Original Article
Psychological effects of a cosmetic education programme in patients with breast cancer
H.Y. Park MD,
J.H. Kim MD, PhD,
S. Choi PhD,
E. Kang MD,
S. Oh PhD,
J.Y. Kim MD, PhD,
S.W. Kim MD, PhD,
H.Y. Park MD
Clinical fellow
Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do
Search for more papers by this authorCorresponding Author
J.H. Kim MD, PhD
Professor
Mental Health & Behavioral Medicine Services for Clinical Departments, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do
Correspondence address: Jeong-Hyun Kim, Mental Health & Behavioral Medicine Services for Clinical Departments, Seoul National University Bundang Hospital, 166, Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Korea (e-mail: [email protected]).Search for more papers by this authorS. Choi PhD
Professor
Department of Psychology, Duksung Women's University, Seoul
Search for more papers by this authorE. Kang MD
Professor
Department of Surgery, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do
Search for more papers by this authorS. Oh PhD
Professor
Department of Biostatistics, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul
Search for more papers by this authorJ.Y. Kim MD, PhD
Professor
Department of Family Medicine, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do
Search for more papers by this authorS.W. Kim MD, PhD
Professor
Department of Surgery, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do
Search for more papers by this authorH.Y. Park MD,
J.H. Kim MD, PhD,
S. Choi PhD,
E. Kang MD,
S. Oh PhD,
J.Y. Kim MD, PhD,
S.W. Kim MD, PhD,
H.Y. Park MD
Clinical fellow
Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do
Search for more papers by this authorCorresponding Author
J.H. Kim MD, PhD
Professor
Mental Health & Behavioral Medicine Services for Clinical Departments, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do
Correspondence address: Jeong-Hyun Kim, Mental Health & Behavioral Medicine Services for Clinical Departments, Seoul National University Bundang Hospital, 166, Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Korea (e-mail: [email protected]).Search for more papers by this authorS. Choi PhD
Professor
Department of Psychology, Duksung Women's University, Seoul
Search for more papers by this authorE. Kang MD
Professor
Department of Surgery, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do
Search for more papers by this authorS. Oh PhD
Professor
Department of Biostatistics, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul
Search for more papers by this authorJ.Y. Kim MD, PhD
Professor
Department of Family Medicine, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do
Search for more papers by this authorS.W. Kim MD, PhD
Professor
Department of Surgery, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do
Search for more papers by this authorAbstract
Treatments for breast cancer often include interventions related to psychosocial issues such as negative body image, loss of femininity, and low self-esteem. We identified the psychological effects of a cosmetics education programme in patients with breast cancer. Cosmetic programme is a specific care designed to help patients handle appearance-related side effects. Thirty-one women with breast cancer at a university hospital in South Korea who received a cosmetics education programme were compared with 29 subjects in a control group who received the treatment as usual. Psychological factors including distress, self-esteem, and sexual functioning were assessed three times (before and after the programme, and at the 1-month follow-up). After the programme, patients in the treatment group were significantly less likely than those in the control group to rely on distress (P = 0.038) and avoidance coping (P < 0.001) but not on self-esteem. The mean scores in the treatment group for sexual functioning were higher than those in the control group after the treatment. Our results suggest the potential usefulness of a brief cosmetics education programme for reducing distress and reliance on negative coping strategies. Implementing a cosmetics programme for patients with breast cancer may encourage patients to control negative psychological factors.
References
- Abbey A., Abramis D.J. & Caplan R.D. (1985) Effects of different sources of social support and social conflict on emotional well-being. Basic and Applied Social Psychology 6, 111–129.
- Alcalar N., Ozkan S., Kucucuk S., Aslay I. & Ozkan M. (2012) Association of coping style, cognitive errors and cancer-related variables with depression in women treated for breast cancer. Japanese Journal of Clinical Oncology 42, 940–947.
- Barkat S., Thomas-Danguin T., Bensafi M., Rouby C. & Sicard G. (2003) Odor and color of cosmetic products: correlations between subjective judgement and autonomous nervous system response. International Journal of Cosmetic Science 25, 273–283.
- Baucom D.H., Porter L.S., Kirby J.S., Gremore T.M. & Keefe F.J. (2005) Psychosocial issues confronting young women with breast cancer. Breast Disease 23, 103–113.
- Berterö C.M. (2000) Types and sources of social support for people afflicted with cancer. Nursing and Health Sciences 2, 93–101.
10.1046/j.1442-2018.2000.00044.x Google Scholar
- Berterö C.M. (2002) Affected self-respect and self-value: the impact of breast cancer treatment on self-esteem and QoL. Psycho-Oncology 11, 356–364.
