DOI QR코드

DOI QR Code

Multidimensional body image, self-esteem, clothing benefits sought, and body image after breast cancer by the surgical subgroups among breast cancer survivors

유방암 생존자의 수술방법에 따른 다차원적 신체이미지, 자아존중감, 의복추구혜택과 수술 후 신체이미지에 관한 연구

  • Lee, Eun Ok (Dept. of Clothing, Sungshin Women's University) ;
  • Rhee, YoungJu (Dept. of Clothing, Sungshin Women's University)
  • 이은옥 (성신여자대학교 의류학과) ;
  • 이영주 (성신여자대학교 의류학과)
  • Received : 2016.10.17
  • Accepted : 2016.12.28
  • Published : 2016.12.31

Abstract

This study investigated multidimensional body image, self-esteem, clothing benefits sought, and Body Image After Breast Cancer (BIABC) within surgical subgroups among breast cancer survivors. The study applied the questionnaire survey method and the main research was conducted through an online survey. The respondents included 207 breast cancer survivors between the ages of 30 and 59, each of whom received the Multidimensional Body-Self Relations Questionnaire (MBSRQ). Self-esteem, clothing benefits sought, examination, and demographic variables were measured using a 5-point Likert scale. The main results of this study are outlined below. For clothing benefit sought, six factors were formulated-pursuit of self-expression/social approval, function/health, compensation, femininity, fashion, and camouflage-and BIABC was defined by the four factors of body stigma/vulnerability, transparency, limitation and cancer concern. While MBSRQ and self-esteem did not show a statistically significant difference between groups differentiated by the surgical methods experienced, those who underwent mastectomies scored slightly lower than members of the other groups. Moreover, the reconstruction after mastectomy group showed the highest mean on self-expression/social approval, compensation, femininity and entire clothing benefits sought, followed by the lumpectomy group and mastectomy group. The lumpectomy group was found to have more positive BIABC than the mastectomy group. In particular, the mastectomy group showed a lower body stigma/vulnerability mean than the other groups. This study is meaningful in that it improves our understanding of the body image of breast cancer survivors and provides basic knowledge for developing products and marketing strategies for breast cancer survivors as consumers.

