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Body image and the level of stress in cervical cancer patients

  • Sri Rejeki ,
  • Eka Agustyaningrum ,
  • Macmudah ,
  • Nikmatul Khayati ,
  • Tri Hartiti ,
  • Dwi Nur Rahmantika Puji Safitri ,
  • Yanuan Ben Olina ,


Abstract

Introduction: Chemotherapy is one of the management applied to cervical cancer patients. Chemotherapy is beneficial to kill cancer cells, but it affects normal body cells, such as hair roots, skin, and changes in physical appearance. These physical changes result in poor self-assessment and stress. This study was conducted to describe the correlation between body image and stress level of cervical cancer patients undergoing chemotherapy at the Gynecology Polyclinic, Dr. Kariadi General Hospital Medical Center Semarang.

Methods: This type of research is quantitative using a correlational research design. The research process was carried out in 2020 at Dr. Kariadi General Hospital Medical Center Semarang with the number of samples obtained was 87 respondents.

Results: It showed that there was a relationship between body image and stress levels in cervical cancer patients receiving chemotherapy (r = -0.313 and p-value = 0.003). With a change in physical appearance, patients would feel something different which affects psychological situations and further causes stress.

Conclusions: The level of stress has a significant correlation with the body image score of cervical cancer.

Keywords: cervical cancer body image stress level

References

  1. World Health Organization. Cervical Cancer. WHO. 2018.
  2. Dirjen P2P. Cegah Deteksi Respon. Kementrian Kesehatan Republik Indonesia. 2019.
  3. Lee H, Sohn S. Predictive factors of hope in patients with cancer. J Korean Acad Adult Nurs. 2000;12(2):95–184.
  4. Kumar L, Gupta S. Integrating Chemotherapy in the Management of Cervical Cancer: A Critical Appraisal. Oncol. 2016;91(1):8–17.
  5. Freites-Martinez A, Shapiro J, Goldfarb S, Nangia J, Jimenez JJ, Paus R, et al. CME Part 1: Hair disorders in cancer patients. J Am Acad Dermatol. 2019;80(5):1179–96.
  6. Ounsakul V, Iamsumang W, Suchonwanit P. Radiation-Induced Alopecia after Endovascular Embolization under Fluoroscopy. Case Rep Dermatol Med. 2016;2016(Figure 3):1–5.
  7. Wardani WNA& EK. Chemotherapy Physical Effects in Cervical Cancer. Pros Semin Nas Int. 2014;2(2):97–106.
  8. Prates ACL, Freitas-Junior R, Prates MFO, Veloso M de F, Moura N de. Influence of Body Image in Women Undergoing Treatment for Breast Cancer. Rev Bras Ginecol Obs. 2017;39(4):175–83.
  9. Rugo HS, Klein P, Melin SA, Hurvitz SA, Melisko ME, Moore A, et al. Association between use of a scalp cooling device and alopecia after chemotherapy for breast cancer. JAMA - J Am Med Assoc. 2017;317(6):606–14.
  10. Naito Y, Kai Y, Ishikawa T, Fujita T, Uehara K, Doihara H, et al. Chemotherapy-induced nausea and vomiting in patients with breast cancer: a prospective cohort study. Breast Cancer. 2020;27(1):122–8.
  11. Hamano H, Mitsuhashi C, Suzuki Y, Zamami Y, Tsujinaka K, Okada N, et al. Effects of palonosetron on nausea and vomiting induced by multiple-day chemotherapy: A retrospective study. Biol Pharm Bull. 2021;44(4):478–84.
  12. Abu Zaid Z, Kay Neoh M, Mat Daud ZA, Md Yusop NB, Ibrahim Z, Abdul Rahman Z, et al. Weight Loss in Post-Chemoradiotherapy Head and Neck Cancer Patients. Nutrients. 2022;14(3):1–9.
  13. Tofthagen C, Overcash J KK. Falls in persons with chemotherapy-induced peripheral neuropathy. Support Care Cancer. 2012;20(3):583–9.
  14. de Kruif AJtC, Westerman MJ, Winkels RM, Koster MS, van der Staaij IM, van den Berg MMGA, et al. Exploring changes in dietary intake, physical activity and body weight during chemotherapy in women with breast cancer: A Mixed-Methods Study. J Hum Nutr Diet. 2021;34(3):550–61.
  15. Krakauer EL, Kwete X, Kane K, Afshan G, Bazzett-Matabele L, Bien-Aimé DDR, et al. Cervical Cancer-Associated Suffering: Estimating the Palliative Care Needs of a Highly Vulnerable Population. JCO Glob Oncol. 2021;(7):862–72.
  16. Yang YL, Liu L, Wang XX, Wang Y, Wang L. Prevalence and associated positive psychological variables of depression and anxiety among Chinese cervical cancer patients: A cross-sectional study. PLoS One. 2014;9(4).
  17. Boguszewski CL, Boguszewski MCDS. Growth hormone’s links to cancer. Endocr Rev. 2019;40(2):558–74.
  18. Kim A, Chung KC, Keir C, Patrick DL. Patient-reported outcomes associated with cancer screening: a systematic review. BMC Cancer. 2022;22(1):1–23.
