Impact of chemotherapy-induced alopecia distress on body image, psychosocial well-being, and depression in breast cancer patients
2014; Wiley; Volume: 23; Issue: 10 Linguagem: Inglês
10.1002/pon.3531
ISSN1099-1611
AutoresEun Kyung Choi, Nayeon Kim, Oliver Chang, Danbee Kang, Seok Jin Nam, Jeong Eon Lee, Se Kyung Lee, Young‐Hyuck Im, Yeon Hee Park, Jung‐Hyun Yang, Juhee Cho,
Tópico(s)Menopause: Health Impacts and Treatments
ResumoPsycho-OncologyVolume 23, Issue 10 p. 1103-1110 Paper Impact of chemotherapy-induced alopecia distress on body image, psychosocial well-being, and depression in breast cancer patients Eun Kyung Choi, Eun Kyung Choi Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorIm-Ryung Kim, Im-Ryung Kim Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorOliver Chang, Oliver Chang Krieger School of Arts and Sciences, Johns Hopkins University, Baltimore, MD, USASearch for more papers by this authorDanbee Kang, Danbee Kang Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul, KoreaSearch for more papers by this authorSeok-Jin Nam, Seok-Jin Nam Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorJeong Eon Lee, Jeong Eon Lee Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorSe Kyung Lee, Se Kyung Lee Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorYoung-Hyuck Im, Young-Hyuck Im Department of Hematology and Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorYeon Hee Park, Yeon Hee Park Department of Hematology and Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorJung-Hyun Yang, Jung-Hyun Yang Department of Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, KoreaSearch for more papers by this authorJuhee Cho, Corresponding Author Juhee Cho Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul, Korea Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Correspondence to: Cancer Education Center, Samsung Comprehensive Center, Samsung Medical Center, Sungkyunkwan University School of Medicine & Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, 50, Irwon-Dong Gangnam-Gu, Seoul, Korea. E-mail: jcho@skku.eduSearch for more papers by this author Eun Kyung Choi, Eun Kyung Choi Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorIm-Ryung Kim, Im-Ryung Kim Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorOliver Chang, Oliver Chang Krieger School of Arts and Sciences, Johns Hopkins University, Baltimore, MD, USASearch for more papers by this authorDanbee Kang, Danbee Kang Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul, KoreaSearch for more papers by this authorSeok-Jin Nam, Seok-Jin Nam Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorJeong Eon Lee, Jeong Eon Lee Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorSe Kyung Lee, Se Kyung Lee Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorYoung-Hyuck Im, Young-Hyuck Im Department of Hematology and Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorYeon Hee Park, Yeon Hee Park Department of Hematology and Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaSearch for more papers by this authorJung-Hyun Yang, Jung-Hyun Yang Department of Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, KoreaSearch for more papers by this authorJuhee Cho, Corresponding Author Juhee Cho Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul, Korea Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Correspondence to: Cancer Education Center, Samsung Comprehensive Center, Samsung Medical Center, Sungkyunkwan University School of Medicine & Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, 50, Irwon-Dong Gangnam-Gu, Seoul, Korea. E-mail: jcho@skku.eduSearch for more papers by this author First published: 24 March 2014 https://doi.org/10.1002/pon.3531Citations: 110Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Purpose This study aims to evaluate the impact of chemotherapy-induced alopecia (CIA) distress on body image, psychosocial well-being, and depression among breast cancer patients. Methods A cross-sectional survey was conducted at the breast cancer advocacy events held at 16 hospitals in Korea. Alopecia distress was assessed using the ‘Chemotherapy-Induced Alopecia Distress Scale’, body image and psychosocial well-being were measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 and breast specific module (BR23), and depression was measured using the Center for Epidemiological Studies Depression scale. Means of outcomes were compared between low and high CIA distress groups. Univariable and multivariable linear regression models were used to analyze the relationship between the CIA distress and body image, psychosocial well-being, and depression. Results One hundred sixty-eight breast cancer patients participated in the study; the mean age was 48.4 (SD = 8.4) years, and 55.3% of the patients experienced higher distress from alopecia. In fully adjusted models, the high distress group was more likely to have a poorer body image than the low distress group (35.2 vs. 62.0; p < 0.001). Distressed patients were also more likely to report lower emotional (55.3 vs. 76.9; p < 0.001), role (58.6 vs. 72.0; p < 0.001), and social functioning (51.3 vs. 70.9; p < 0.001). The high distress group was also more likely to have depression compared with the low distress group (19.6 vs. 14.8; p < 0.001). Conclusions Chemotherapy-induced alopecia distress was negatively associated with body image, psychosocial well-being, and depression in women with breast cancer. It is necessary to develop specific interventions to minimize distress due to alopecia for women with breast cancer. Copyright © 2014 John Wiley & Sons, Ltd. Citing Literature Volume23, Issue10October 2014Pages 1103-1110 RelatedInformation
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