Keywords

References

  1. Al-Ghazal, S. K., Fallowfield, L., & Blamey, R. W. (2000). Comparison of psychological aspects and patient satisfaction following breast conserving surgery, simple mastectomy and breast reconstruction. European Journal of Cancer, 36(15), 1938-1943. doi:10.1016/S0959-8049(00)00197-0
  2. Aronowitz, R. A. (2007). Unnatural history: Breast cancer and American society. New York: Cambridge University Press.
  3. Baxter, N. N., Goodwin, P. J., Mcleod, R. S., Dion, R., Devins, G., & Bombardier, C. (2006). Reliability and validity of the body image after breast cancer questionnaire. The Breast Journal, 12(3), 221-232. doi:10.1111/j.1075-122X.2006.00246.x
  4. Brown, T. A., Cash, T. F., & Lewis, R. J. (1989). Body-image disturbances in adolescent female binge-purgers: A brief report of the results of a national survey in the U.S.A. Journal of Child Psychology and Psychiatry, 30(4), 605-613. doi:10.1111/j.1469-7610.1989.tb00272.x
  5. Brown, T. A., Cash, T. F., & Mikulka, P. J. (1990). Attitudinal body-image assessment: Factor analysis of the body-self relations questionnaire. Journal of Personality Assessment, 55(1/2), 135-144. doi:10.1080/00223891.1990.9674053
  6. Cash, T. F. (1994). Body-image attitudes: Evaluation, investment, and affect. Perceptual and Motor Skills, 78(3), 1168-1170. doi:10.2466/pms.1994.78.3c.1168
  7. Cash, T. F. (2000). The multidimensional body-self relations questionnaires user's manual (3rd Rev.). Available from the author at http://www.bodyimages.com
  8. Cash, T. F. (2008). The body image workbook: An eight-step program for learning to like your looks (2nd ed.). Oakland, CA: New Harbinger.
  9. Cash, T. F., & Pruzinsky, T. (2002). Body images: A handbook of theory, research, and clinical practice. New York: Guilford Press.
  10. Cash, T. F., Winstead, B. A., & Janda, L. H. (1985). Your body, yourself: A reader survey. Psychology Today, 19(7), 22-26.
  11. Cho, S. M., & Koh, A.-R. (2008). A study on lifestyle and sportswear benefits sought according to consuming desire of sports. Journal of the Korean Society of Clothing and Textiles, 32(3), 418-430. doi:10.5850/JKSCT.2008.32.3.418
  12. Cho, Y. J. (2011). The influence of male consumers' clothing benefits sought on purchase intention of functional clothing: Focused on well-being health consciousness and age. Fashion & Textile Research Journal, 13(6), 900-908. doi:10.5805/KSCI.2011.13.6.900
  13. Choi, J. A. (1996). An effect of self-consciousness and self-esteem on attitude towards counselling. Unpublished master's thesis, Yonsei University, Seoul, Korea.
  14. Collins, K. K., Liu, Y., Schootman, M., Aft, R., Yan, Y., Dean, G., Eilers, M., & Jeffe, D. B. (2011). Effects of breast cancer surgery and surgical side effects on body image over time. Breast Cancer Research and Treatment, 126(1), 167-176. doi:10.1007/s10549-010-1077-7
  15. Dahl, C. A., Reinertsen, K. V., Nesvold, I.-L., Fossa, S. D., & Dahl, A. A. (2010). A study of body image in long-term breast cancer survivors. Cancer, 116(15), 3549-3557. doi:10.1002/cncr.25251
  16. Dalton, E. J., Rasmussen, V. N., Classen, C. C., Grumann, M., Palesh, O. G., Zarcone, J.,... & Spiegel, D. (2009). Sexual adjustment and body image scale (SABIS): A new measure for breast cancer patients. The Breast Journal, 15(3), 287-290. doi:10.1111/j.1524-4741.2009.00718.x
  17. Engel, J., Kerr, J., Schlesinger-Rabb, A., Sauer, H., & Holzel, D. (2004). Quality of life following breastconserving therapy or mastectomy: Results of a 5-year prospective study. The Breast Journal, 10(3), 223-231. doi:10.1111/j.1075-122X.2004.21323.x
  18. Fobair, P., Stewart, S. L., Chang, S., D'Onofrio, C., Banks, P. J., & Bloom, J. R. (2006). Body image and sexual problems in young women with breast cancer. Psycho-Oncology, 15(7), 579-594. doi:10.1002/pon.991
  19. Ford, I. M. & Drake, M. F. (1982). Attitudes toward clothing, body and self: A comparison of two groups. Family and Consumer Sciences Research Journal, 11(2), 189-196. doi:10.1177/1077727X8201100210
  20. Hong, H.-S., & Koh, A. R. (1996). Interactive effects of usage-situations and personal characteristics on benefit soughts of clothing and preferences of brand type. Journal of the Korean Society of Clothing and Textiles, 20(5), 738-752.
  21. Hopwood, P., Fletcher, I., Lee, A., & Al Ghazal. S. (2001). A body image scale for use with cancer patients. European Journal of Cancer, 37(2), 189-197. doi:10.1016/S0959-8049(00)00353-1
  22. Kalaitzi, C., Papadopoulos, V. P., Michas, K., Vlasis, K., Skandalakis, P., & Filippou, D. (2007). Combined brief psychosexual intervention after mastectomy:Effects on sexuality, body image, and psychological well-being. Journal of Surgical Oncology, 96(3), 235-240. doi:10.1002/jso.20811
  23. Kang, S. Y. (2003). Appearance complex and bodyimage. Unpublished master's thesis, The Catholic University of Korea, Seoul, Korea.
  24. Kearney, N., & Richardson, A. (Eds.) (2006). Nursing patients with cancer: Principles and practice. Edinburgh: Elsevier Churchill Livingstone.