  19. Wilford J, Osann K, Hsieh S, Monk B, Nelson E, Wenzel L. Validation of PROMIS emotional distress short form scales for cervical cancer. Gynecol Oncol. 2018;151(1):111–6.
  20. Li LR, Lin MG, Liang J, Hu QY, Chen D, Lan MY, et al. Effects of intrinsic and extrinsic factors on the level of hope and psychological health status of patients with cervical cancer during radiotherapy. Med Sci Monit. 2017;23:3508–17.
  21. Dahiya N, Acharya AS, Bachani D, Sharma DN. Quality of Life of Patients with Advanced Cervical Cancer before and after Chemo-radiotherapy. Asian Pac J Cancer Prev. 2016;17(7):3095–9.
  22. Shin JY, Lim JW, Shin DW, Kim SY, Yang HK, Cho J, et al. Underestimated caregiver burden by cancer patients and its association with quality of life, depression and anxiety among caregivers. Eur J Cancer Care (Engl). 2018;27(2):1–9.
  23. Carneiro SR, Da Silva Lima AA, De Fátima Silva Santos G, De Oliveira CSB, Almeida MCV, Da Conceica¸õ Nascimento Pinheiro M. Relationship between Oxidative Stress and Physical Activity in Women with Squamous Intraepithelial Lesions in a Cervical Cancer Control Program in the Brazilian Amazon. Oxid Med Cell Longev. 2019;2019.
  24. Hendricke V, Kelvin C, Yu K, Andrea P, Raphael C, Chua J, et al. Quality of Life among Survivors of Locally Advanced Cervical Cancer Treated with De fi nitive Chemoradiotherapy in a Decade of Transition. 2022;
  25. Bjelic-Radisic V, Jensen PT, Vlasic KK, Waldenstrom AC, Singer S, Chie W, et al. Quality of life characteristics inpatients with cervical cancer. Eur J Cancer. 2012;48(16):3009–18.
  26. Atallah M, Cooper B, Muñoz RF, Paul SM, Anguera J, Levine JD, et al. Psychological Symptoms and Stress Are Associated With Decrements in Attentional Function in Cancer Patients Undergoing Chemotherapy. Cancer Nurs. 2020;43(5):402–41.
  27. Thapa N, Maharjan M, Xiong Y, Jiang D, Nguyen TP, Petrini MA, et al. Impact of cervical cancer on quality of life of women in Hubei, China. Sci Rep. 2018;8(1):2–10.
  28. Tucker JA, Osann K, Hsieh S, Wahi A, Monk BJ, Wenzel L, et al. Longitudinal Changes in Sleep: Associations with Shifts in Circulating Cytokines and Emotional Distress in a Cancer Survivor Population. Int J Behav Med. 2021;28(1):140–50.
  29. Holzer LA, Huyer N, Friesenbichler J, Leithner A. Body image, self-esteem, and quality of life in patients with primary malignant bone tumors. Arch Orthop Trauma Surg. 2020;140(1):1–10.
  30. Li CC, Chang TC, Tsai YF, Chen L. Quality of life among survivors of early-stage cervical cancer in Taiwan: an exploration of treatment modality differences. Qual Life Res. 2017;26(10):2773–82.
  31. Swami V, Todd J, Robinson C, Furnham A. Self-compassion mediates the relationship between COVID-19-related stress and body image disturbance: Evidence from the United Kingdom under lockdown. Pers Individ Dif. 2020;183(January).
  32. Paterson CL, Lengacher CA, Donovan KA, Kip KE, Tofthagen CS. Body Image in Younger Breast Cancer Survivors. Cancer Nurs. 2016;39(1):E39–58.
  33. Zhang X, Pennell ML, Bernardo BM, Clark J, Krok-Schoen JL, Focht BC, et al. Body image, physical activity and psychological health in older female cancer survivors. J Geriatr Oncol. 2021;12(7):1059–67.
  34. Shafaee FS, Mirghafourvand M, Harischi S, Esfahani A, Amirzehni J. Self-confidence and Quality of Life in women undergoing treatment for breast cancer. Asian Pacific J Cancer Prev. 2018;19(3):733–40.
  35. Derks M, Van Lonkhuijzen LRCW, Bakker RM, Stiggelbout AM, De Kroon CD, Westerveld H, et al. Long-Term Morbidity and Quality of Life in Cervical Cancer Survivors: A Multicenter Comparison between Surgery and Radiotherapy as Primary Treatment. Int J Gynecol Cancer. 2017;27(2):350–6.

How to Cite

Rejeki, S., Agustyaningrum, E., Macmudah, Khayati, N., Hartiti, T., Safitri, D. N. R. P., & Olina, Y. B. (2022). Body image and the level of stress in cervical cancer patients. Bali Medical Journal, 11(3), 1739–1743. https://doi.org/10.15562/bmj.v11i3.3769
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Sri Rejeki
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Eka Agustyaningrum
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Macmudah
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Nikmatul Khayati
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Tri Hartiti
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Dwi Nur Rahmantika Puji Safitri
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Yanuan Ben Olina
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