The Types of Support That Enhance Body Image in Patients with Breast Cancer: A Scoping Review
Keywords:
Breast Cancer, Body Image, Social Support, Psychological SupportAbstract
Patients with breast cancer often experience dissatisfaction with themselves as a result of the treatment process they undergo, potentially resulting in a negative body image and affecting the effectiveness of treatment and their quality of life. Therefore, support is needed to address this issue. This study aims to identify the types of support that can be provided to improve body image in patients with breast cancer through a scoping review. We conducted a search using five databases, including ScienceDirect, Wiley, Scopus, ClinicalKey, and ProQuest. The inclusion criteria used were English-language articles and original research articles published between January 2020 and May 2025. Review articles, books, and pilot studies were excluded. The screening procedure was conducted in accordance with the PRISMA 2020 guidelines, and article eligibility was assessed by three researchers using the JBI Critical Appraisal Checklist (2020). Ten articles were obtained, indicating that various forms of support can be provided, such as social support (from family, friends, prominent figures, important or special people, and health workers); partner support; psychological support carried out through clinical interventions; and support from groups of fellow breast cancer survivors, but social support from family being the most commonly implemented form. This support helps patients in the process of improving body image that has changed due to the treatment process; however, in practice, the provision of a single type of support cannot stand alone. These findings affirm that providing support to enhance a positive body image in patients requires thorough attention. Further research is expected to explore the effectiveness of each type of support and involve more than one form of support to produce more comprehensive findings.
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Nindrea RD, Dwiprahasto I, Lazuardi L, Aryandono T. Development of a breast cancer risk screening tool for women in Indonesia. Clin Epidemiol Glob Heal [Internet]. 2023;24(October):101446. Available from: https://doi.org/10.1016/j.cegh.2023.101446
Pereira MG, Ribeiro C, Ferreira G, Machado JC, Leite Â. The indirect effect of body image on distress in women with breast cancer undergoing chemotherapy. Heal Psychol Rep. 2022;10(1):47–57. Available from: https://doi.org/10.5114/hpr.2022.113381
Ng B, Puspitaningtyas H, Wiranata JA, Hutajulu SH, Widodo I, Anggorowati N, et al. Breast cancer incidence in Yogyakarta, Indonesia from 2008–2019: A cross-sectional study using trend analysis and geographical information system. PLoS One. 2023;18(7 JULY):1–17. Available from: http://dx.doi.org/10.1371/journal.pone.0288073
Andinata B, Bachtiar A, Oktamianti P, Partahi JR, Dini MSA. A Comparison of Cancer Incidences Between Dharmais Cancer Hospital and GLOBOCAN 2020: A Descriptive Study of Top 10 Cancer Incidences. Indones J Cancer. 2023;17(2):119. Available from: https://doi.org/10.33371/ijoc.v17i2.982
Thakur M, Sharma R, Mishra AK, Singh K, Kar SK. Psychological distress and body image disturbances after modified radical mastectomy among breast cancer survivors: A cross-sectional study from a tertiary care centre in North India. Lancet Reg Heal - Southeast Asia. 2022;7:1–8. Available from: https://doi.org/10.1016/j.lansea.2022.100077
Sebri V, Durosini I, Triberti S, Pravettoni G. The Efficacy of Psychological Intervention on Body Image in Breast Cancer Patients and Survivors: A Systematic-Review and Meta-Analysis. Front Psychol. 2021;12(March):1–15. Available from: https://doi.org/10.3389/fpsyg.2021.611954
Anamika R, Aarti B, Tamanna N. Self - Esteem and body image: A correlational study. J Humanit Soc Sci. 2020;1(4):33. Available from: http://dx.doi.org/10.26634/jhss.1.4.17747
Fiser C, Crystal JS, Tevis SE, Kesmodel S, Rojas KE. Treatment and Survivorship Interventions to Prevent Poor Body Image Outcomes in Breast Cancer Survivors. Breast Cancer Targets Ther. 2021;13:701–9. Available from: https://doi.org/10.2147/bctt.s321721