  25. Keeton, W. P., Cash, T. F., & Brown, T. A. (1990). Body image or body images?: Comparative, multidimensional assessment among college students. Journal of Personality Assessment, 54(1-2), 213-230. doi:10.1207/s15327752jpa5401&2_21
  26. Kim, C. Y. (2013). The validation of Korean version of body image scale in patients with breast cancer:A preliminary study. Unpublished masters' thesis, Dong-A University, Busan, Korea.
  27. Kim, Y. S., & Tae, Y. S. (2011). The influencing factors on quality of life among breast cancer survivors. Asian Oncology Nursing, 11(3), 221-228. doi:10.5388/jkon.2011.11.3.221
  28. Korea Central Cancer Registry. (2013, March 22). Annual report of cancer statistics in Korea in 2010 (Approval No. 11744). Retrieved February, 2, 2014, from National Cancer Center website: http://ncc.re.kr/cancerStatsView.ncc?bbsnum=250&searchKey=total&searchValue=&pageNum=1
  29. Lee, M.-A. (2010). Comparative study between married and unmarried women on consumption values and clothing benefits: Focusing on working women in their 20's and 30's. Journal of Korean Society of Clothing and Textiles, 34(5), 808-818. doi:10.5850/JKSCT.2010.34.5.808
  30. Lee, Y.-S. (2007). Psychosocial experience in postmastectomy women. Korean Journal of Social Welfare, 59(3), 99-124. https://doi.org/10.20970/kasw.2007.59.3.005
  31. Lindop, E., & Cannon, S. (2001). Evaluation the self-assessed support needs of women with breast cancer. Journal of Advanced Nursing, 34(6), 760-771. doi:10.1046/j.1365-2648.2001.01806.x
  32. Macmillan Cancer Support. (2014, May) Annual report and accounts 2013. Macmillan Cancer Support. Retrived February, 15, 2014, from http://www.macmillan.org.uk/about-us/what-we-do/our-annual-report-and-accounts/how-we-raise-and-spend-ourmoney.html#289251
  33. Mason, R. (1984). Conspicuous consumption: A literature review. European Journal of Marketing, 18(3), 26-39. doi:10.1108/EUM0000000004779
  34. Moreira, H., & Canavarro, M. C. (2010). A longitudinal study about the body image and psychosocial adjustment of breast cancer patients during the course of the disease. European Journal of Oncology Nursing, 14(4), 263-270. doi:10.1016/j.ejon.2010.04.001
  35. Moreira, H., Crespo, C., Paredes, T., Silva, S., Canavarro, M. C., & Dattilio, F. M. (2011). Marital relationship, body image and psychological quality of life among breast cancer patients: The moderating role of the disease's phases. Contemporary Family Therapy, 33(2), 161-178. doi:10.1007/s10591-011-9149-3
  36. Park, E. H. (2012). The effects of sociocultural attitude toward appearance and pursuit of clothing benefits on ambiralent consumption of fashion product. Journal of Fashion Business, 16(1), 137-149. doi:10.12940/jfb.2012.16.1.137
  37. Rhee, Y. J., & Lee, E. O. (2014). An exploratory study on clothing benefits sought by breast cancer survivors. The Research Journal of the Costume Culture, 22(5), 823-833. doi:10.7741/rjcc.2014.22.5.823
  38. Rusticus, S. A., & Hubley, A. M. (2006). Measurement invariance of the multidimensional body-self relations questionnaire: Can we compare across age and gender?. Sex Roles, 55(11), 827-842. doi:10.1007/s11199-006-9135-7
  39. Schain, W. S., Wellisch, D. K., Pasnau, R. O., & Landsverk, J. (1985). The sooner the better: A study of psychological factors in women undergoing immediate versus delayed breast reconstruction. The American Journal of Psychology, 142(1), 40-46. doi:10.1176/ajp.142.1.40
  40. Shim, S., & Bickle, M. C. (1994). Benefit segments of the female apparel market: Psychographics, shopping orientations, and demographics. Clothing and Textiles Research Journal, 12(2), 1-12. doi:10.1177/0887302X9401200201
  41. Song, I. S. (1993). Addictive buying tendencies of consumers. Unpublished doctoral dissertation, Seoul National University, Seoul, Korea.
  42. Song, K.-J., & Kim, J.-S. (2005). The effects of bodyimage measured by multi measurements on body modification, self concept, and clothing behavior. Journal of the Korean Society of Clothing and Textiles, 29(3/4), 391-402.
  43. Sontag, M. S., & Schlater, J. D. (1982). Proximity of clothing to self: Evolution of a concept. Clothing and Textiles Research Journal, 1(1), 1-8. doi:10.1177/0887302X8200100101
  44. Tae, Y. S., Kwon, S. H., Choi, J. H., & Lee, A. R. (2013). Predictive factors for depression breast cancer survivors. Asian Oncology Nursing, 13(3), 113-120. doi:10.5388/aon.2013.13.3.113
  45. Winstead, B. A., & Cash, T. F. (1984, March). Reliability and validity of the body-self relations questionnaire: A new measure of body image. Paper presented at the Meeting of the Southeastern Psychological Association, New Orleans, L.A.
  46. Yoo, M. S., & Lee. S. Y. (2010). The validation of the Korean version of body image after breast cancer questionnaire. Korean Journal of Play Therapy, 13(1), 65-81.
  47. Yun, M. R., & Song, M. S. (2013). A qualitative study on breast cancer survivors' experiences. Perspectives in Nursing Science, 10(1), 41-51.

Cited by

  1. 유방암 환자의 외모 관리 경험에 대한 근거이론적 접근 vol.41, pp.3, 2017, https://doi.org/10.5850/jksct.2017.41.3.556