- Bloom J.R., Stewart S.L., Johnston M. & Banks P. (1998) Intrusiveness of illness and quality of life in young women with breast cancer. Psycho-Oncology 7, 89–100.
10.1002/(SICI)1099-1611(199803/04)7:2<89::AID-PON293>3.0.CO;2-E CAS PubMed Web of Science® Google Scholar
- Boesen E.H., Karlsen R., Christensen J., Paaschburg B., Nielsen D., Bloch I.S., Christiansen B., Jacobsen K. & Johansen C. (2011) Psychosocial group intervention for patients with primary breast cancer: a randomised trial. European Journal of Cancer 47, 1363–1372.
- Brinegar K. & Weddle E. (2014) The Correlation Between Makeup Usage and Self-Esteem. The Hanover College, Hanover, Indiana, United States of America.
- Burwell S.R., Case L.D., Kaelin C. & Avis N.E. (2006) Sexual problems in younger women after breast cancer surgery. Journal of Clinical Oncology 24, 2815–2821.
- Carrillo L., Coleman B. & Hack T. (2014) What's in a face?: perceptions of women wearing cosmetics. Journal Contents 19, 13–22.
- Cash T.F. & Cash D.W. (1982) Women's use of cosmetics: psychosocial correlates and consequences. International Journal of Cosmetic Science 4, 1–14.
- Cnaan A., Laird N. & Slasor P. (1997) Tutorial in biostatistics: using the general linear mixed model to analyse unbalanced repeated measures and longitudinal data. Statistics in Medicine 16, 2349–2380.
10.1002/(SICI)1097-0258(19971030)16:20<2349::AID-SIM667>3.0.CO;2-E CAS PubMed Web of Science® Google Scholar
- Cohen L., Hack T.F., De Moor C., Katz J. & Goss P.E. (2000) The effects of type of surgery and time on psychological adjustment in women after breast cancer treatment. Annals of Surgical Oncology 7, 427–434.
- Daniels J. & Kissane D.W. (2008) Psychosocial interventions for cancer patients. Current Opinion in Oncology 20, 367–371.
- Dastan N.B. & Buzlu S. (2012) Psychoeducation intervention to improve adjustment to cancer among Turkish stage I-II breast cancer patients: a randomized controlled trial. Asian Pacific Organization for Cancer Prevention: APJCP 13, 5313–5318.
- Derogatis L.R. & Melisaratos N. (1979) The DSFI: a multidimensional measure of sexual functioning. Journal of Sex and Marital Therapy 5, 244–281.
- Dizon D.S. (2009) Quality of life after breast cancer: survivorship and sexuality. The Breast Journal 15, 500–504.
- Dolbeault S., Cayrou S., Bredart A., Viala A.L., Desclaux B., Saltel P., Gauvain-Piquard A., Hardy P. & Dickes P. (2009) The effectiveness of a psycho-educational group after early-stage breast cancer treatment: results of a randomized French study. Psycho-Oncology 18, 647–656.
- Edgar L., Rosberger Z. & Collet J.P. (2001) Lessons learned: outcomes and methodology of a coping skills intervention trial comparing individual and group formats for patients with cancer. International Journal of Psychiatry in Medicine 31, 289–304.
- Falk 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, 3549–3557.
- 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, 579–594.
- Galway K., Black A., Cantwell M., Cardwell C.R., Mills M. & Donnelly M. (2012) Psychosocial interventions to improve quality of life and emotional wellbeing for recently diagnosed cancer patients. The Cochrane Database of Systematic Reviews (11), CD007064.
- Gilbert E., Ussher J.M. & Perz J. (2010) Sexuality after breast cancer: a review. Maturitas 66, 397–407.
- Goodwin P.J., Leszcz M., Ennis M., Koopmans J., Vincent L., Guther H., Drysdale E., Hundleby M., Chochinov H.M., Navarro M., Speca M. & Hunter J. (2001) The effect of group psychosocial support on survival in metastatic breast cancer. The New England Journal of Medicine 345, 1719–1726.
- Graham J.A. (1985) The Psychology of Cosmetic Treatments. Praeger Publishers, New York, United States of America.
- Graham J.A. & Kligman A.M. (1985) Physical attractiveness, cosmetic use and self-perception in the elderly. International Journal of Cosmetic Science 7, 85–97.
- Hack T.F. & Degner L.F. (2004) Coping responses following breast cancer diagnosis predict psychological adjustment three years later. Psycho-Oncology 13, 235–247.
- Hartl K., Janni W., Kastner R., Sommer H., Strobl B., Rack B. & Stauber M. (2003) Impact of medical and demographic factors on long-term quality of life and body image of breast cancer patients. Annals of Oncology: Official Journal of the European Society for Medical Oncology / ESMO 14, 1064–1071.
