ArticleHealth and quality of life outcomes2020
Body image mediates the relationship between post-surgery needs and health-related quality of life among women with breast cancer: a cross-sectional study.
Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
- Psychological Capital's Impact on Learned Helplessness Among Nursing Postgraduates: A Path Analysis of Dual Mediation Through Professional Identity Dimensions.Nursing open · 2026Article
- Association Between Body Image and Quality of Life of Women Who Underwent Breast Cancer Surgery.International journal of environmental research and public health · 2025Article
- Demographic Differences and Associations Between Body Image and Quality of Life Among Japanese Adolescents with Congenital Physical Disabilities.Behavioral sciences (Basel, Switzerland) · 2024Article
- Assessing the factors associated with body image perception and quality of life of Palestinian women undergoing breast cancer treatment: a cross-sectional study.BMC women's health · 2024Article
- Quality of life and its predictors among breast cancer patients treated with surgery-a retrospective minimum 3-year follow-up study.Frontiers in oncology · 2024Article
- Relationship between kinesiophobia and quality of life among patients with breast cancer-related lymphedema: Chain-mediating effect of self-care and functional exercise compliance.Asia-Pacific journal of oncology nursing · 2024Article
- The relationship among body image, psychological distress, and quality of life in young breast cancer patients: a cross-sectional study.Frontiers in psychology · 2024Article
- How to improve emotional regulation in breast cancer survivors? A psychological intervention.Frontiers in psychology · 2024Article
- Predictors of information needs among women with breast cancer receiving adjuvant therapy at Tikur Anbessa specialized hospital, Addis Ababa Ethiopia: a cross-sectional study.BMC women's health · 2023Article
- The mediating effect of coping styles between self-compassion and body image disturbance in young breast cancer survivors: a cross-sectional study.BMC nursing · 2023Article
- Pre-operative and early postoperative health-related quality of life of breast cancer woman: a Lebanese prospective study.BMC women's health · 2023Article
- Tailored Psychological Interventions to Manage Body Image: An Opinion Study on Breast Cancer Survivors.International journal of environmental research and public health · 2023Article
- Perceived needs and health-related quality of life in women with breast cancer undergoing chemotherapy: a cross-sectional study.BMJ open · 2022Article
- Unmet needs of 1210 Chinese breast cancer survivors and associated factors: a multicentre cross-sectional study.BMC cancer · 2022Article
- How to address the body after breast cancer? A proposal for a psychological intervention focused on body compassion.Frontiers in psychology · 2022Article
- Clinical and sociodemographic characteristics associated with health-related quality of life among older breast cancer survivors.Women's health (London, England)Article
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Abstract
backgroundAlthough body image (BI) disturbance is a common problem that often contributes to poor health-related quality of life (HRQoL) among women with breast cancer following surgery, the mediating role of BI (as a self-perceptive factor) in the relationship between needs and HRQoL after controlling for socio-demographic factors remains unclear. The purpose of this study was to identify the mediating role of BI between post-surgery needs and HRQoL after controlling for socio-demographic factors among women with breast cancer.
methodsIn this cross-sectional study, the primary outcome was HRQoL (as measured with the 36-item Short-Form Health Survey version 2 [SF-36v2] and Functional Assessment of Cancer Therapy-Breast version 4.0 [FACT-Bv4.0]). The secondary outcomes included needs (measured in terms of needs importance [NI] and needs satisfaction [NS]) and BI. Structural equation modeling was used to identify the mediating role of BI between needs and HRQoL while considering socio-demographics.
resultsThe 406 eligible patients reported poor HRQoL, and approximately half reported important unmet needs and poor BI. NI, NS, and socio-demographics had differing direct effects on BI and HRQoL, and contrasting indirect effects on HRQoL via BI. NI, NS, surgery type, presence of chronic disease, and BI explained 4% of the variance in the SF-36v2 physical component summary score; NI, NS, surgery type, residence, and BI explained 20% of the variance in the mental component summary score; and NI, NS, marital status, employment status, radiotherapy, and BI explained 33% of the variance in the FACT-Bv4.0 total score.
conclusionsAfter surgery, women with breast cancer have poor HRQoL and BI, and important unmet needs. BI mediates the relationship between needs and HRQoL after controlling for socio-demographics. The present findings provide information for developing comprehensive BI-based needs interventions and preparing targeted health-management programs for patients with breast cancer.
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