Impact of breast cancer on body image: a systematic review and meta-analysis

IF 3.2 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health Pub Date : 2026-09-07 DOI:10.1007/s00737-026-01754-7

Serenay Yazici Sarikaya, Rui Wang, Ann-Christin S Kimmig, Sara Bruecker, Markus Hahn, Anna Wikman, Birgit Derntl

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引用次数: 0

Abstract

Background

Breast cancer is the most common cancer among females globally. While treatment is life-saving and essential, it can significantly affect physical health, psychological well-being, quality of life, and body image.

Objectives

To systematically review and synthesize the evidence on the impact of breast cancer and its treatment on body image in females.

Design

Systematic review and meta-analysis.

Data sources and methods

Four major databases were searched for relevant peer-reviewed studies published until 2025. A total of 41 studies were included in the systematic review, of which 24 were eligible for the meta-analysis. Standardized mean differences with 95% confidence intervals were calculated using a restricted maximum likelihood model, with analyses conducted in JAMOVI and heterogeneity assessed via Q and I² statistics.

Results

Females with breast cancer reported significantly lower body image scores than healthy controls (ES = -1.02). Furthermore, body image scores declined from pre-treatment to during treatment (ES = -0.45). Mastectomy was associated with poorer body image compared to breast-conserving therapy (ES = -1.11).

Conclusion

Although medically essential, breast cancer treatment can adversely affect body image. Integrating body image support into treatment plans is crucial for promoting the overall health and quality of life of females diagnosed with breast cancer.

Registration

PROSPERO No. CRD42024503033.

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乳腺癌对身体形象的影响：系统回顾和荟萃分析

乳腺癌是全球女性中最常见的癌症。虽然治疗是挽救生命和必不可少的，但它可以显著影响身体健康、心理健康、生活质量和身体形象。目的系统回顾和综合有关乳腺癌及其治疗对女性身体形象影响的证据。设计系统回顾和荟萃分析。数据来源和方法检索了截至2025年发表的相关同行评议研究。系统综述共纳入41项研究，其中24项符合meta分析的条件。采用限制最大似然模型计算95%置信区间的标准化平均差异，并在JAMOVI中进行分析，并通过Q和I²统计量评估异质性。结果女性乳腺癌患者的身体形象评分明显低于健康对照组（ES = -1.02）。此外，身体形象评分从治疗前到治疗期间下降（ES = -0.45）。与保乳治疗相比，乳房切除术与较差的身体形象相关（ES = -1.11）。结论乳腺癌治疗虽然在医学上是必要的，但会对身体形象产生不利影响。将身体形象支持纳入治疗计划对于促进被诊断患有乳腺癌的女性的整体健康和生活质量至关重要。RegistrationPROSPERO没有。CRD42024503033。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Women's Mental Health 医学-精神病学

CiteScore

8.00

自引率

4.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.