- Holmberg S.K., Scott L.L., Alexy W. & Fife B.L. (2001) Relationship issues of women with breast cancer. Cancer Nursing 24, 53–60.
- Ikeuchi M., Saruwatari K., Takada Y., Shimoda M., Nakashima A., Inoue M., Oroguchi T., Ishii N., Yoshii F. & Haida M. (2014) Evaluating ‘cosmetic therapy’ by using near-infrared spectroscopy. World Journal of Neuroscience 4, 194–201.
10.4236/wjns.2014.42023 Google Scholar
- Im E.O., Lee E.O. & Park Y.S. (2002) Korean women's breast cancer experience. Western Journal of Nursing Research 24, 751–765, discussion 766–771.
- Jun E.-Y., Kim S., Chang S.-B., Oh K., Kang H.S. & Kang S.S. (2011) The effect of a sexual life reframing program on marital intimacy, body image, and sexual function among breast cancer survivors. Cancer Nursing 34, 142–149.
- Jung J. & Lee S.H. (2006) Cross-cultural comparisons of appearance self-schema, body image, self-esteem, and dieting behavior between Korean and US women. Family and Consumer Sciences Research Journal 34, 350–365.
- Kang J.I., Chung H.C., Kim S.J., Choi H.J., Ahn J.B., Jeung H.C. & Namkoong K. (2008) Standardization of the Korean version of Mini-Mental Adjustment to Cancer (K-Mini-MAC) scale: factor structure, reliability and validity. Psycho-Oncology 17, 592–597.
- Keil L.C. (2006) Putting Your Best Face Forward: Relationships between Cosmetics Use, Self-Esteem, Body Image, and Self-Perceived Attractiveness. The Ohio State University, Columbus, Ohio, United States of America.
- Korichi R. & Pelle-De-Queral D. (2008) Why women use makeup: implication of psychological. Journal of Cosmetic Science 59, 127–137.
- Krychman M.L. & Katz A. (2012) Breast cancer and sexuality: multi-modal treatment options. The Journal of Sexual Medicine 9, 5–13, quiz 14–15.
- Laird N.M. & Ware J.H. (1982) Random-effects models for longitudinal data. Biometrics 38, 963–974.
- Manne S.L., Girasek D. & Ambrosino J. (1994) An evaluation of the impact of a cosmetics class on breast cancer patients. Journal of Psychosocial Oncology 12, 83–99.
10.1300/J077V12N01_05 Google Scholar
- McBride C.M., Clipp E., Peterson B.L., Lipkus I.M. & Demark-Wahnefried W. (2000) Psychological impact of diagnosis and risk reduction among cancer survivors. Psycho-Oncology 9, 418–427.
10.1002/1099-1611(200009/10)9:5<418::AID-PON474>3.0.CO;2-E CAS PubMed Web of Science® Google Scholar
- McCaul K.D., Sandgren A.K., King B., O'Donnell S., Branstetter A. & Foreman G. (1999) Coping and adjustment to breast cancer. Psycho-Oncology 8, 230–236.
10.1002/(SICI)1099-1611(199905/06)8:3<230::AID-PON374>3.0.CO;2-# CAS PubMed Web of Science® Google Scholar
- McGaughey A. (2006) Body image after bilateral prophylactic mastectomy: an integrative literature review. Journal of Midwifery and Women's Health 51, e45–e49.
- Mertz B.G., Bistrup P.E., Johansen C., Dalton S.O., Deltour I., Kehlet H. & Kroman N. (2012) Psychological distress among women with newly diagnosed breast cancer. European Journal of Oncology Nursing: The Official Journal of European Oncology Nursing Society 16, 439–443.
- Mols F., Vingerhoets A.J., Coebergh J.W. & Van De Poll-Franse L.V. (2005) Quality of life among long-term breast cancer survivors: a systematic review. European Journal of Cancer 41, 2613–2619.
- Moore H.C. (2007) Impact on quality of life of adjuvant therapy for breast cancer. Current Oncology Reports 9, 42–46.
- Ogden J. & Lindridge L. (2008) The impact of breast scarring on perceptions of attractiveness: an experimental study. Journal of Health Psychology 13, 303–310.
- Oh S.M., Min K.J. & Park D.B. (1999) A study on the standardization of the hospital anxiety and depression scale for Koreans: a comparison of normal, depressed and anxious groups. Journal of Korean Neuropsychiatric Association 38, 289–296.
- Park G.J. & Lee K.H. (2002) A structural model for depression in middle-aged women. Korean Journal of Women Health Nursing 8, 69–84.
- Pikler V. & Winterowd C. (2003) Racial and body image differences in coping for women diagnosed with breast cancer. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association 22, 632–637.
