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Stigma Perceived by Women Following Surgery for Breast Cancer

CONTEXT: Women undergoing treatment for breast cancer often have psychological morbidity and body image difficulties. The risk factors for increased levels of stigma in women with breast cancer have not been adequately studied. AIMS: This study aimed at investigating the associations of high levels...

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Autores principales: Tripathi, Lopamudra, Datta, Soumitra Shankar, Agrawal, Sanjit Kumar, Chatterjee, Sanjoy, Ahmed, Rosina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5582551/
https://www.ncbi.nlm.nih.gov/pubmed/28900322
http://dx.doi.org/10.4103/ijmpo.ijmpo_74_16
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author Tripathi, Lopamudra
Datta, Soumitra Shankar
Agrawal, Sanjit Kumar
Chatterjee, Sanjoy
Ahmed, Rosina
author_facet Tripathi, Lopamudra
Datta, Soumitra Shankar
Agrawal, Sanjit Kumar
Chatterjee, Sanjoy
Ahmed, Rosina
author_sort Tripathi, Lopamudra
collection PubMed
description CONTEXT: Women undergoing treatment for breast cancer often have psychological morbidity and body image difficulties. The risk factors for increased levels of stigma in women with breast cancer have not been adequately studied. AIMS: This study aimed at investigating the associations of high levels of stigma in women with breast cancer. SETTINGS AND DESIGN: This cross-sectional study was conducted in a comprehensive cancer center in India and recruited women (n = 134) undergoing surgical treatment for breast cancer. METHODS: Body image difficulties, including stigma and affective symptoms, were quantified, alongside disease- and treatment-related variables using standardized questionnaires. STATISTICAL ANALYSIS USED: Univariate analysis followed by multivariate logistic regression was performed to find the risk factors of high levels of stigma related to body image. RESULTS: In the univariate analysis, high levels of stigma were associated with lesser educational attainment (odds ratio [OR] =2.92, confidence interval [CI] 1.25–6.8, P = 0.01), breast conservation surgery (BCS) as opposed to mastectomy (OR = 4.78, CI 2.07–11.03, P < 0.001), having an anxiety disorder (OR = 2.4, CI 1.09–5.33, P = 0.03), and depression (OR = 3.08, CI 1.37–6.89, P < 0.01). On multivariate logistic regression, with stigma as the dependent variable, being less educated (adjusted OR [AOR] 3.08, CI 1.18–8.04, P = 0.02) and opting for BCS (AOR 6.12, CI 2.41–15.5, P < 0.001) were associated with higher stigma. CONCLUSIONS: Women with breast cancer should be screened for distress and stigma. Women opting for BCS may still have unmet emotional needs on completion of surgery and should have access to psychological interventions to address stigma, affective symptoms, and body image problems.
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spelling pubmed-55825512017-09-12 Stigma Perceived by Women Following Surgery for Breast Cancer Tripathi, Lopamudra Datta, Soumitra Shankar Agrawal, Sanjit Kumar Chatterjee, Sanjoy Ahmed, Rosina Indian J Med Paediatr Oncol Original Article CONTEXT: Women undergoing treatment for breast cancer often have psychological morbidity and body image difficulties. The risk factors for increased levels of stigma in women with breast cancer have not been adequately studied. AIMS: This study aimed at investigating the associations of high levels of stigma in women with breast cancer. SETTINGS AND DESIGN: This cross-sectional study was conducted in a comprehensive cancer center in India and recruited women (n = 134) undergoing surgical treatment for breast cancer. METHODS: Body image difficulties, including stigma and affective symptoms, were quantified, alongside disease- and treatment-related variables using standardized questionnaires. STATISTICAL ANALYSIS USED: Univariate analysis followed by multivariate logistic regression was performed to find the risk factors of high levels of stigma related to body image. RESULTS: In the univariate analysis, high levels of stigma were associated with lesser educational attainment (odds ratio [OR] =2.92, confidence interval [CI] 1.25–6.8, P = 0.01), breast conservation surgery (BCS) as opposed to mastectomy (OR = 4.78, CI 2.07–11.03, P < 0.001), having an anxiety disorder (OR = 2.4, CI 1.09–5.33, P = 0.03), and depression (OR = 3.08, CI 1.37–6.89, P < 0.01). On multivariate logistic regression, with stigma as the dependent variable, being less educated (adjusted OR [AOR] 3.08, CI 1.18–8.04, P = 0.02) and opting for BCS (AOR 6.12, CI 2.41–15.5, P < 0.001) were associated with higher stigma. CONCLUSIONS: Women with breast cancer should be screened for distress and stigma. Women opting for BCS may still have unmet emotional needs on completion of surgery and should have access to psychological interventions to address stigma, affective symptoms, and body image problems. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5582551/ /pubmed/28900322 http://dx.doi.org/10.4103/ijmpo.ijmpo_74_16 Text en Copyright: © 2017 Indian Journal of Medical and Paediatric Oncology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Tripathi, Lopamudra
Datta, Soumitra Shankar
Agrawal, Sanjit Kumar
Chatterjee, Sanjoy
Ahmed, Rosina
Stigma Perceived by Women Following Surgery for Breast Cancer
title Stigma Perceived by Women Following Surgery for Breast Cancer
title_full Stigma Perceived by Women Following Surgery for Breast Cancer
title_fullStr Stigma Perceived by Women Following Surgery for Breast Cancer
title_full_unstemmed Stigma Perceived by Women Following Surgery for Breast Cancer
title_short Stigma Perceived by Women Following Surgery for Breast Cancer
title_sort stigma perceived by women following surgery for breast cancer
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5582551/
https://www.ncbi.nlm.nih.gov/pubmed/28900322
http://dx.doi.org/10.4103/ijmpo.ijmpo_74_16
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