Davis A, Acevedo G, Crowley-Miller A, Tran A, Shah M, Langlais M, et al. Exploring the multifaceted impact of breast cancer on the body image. Fam Consum Sci Res J. 2024;53:78–87. Available from: https://doi.org/10.1111/fcsr.12535
Doori Z, Hekmat K, Mousavi P, Latifi SM, Shahbazian H. Investigation of the relationship between perceived social support and body image in women with breast cancer. Middle East Curr Psychiatry [Internet]. 2022;29(1). Available from: https://doi.org/10.1186/s43045-021-00165-x
Carreira H, Williams R, Müller M, Harewood R, Stanway S, Bhaskaran K. Associations between breast cancer survivorship and adverse mental health outcomes: A systematic review. J Natl Cancer Inst. 2018;110(12):1311–27. Available from: https://doi.org/10.1093/jnci/djy177
Wulandari SM, Yunitasari E, Kusumaningrum T, Myint NMM, Subu MA. Body image perception among breast cancer patients after mastectomy: A phenomenology study. J Palembang Nurs Stud. 2023;2:151–64. Available from: https://doi.org/10.55048/jpns87
Kocan S, Gursoy A. Body Image of Women with Breast Cancer After Mastectomy: A Qualitative Research. J Breast Heal. 2016;12(4):145–50. Available from: https://doi.org/10.5152/tjbh.2016.2913
Ahn J, Suh EE. Body image alteration in women with breast cancer: A concept analysis using an evolutionary method. Asia-Pacific J Oncol Nurs [Internet]. 2023;10(5):100214. Available from: https://doi.org/10.1016/j.apjon.2023.100214
Gruszka W, Owczarek AJ, Glinianowicz M, Bąk-Sosnowska M, Chudek J, Olszanecka-Glinianowicz M. Perception of body size and body dissatisfaction in adults. Sci Rep [Internet]. 2022;12(1):1–10. Available from: https://doi.org/10.1038/s41598-021-04706-6
Hsu HT, Juan CH, Chen JL, Hsieh HF. Mediator Roles of Social Support and Hope in the Relationship Between Body Image Distress and Resilience in Breast Cancer Patients Undergoing Treatment: A Modeling Analysis. Front Psychol. 2021;12(September):1–13. Available from: https://doi.org/10.3389/fpsyg.2021.695682
Yamani Ardakani B, Tirgari B, Roudi Rashtabadi O. Body image and its relationship with coping strategies: The views of Iranian breast cancer women following surgery. Eur J Cancer Care (Engl). 2020;29(1):1–12. Available from: https://doi.org/10.1111/ecc.13191
Sheikh-Wu S, Anglade D, Downs C. A cancer survivorship model for holistic cancer care and research. Can Oncol Nurs J. 2023;33(1):4–16. Available from: https://doi.org/10.5737/236880763314
Peters MDJ, Marnie C, Colquhoun H, Garritty CM, Hempel S, Horsley T, et al. Scoping reviews: reinforcing and advancing the methodology and application. Syst Rev. 2021;10(1):1–6. Available from: https://doi.org/10.1186/s13643-021-01821-3
Sharma P, Goyal N. How to write a scoping review? - A comprehensive guide. Int J Advenced Med Heal Res. 2023;10:53–6. Available from: http://dx.doi.org/10.4103/ijamr.ijamr_91_23
Westphaln KK, Regoeczi W, Masotya M, Vazquez-Westphaln B, Lounsbury K, McDavid L, et al. From Arksey and O’Malley and Beyond: Customizations to enhance a team-based, mixed approach to scoping review methodology. MethodsX [Internet]. 2021;8:101375. Available from: https://doi.org/10.1016/j.mex.2021.101375
Elsevier. ScienceDirect [Internet]. 2025 [cited 2025 Mar 1]. Available from: https://www.sciencedirect.com/
Willey. Wiley Online Library [Internet]. 2025 [cited 2025 Mar 1]. Available from: https://onlinelibrary.wiley.com/
Elsevier. Scopus [Internet]. 2025 [cited 2025 Mar 1]. Available from: https://www.scopus.com
Elsevier. ClinicalKey [Internet]. 2025 [cited 2025 Mar 1]. Available from: https://www.clinicalkey.com/#!/
ProQuest. ProQuest [Internet]. 2025 [cited 2025 Mar 1]. Available from: https://www.proquest.com/index
Vassar M, Yerokhin V, Sinnett PM, Weiher M, Muckelrath H, Carr B, et al. Database selection in systematic reviews: an insight through clinical neurology. Health Info Libr J. 2017;34(2):156–64. Available from: https://doi.org/10.1111/hir.12176
Bramer WM, Rethlefsen ML, Kleijnen J, Franco OH. Optimal database combinations for literature searches in systematic reviews: A prospective exploratory study. Syst Rev. 2017;6(1):1–12. Available from: https://doi.org/10.1186/s13643-017-0644-y
dos Reis AHS, de Oliveira ALM, Fritsch C, Zouch J, Ferreira P, Polese JC. Usefulness of machine learning softwares to screen titles of systematic reviews: a methodological study. Syst Rev [Internet]. 2023;12(68):1–14. Available from: https://doi.org/10.1186/s13643-023-02231-3