- Quintard B. & Lakdja F. (2008) Assessing the effect of beauty treatments on psychological distress, body image, and coping: a longitudinal study of patients undergoing surgical procedures for breast cancer. Psycho-Oncology 17, 1032–1038.
- Roesch S.C., Adams L., Hines A., Palmores A., Vyas P., Tran C., Pekin S. & Vaughn A.A. (2005) Coping with prostate cancer: a meta-analytic review. Journal of Behavioral Medicine 28, 281–293.
- Rosenberg M. (1965) Society and the Adolescent Self-Image. Princeton University Press, Princeton, New Jersey, United States of America.
10.1111/j.1559-1816.2002.tb02765.x Google Scholar
- Rosenberg M. (1986) Self-concept from middle childhood through adolescence. In: Psychological Perspectives on the Self, Vol. 3 (ed. J. Suls, A.G. Greenwald), pp. 107–136. Erlbaum, Hillsdale, New Jersey, United States of America.
- Rottmann N., Dalton S.O., Christensen J., Frederiksen K. & Johansen C. (2010) Self-efficacy, adjustment style and well-being in breast cancer patients: a longitudinal study. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation 19, 827–836.
- Roy R., Symonds R.P., Kumar D., Ibrahim K., Mitchell A. & Fallowfield L. (2005) The use of denial in an ethnically diverse British cancer population: a cross-sectional study. British Journal of Cancer 92, 1393–1397.
- Schou I., Ekeberg O., Sandvik L., Hjermstad M.J. & Ruland C.M. (2005) Multiple predictors of health-related quality of life in early stage breast cancer. Data from a year follow-up study compared with the general population. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation 14, 1813–1823.
- Schover L.R., Yetman R.J., Tuason L.J., Meisler E., Esselstyn C.B., Hermann R.E., Grundfest-Broniatowski S. & Dowden R.V. (1995) Partial mastectomy and breast reconstruction. A comparison of their effects on psychosocial adjustment, body image, and sexuality. Cancer 75, 54–64.
10.1002/1097-0142(19950101)75:1<54::AID-CNCR2820750111>3.0.CO;2-I CAS PubMed Web of Science® Google Scholar
- Scott J.L. & Kayser K. (2009) A review of couple-based interventions for enhancing women's sexual adjustment and body image after cancer. The Cancer Journal 15, 48–56.
- Seo S.Y. (2006) The sexual experiences of married couple in Korean society. Dissertation. Ewha Womans University, Seoul, Republic of Korea.
- Spencer S.M., Lehman J.M., Wynings C., Arena P., Carver C.S., Antoni M.H., Derhagopian R.P., Ironson G. & Love N. (1999) Concerns about breast cancer and relations to psychosocial well-being in a multiethnic sample of early-stage patients. Health Psychology 18, 159–168.
- Tae Y.S., Heitkemper M. & Kim M.Y. (2012) A path analysis: a model of depression in Korean women with breast cancer-mediating effects of self-esteem and hope. Oncology Nursing Forum 39, E49–E57. Onc Nurs Society.
- Taggart L.R., Ozolins L., Hardie H. & Nyhof-Young J. (2009) Look good feel better workshops: a ‘big lift’ for women with cancer. Journal of Cancer Education: The Official Journal of the American Association for Cancer Education 24, 94–99.
- Taylor S., Harley C., Ziegler L., Brown J. & Velikova G. (2011) Interventions for sexual problems following treatment for breast cancer: a systematic review. Breast Cancer Research and Treatment 130, 711–724.
- Titeca G., Poot F., Cassart D., Defays B., Pirard D., Comas M., Vereecken P., Verschaevec V., Simon P. & Heenen M. (2007) Impact of cosmetic care on quality of life in breast cancer patients during chemotherapy and radiotherapy: an initial randomized controlled study. Journal of the European Academy of Dermatology and Venereology 21, 771–776.
- Tucker L.A. (1981) Internal structure, factor satisfaction, and reliability of the Body Cathexis Scale. Perceptual and Motor Skills 53, 891–896.
- Vos M.S. & de Haes J.C. (2007) Denial in cancer patients, an explorative review. Psycho-Oncology 16, 12–25.
- Walsh S.R., Manuel J.C. & Avis N.E. (2005) The impact of breast cancer on younger women's relationships with their partner and children. Families, Systems and Health: The Journal of Collaborative Family Healthcare 23, 80–93.
10.1037/1091-7527.23.1.80 Google Scholar
- Weis J. (2003) Support groups for cancer patients. Supportive Care in Cancer 11, 763–768.
- Youlden D.R., Cramb S.M., Dunn N.A., Muller J.M., Pyke C.M. & Baade P.D. (2012) The descriptive epidemiology of female breast cancer: an international comparison of screening, incidence, survival and mortality. Cancer Epidemiology 36, 237–248.
