The Relationship Between Anxiety and Self-Esteem in Women Suffering from Breast Cancer

Overview

Journal J Midlife Health

Date 2021 Jan 1

PMID 33384534

Citations 4

Authors

Shahrzad Yektatalab

Elaheh Ghanbari

Affiliations

Soon will be listed here.

Abstract

Background: Breast cancer is the most common cancer in women worldwide that has great impact on their lives. Women with breast cancer are at increased risk for anxiety and low self-esteem.

Objective: The purpose of this study was to explore the relationship between anxiety and self-esteem in women suffering from breast cancer.

Materials And Methods: In this descriptive correlational study, all 261 women diagnosed with nonmetastatic breast cancer referred to cancer care clinics in winter 2016 were assessed. Data were gathered using demographic information inventory, Spielberger's State-Trait Anxiety Inventory and Rosenberg's Self-Esteem Scale, and were analyzed using SPSS statistical software (version 22). Descriptive statistics, the -test, ANOVA, the Pearson correlation and the Spearman's correlation were also used.

Results: The mean ± standard deviation (SD) age of participants in the study was 48.33 ± 10.837 years. The mean score of state and trait anxiety was 46.29 ± 11.745 and 46.61 ± 10.936, respectively. The mean ± SD score of self-esteem was 18.38 ± 5.08. The study results show an indirect correlation between anxiety and self-esteem in women suffering from breast cancer ( = -0.690).

Conclusions: According to the considerable influences of anxiety and self-esteem on other aspects of physical, psychological, and social health, it is suggested that health-care professionals pay more attention to the self-esteem and psychological state of women diagnosed with breast cancer besides other medical treatments. Screening strategies for detecting psychiatric disorders in breast cancer patients and planning of effective interventions to promote self-esteem and reduce anxiety and its consequences are recommended.

Citing Articles

The prevalence of anxiety symptoms/disorders in cancer patients: a meta-analysis.

Amiri S Front Psychiatry. 2024; 15:1422540.

PMID: 39619339 PMC: 11605443. DOI: 10.3389/fpsyt.2024.1422540.

Impacts of psychological wellbeing with HIV/AIDS and cancer among sexual and gender minorities: A systematic review and meta-analysis.

Chan A, Leung L, Li J, Ho J, Tam H, Hsu W Front Public Health. 2022; 10:912980.

PMID: 36523575 PMC: 9746694. DOI: 10.3389/fpubh.2022.912980.

Explore the Application Value of Prospective Monitoring Model in the Nursing Management of Breast Cancer Patients During Perioperative Period.

Zhang H, Duan Y, Zhou F Front Surg. 2022; 9:850662.

PMID: 35284475 PMC: 8906514. DOI: 10.3389/fsurg.2022.850662.

Effects of Psychoeducational Interventions Using Mobile Apps and Mobile-Based Online Group Discussions on Anxiety and Self-Esteem in Women With Breast Cancer: Randomized Controlled Trial.

Ghanbari E, Yektatalab S, Mehrabi M JMIR Mhealth Uhealth. 2021; 9(5):e19262.

PMID: 34003138 PMC: 8170553. DOI: 10.2196/19262.

References

Torabizadeh C, Bostani S, Yektatalab S . Comparison between the effects of muscle relaxation and support groups on the anxiety of nursing students: A randomized controlled trial. Complement Ther Clin Pract. 2016; 25:106-113. DOI: 10.1016/j.ctcp.2016.09.001. View

Markopoulos C, Tsaroucha A, Kouskos E, Mantas D, Antonopoulou Z, Karvelis S . Impact of breast cancer surgery on the self-esteem and sexual life of female patients. J Int Med Res. 2009; 37(1):182-8. DOI: 10.1177/147323000903700122. View

Jadoon N, Munir W, Shahzad M, Choudhry Z . Assessment of depression and anxiety in adult cancer outpatients: a cross-sectional study. BMC Cancer. 2010; 10:594. PMC: 2988751. DOI: 10.1186/1471-2407-10-594. View

Schmitt D, Allik J . Simultaneous administration of the Rosenberg Self-Esteem Scale in 53 nations: exploring the universal and culture-specific features of global self-esteem. J Pers Soc Psychol. 2005; 89(4):623-42. DOI: 10.1037/0022-3514.89.4.623. View