Almutairi R, Alsarraf A, Alkandari D, Ashkanani H, Albazali A. Dissecting Through the Literature: A Review of the Critical Appraisal Process. Cureus. 2024;16(5). Available from: https://doi.org/10.7759/cureus.59658
Barker TH, Stone JC, Sears K, Klugar M, Leonardi-Bee J, Tufanaru C, et al. Revising the JBI quantitative critical appraisal tools to improve their applicability: an overview of methods and the development process. JBI Evid Synth. 2023;21(3):478–93. Available from: https://doi.org/10.11124/jbies-22-00125
Yu X, Huang Q, Yang Y, Wang L, Wu F, Ding Y, et al. Impact of social support on body image during chemotherapy in patients with breast cancer: The chain mediating role of depression and self-efficacy. Asia-Pacific J Oncol Nurs [Internet]. 2025;12(February):100664. Available from: https://doi.org/10.1016/j.apjon.2025.100664
Almeida M, Griff MI, Brandão T. Coping and Positive Body Image in Young Women with Breast Cancer: The Buffering Role of Social Support. Healthc. 2025;13(3):1–14. Available from: https://doi.org/10.3390/healthcare13030346
Iris MB. The relationships between marital support, partner participation, body image, and mental distress among Bedouin women with breast cancer survivors. J Psychosoc Oncol [Internet]. 2025;0(0):1–15. Available from: https://doi.org/10.1080/07347332.2025.2509983
Vuletić G. Quality of Life in Relation To Social Support and Body Image in Women With Breast Cancer After Mastectomy. Libr Oncol. 2022;50(2–3):87–94. Available from: http://dx.doi.org/10.20471/LO.2022.50.02-03.14
KavehFarsani Z, Worthington EL. Direct Effects of Marital Empathy, Body Image, and Perceived Social Support on Quality of Life of Married Women with Breast Cancer and the Mediating Role of Perceived Marital Quality. Iran J Psychiatry. 2024;19(1):70–8. Available from: https://doi.org/10.18502/ijps.v19i1.14340
Mehrabi N, Amiri H, Omidi A, Sarvizadeh M. The Effectiveness of Group Compassion-Focused Therapy on Body Image and Interpersonal Stress among Women with Breast Cancer: A Randomized Controlled Trial. Iran J Psychiatry Behav Sci . 2024;18(1):1–11. Available from: https://doi.org/10.5812/ijpbs-139764.
Moghadam MS, Parvizifard A, Foroughi A, Ahmadi SM, Farshchian N. An investigation of the effect of mindfulness-integrated cognitive behavior therapy on demoralization, body image, and sexual function in Iranian women with breast cancer: a randomized controlled trial. J Cancer Res Clin Oncol [Internet]. 2024;150(3):1–10. Available from: https://doi.org/10.1007/s00432-024-05655-z
Esplen MJ, Warner E, Boquiren V, Wong J, Toner B. Restoring body image after cancer (ReBIC): A group therapy intervention. Psychooncology. 2020;29(4):671–80. Available from: https://doi.org/10.1002/pon.5304
Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18(10):2119–26. Available from: https://doi.org/10.11124/jbies-20-00167
Sari DK, Dewi R, Daulay W. Association between family support, coping strategies and anxiety in cancer patients undergoing chemotherapy at General Hospital in Medan, North Sumatera, Indonesia. Asian Pacific J Cancer Prev. 2019;20(10):3015–9. Available from: https://doi.org/10.31557/apjcp.2019.20.10.3015
Evans Webb M, Murray E, Younger ZW, Goodfellow H, Ross J. The Supportive Care Needs of Cancer Patients: a Systematic Review. J Cancer Educ. 2021;36(5):899–908. Available from: https://doi.org/10.1007/s13187-020-01941-9
Cernikova KA, Kracmarova LK, Pesoutova M, Tavel P. We will be different forever: A qualitative study of changes of body image in women with breast cancer. BMC Public Health. 2024;24(1). Available from: https://doi.org/10.1186/s12889-024-20017-7
Brajković L, Milat-Panža K, Kopilaš V. Subjective Well-Being in Cancer Patients: The Roles of Social Support, Purpose in Life, Resilience, and Informativeness. Healthcare. 2023;11(24):1–16. Available from: https://doi.org/10.3390/healthcare11243181
Pasek M, Suchocka L, Gąsior K. Model of social support for patients treated for cancer. Cancers (Basel). 2021;13(19):1–20. Available from: https://doi.org/10.3390/cancers13194786
Haugan G, Eriksson M. Health promotion in health care - Vital theories and research. Health Promotion in Health Care - Vital Theories and Research. 2021. 1–380 p.
