ArticleHealth psychology and behavioral medicine2026
Body image distress, self-esteem, and psychological adjustment following breast cancer surgery: a comparative and mediation analysis.
Article in Health psychology and behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Breast cancer surgery can substantially affect body image and self-esteem, particularly after mastectomy. Although breast reconstruction may be associated with more favourable psychosocial outcomes, the body-image dimensions underlying differences in self-esteem remain incompletely understood. This study examined cross-sectional associations among surgical status, body image, and self-esteem in women with breast cancer. Methods: A multicentre cross-sectional study included 450 women: mastectomy with reconstruction ( Results: Self-esteem and body-image scores differed significantly across groups after adjustment for sociodemographic and clinical characteristics (all Conclusions: Body-image domains were strongly associated with self-esteem and statistically accounted for a substantial proportion of the cross-sectional association between surgical status and self-esteem. Women with reconstruction reported higher self-esteem than those without reconstruction, although scores remained lower than the non-mastectomy comparison group. Body-image assessment and psychosocial support may be valuable components of survivorship care; however, prospective studies are needed to evaluate targeted interventions.
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