Nosek M, Hughes R, Swedlund N, Taylor H, Swank P . Self-esteem and women with disabilities. Soc Sci Med. 2003; 56(8):1737-47. DOI: 10.1016/s0277-9536(02)00169-7. View

Karakoyun-Celik O, Gorken I, Sahin S, Orcin E, Alanyali H, Kinay M . Depression and anxiety levels in woman under follow-up for breast cancer: relationship to coping with cancer and quality of life. Med Oncol. 2009; 27(1):108-13. DOI: 10.1007/s12032-009-9181-4. View

Morasso G, Costantini M, Viterbori P, Bonci F, Del Mastro L, Musso M . Predicting mood disorders in breast cancer patients. Eur J Cancer. 2001; 37(2):216-23. DOI: 10.1016/s0959-8049(00)00390-7. View

Harrison J, Maguire P . Predictors of psychiatric morbidity in cancer patients. Br J Psychiatry. 1994; 165(5):593-8. DOI: 10.1192/bjp.165.5.593. View

Lueboonthavatchai P . Prevalence and psychosocial factors of anxiety and depression in breast cancer patients. J Med Assoc Thai. 2007; 90(10):2164-74. View

10.

KATZ M, Rodin G, Devins G . Self-esteem and cancer: theory and research. Can J Psychiatry. 1995; 40(10):608-15. DOI: 10.1177/070674379504001007. View

11.

Reaby L, Hort L, Vandervord J . Body image, self-concept, and self-esteem in women who had a mastectomy and either wore an external breast prosthesis or had breast reconstruction and women who had not experienced mastectomy. Health Care Women Int. 1994; 15(5):361-75. DOI: 10.1080/07399339409516129. View

12.

Classen C, Butler L, Koopman C, Miller E, Dimiceli S, Giese-Davis J . Supportive-expressive group therapy and distress in patients with metastatic breast cancer: a randomized clinical intervention trial. Arch Gen Psychiatry. 2001; 58(5):494-501. DOI: 10.1001/archpsyc.58.5.494. View

13.

Miller K, Siegel R, Lin C, Mariotto A, Kramer J, Rowland J . Cancer treatment and survivorship statistics, 2016. CA Cancer J Clin. 2016; 66(4):271-89. DOI: 10.3322/caac.21349. View

14.

Alacacioglu A, Ulger E, Varol U, Yildiz I, Salman T, Bayoglu V . Depression, anxiety and sexual satisfaction in breast cancer patients and their partners-Izmir oncology group study. Asian Pac J Cancer Prev. 2015; 15(24):10631-6. DOI: 10.7314/apjcp.2014.15.24.10631. View

15.

Mousavi S, Montazeri A, Mohagheghi M, Mousavi Jarrahi A, Harirchi I, Najafi M . Breast cancer in Iran: an epidemiological review. Breast J. 2007; 13(4):383-91. DOI: 10.1111/j.1524-4741.2007.00446.x. View

16.

Maass S, Roorda C, Berendsen A, Verhaak P, de Bock G . The prevalence of long-term symptoms of depression and anxiety after breast cancer treatment: A systematic review. Maturitas. 2015; 82(1):100-8. DOI: 10.1016/j.maturitas.2015.04.010. View

17.

Antle B . Factors associated with self-worth in young people with physical disabilities. Health Soc Work. 2004; 29(3):167-75. DOI: 10.1093/hsw/29.3.167. View

18.

Watson M, Greer S, Rowden L, Gorman C, Robertson B, Bliss J . Relationships between emotional control, adjustment to cancer and depression and anxiety in breast cancer patients. Psychol Med. 1991; 21(1):51-7. DOI: 10.1017/s0033291700014641. View

19.

Schroevers M, Ranchor A, Sanderman R . The role of social support and self-esteem in the presence and course of depressive symptoms: a comparison of cancer patients and individuals from the general population. Soc Sci Med. 2003; 57(2):375-85. DOI: 10.1016/s0277-9536(02)00366-0. View

20.

Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A . Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ. 2005; 330(7493):702. PMC: 555631. DOI: 10.1136/bmj.38343.670868.D3. View