Aprilianto E, Lumadi SA, Handian FI. Family social support and the self-esteem of breast cancer patients undergoing neoadjuvant chemotherapy. J Public health Res. 2021;10(2). Available from: https://doi.org/10.4081/jphr.2021.2234
Sulastini S, Aditya Nugraha B, Nurul Madinah R. The Relationship Between Family Support and Self-Care in Heart Failure Patients: A Cross-sectional Study in Garut City, Indonesia. J Heal Nutr Res. 2025;4(2):444–51. Available from: http://dx.doi.org/10.56303/jhnresearch.v4i2.399
Dijkman BL, Luttik ML, Van der Wal-Huisman H, Paans W, van Leeuwen BL. Factors influencing family involvement in treatment decision-making for older patients with cancer: A scoping review. J Geriatr Oncol [Internet]. 2022;13(4):391–7. Available from: https://doi.org/10.1016/j.jgo.2021.11.003
La Guardia JG, Patrick H. Self-determination theory as a fundamental theory of close relationships. Can Psychol. 2008;49(3):201–209. Available from: https://psycnet.apa.org/doi/10.1037/a0012760
Telch CF, Telch MJ. Psychological approaches for enhancing coping among cancer patients: A review. Clin Psychol Rev. 1985;5(4):325–44. Available from: https://doi.org/10.1016/0272-7358(85)90011-X
Guarino A, Polini C, Forte G, Favieri F, Boncompagni I, Casagrande M. The effectiveness of psychological treatments in women with breast cancer: A systematic review and meta-analysis. J Clin Med. 2020;9(1). Available from: https://doi.org/10.3390/jcm9010209
Popovic M, Rico V, DeAngelis C, Lam H, Lim FMY. Online Psychological intervention in Breast Cancer Survivors: a Review. Hong Kong J Radiol. 2022;25(1):16–25. Available from: https://doi.org/10.12809/hkjr2217206
Mcdonald A, Granderson I, Johnson O, Coward AW, Bhagwandeen B. Female Breast Cancer Survivor ’ s Perspective of Support Systems in Trinidad and Tobago. J Res Assoc Minor Profr Vol. 2024;26(1).
Montali L, Zulato E, Frigerio A, Frangi E, Camussi E. Mirroring, monitoring, modelling, belonging, and distancing: Psychosocial processes in an online support group of breast cancer patients. J Community Psychol. 2022;50(2):992–1007. Available from: https://doi.org/10.1002/jcop.22696
Belete NG, Bhakta M, Wilfong T, Shewangizaw M, Abebaw E, Tenaw Y, et al. Exploring the impact of breast cancer support groups on survivorship and treatment decision-making in eastern Ethiopia: a qualitative study. Support Care Cancer. 2025;33(419). Available from: https://doi.org/10.1007/s00520-025-09475-w
Amalia L, Wulansari I, Yusuf NAR, Jafar CPSH. Supportive Care Needs Among Breast Cancer Patients Undergoing Chemotherapy in Gorontalo. J Heal Nutr Res. 2025;4(1):317–327. Available from: https://doi.org/10.56303/jhnresearch.v4i1.370
Hasnida H. Family Function Support and Quality of Life For Breast Cancer Survivors. J Aisyah J Ilmu Kesehat. 2021;6(1):199–204. Available from: https://dx.doi.org/10.30604/jika.v6i1.798
Sinurat S, Perangin-Angin IH, Lubis RA. Relationship between family support and quality of life of breast cancer patients undergoing chemotherapy at Santa Elisabeth Hospital, Medan 2022. J Keperawatan. 2023;14(01):77–83. Available from: https://doi.org/10.22219/jk.v14i01.21733
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Copyright (c) 2025 Silvia Tri Wahyu Christaputri, Arifin Triyanto; Salsabila Fiqrotu Tsauroh; Wa Ode Saridewi Mulyainuningsih, Christantie Effendy
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