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Learning Objective 1: The learner will be able to understand that objectification impacts breast cancer women’s psychological wellbeing through its relation with body image.
Learning Objective 2: The learner will be able to understand that the degree of objectification will be different in terms of different breast cancer surgery.
Methods: A cross-sectional with 3-group comparison design was used in this study. This study was approved by IRB of one University Hospital in the southern Taiwan. Women were recruited who 1) received one of breast cancer surgeries including breast conservative surgery (BCS), mastectomy (MRM) and mastectomy plus breast reconstruction (BR), 2) completed adjuvant therapy and 3) without psychiatric disorders. One hundred and ninety-three women were qualified and agreed to participate in this study. They were given the questionnaires to measure objectification, body image and depression.
Results: 1) BCS group (28%) had significant less body image problem than MRM (56.4%) and BR (18.6%) groups (p<.01). BR group had significant higher objectification scores than BCS group (p<.05). 2) These three groups did not show significant differences in depression. 3) Structural equation analysis found that the hypothesized model with the body image operating as mediators of the relationships between objectification and depression resulted in an acceptable overall fit (RMSEA = .074, CFI = .945, AGFI= .902). Objectification and body image explained 54% of the variance in depression. And objectification explained 50% of the variance in body image.
Conclusion: According to the structural equation model, health care providers may develop interventions to help cultivating the positive attitude to their bodies for breast cancer women.