Women & Health · doi:10.1080/03630242.2020.1802398 · Cited by 18 · see citing works
Self-citationMarrazzo, G., Sideli, L., Rizzo, R., Marinaro, A. M., Mulè, A., Marrazzo, A., Cascia, C. L., & Barbera, D. L. (2016) · Nova Science Publishers (Nova Science Publishers, Inc.) · Cited by 12 · see citing works
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Related Factors with Depression and Anxiety in Mastectomized Women Breast Cancer Survivors
Álvarez-Pardo, S., PAZ, J. A. D., Romero-Pérez, E., Tánori-Tapia, J., Rendón-Delcid, P. A., González-Bernal, J., Fernández-Solana, J., Simón-Vicente, L., Mielgo-Ayuso, J., & González-Santos, J. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20042881 · Cited by 31 · see citing works
Coping in Post-Mastectomy Breast Cancer Survivors and Need for Intervention: Systematic Review.
Mishra, A., Nair, J., & Sharan, A. M. (2023) · Breast Cancer Basic and Clinical Research · doi:10.1177/11782234231209126 · Cited by 15 · see citing works
“14,16,23,24 Qualitative research done in this aspect on women who have undergone mastectomy has shown that the surgery adversely affects women.”
BackgroundGutiérrez, L., Furlong, L. V., Sánchez-Román, S., Berzal-Pérez, E., Castillejos, N. A., & Quiróz-Friedman, P. (2021) · Quality of Life Research · doi:10.1007/s11136-021-02885-3 · Cited by 10 · see citing works
“In the same way that several authors point out surgery as a stressful situation [31, 53], we also emphasize the duration of cancer treatment as another of the situations associated with emotional blockage.”
BackgroundSelf-citationPrevalence of alexithymia in cancer patients: a systematic review and meta-analysis
Liu, Y., Du, Q., & Jiang, Y. (2023) · Supportive Care in Cancer · doi:10.1007/s00520-023-08106-6 · Cited by 9 · see citing works
Identifying therapies to effectively reduce alexithymia: A systematic review and meta-analysis
Mazza, A. D., Davis, P., Johnson, L., Larkin, F., & Cole, S. N. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121167 · Cited by 5 · see citing works
Zhang, T., Sun, F., Ma, X., Liu, Y., Li, F., & Zhang, L. (2025) · Scientific Reports · doi:10.1038/s41598-025-86835-w · Cited by 4 · see citing works
Liao, Z., Hu, P., Xiao, T., Tang, H., Deng, H., Hao, X., & Yan, J. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1722515 · Cited by 1 · see citing works
Gutiérrez, L., Furlong, L. V., Román, S. S., Pérez, E. B., Castillejos, N. A., & Quiróz-Friedman, P. (2021) · Research Square · doi:10.21203/rs.3.rs-224671/v1
“[33], in which conclusive results on the di culty of emotional identi cation in the active phase of treatment was found.”
ResultZakerin, S., موسوی, س. ح., Fakhar, H. B. Z., & Akbari, M. E. (2026) · International Journal of Cancer Management · doi:10.5812/ijcm-166509
Jahanmehr, S., & Majidi, A. (2026) · Iranian Journal of Breast Diseases · doi:10.66224/ijbd.18.4.57
“Women with breast cancer and high alexithymia experience greater hopelessness and distorted body images (10).”
- Authors
- Gutiérrez Hermoso, L., Velasco Furlong, L., Sánchez-Román, S., & Salas Costumero, L.
- Affiliations
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (MX)
- ORCID
- Sánchez-Román, Sofía
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2020-12-18
- Volume
- 11
- Pages
- 604004-604004
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC7775299
- OpenAlex
- W3111790060
- Cited by
- 11
- References
- 55
- Citations by year
- 2026: 3 · 2025: 2 · 2023: 4 · 2021: 2
- FWCI
- 0.54
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- BURJC Digital (King Juan Carlos University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Hispana (submittedVersion, cc-by)
- Greater South Information System
- 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 › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- alexithymia, breast cancer, body image, psychological adjustment, radical mastectomy, breast-conserving therapy, hopelessness, maladaptive coping, body acceptance
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