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The relationship between symptom prevalence, body image, and quality of life in Asian gynecologic cancer patients
Author(s) -
Teo Irene,
Cheung Yin Bun,
Lim Timothy Yong Kuei,
Namuduri Rama Padmavathi,
Long Victoria,
Tewani Komal
Publication year - 2018
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.4457
Subject(s) - medicine , quality of life (healthcare) , constipation , distress , body mass index , clinical psychology , nursing
Objective Gynecologic cancer is associated with long‐term effects that can be both physical and emotional. We examined symptom prevalence and body image disturbance in patients with gynecologic cancer and their association with quality of life. Predictors of clinically‐relevant body image disturbance were examined. Methods A sample of patients in Singapore (n = 104) was assessed for symptom prevalence, quality of life, and body image dissatisfaction. Clinical factors were extracted from medical records. Results The most frequently reported symptoms were fatigue, abdominal bloatedness, weight gain, constipation, hot flashes, and pelvic pain. Approximately one quarter patients reported feeling less physically attractive and dissatisfied with their body. Ordinary least squares regression indicated that symptom prevalence alone predicted physical well‐being, b = −1.09, P < .001, 95% CI, −1.45 to −0.73, and functional well‐being, b = −0.88, P < .001, 95% CI, −1.32 to −0.45. Body image dissatisfaction alone significantly predicted emotional well‐being, b = −0.21, P < .01, 95% CI, −0.35 to −0.06. Younger age was a significant risk factor for clinically‐relevant score of body image distress, OR = 0.95 per year older, 95% CI, 0.92 to 0.99, P = .02. Conclusions Symptom prevalence and body image dissatisfaction were associated with different domains of quality of life. Emotional well‐being of patients was better explained by body image, rather than extent of symptoms experienced. Patients who are younger appear particularly susceptible to body image disturbance.