Psychological Adaptation and Body Image in Women with Breast Cancer—The Role of Coping Strategies and Femininity
Psychological Adaptation and Body Image in Women with Breast Cancer—The Role of Coping Strategies and Femininity
StatusVoR
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Authors
Farnicka, Marzanna
Kolańska-Stronka, Magdalena
Słowińska, Joanna
Poręba-Chabros, Agata
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Date
2026-03-31
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Journal of Clinical Medicine
Issue
7
Volume
15
Pages
Pages
1-13
ISSN
2077-0383
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2026-03-31
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Abstract EN
Background: Breast cancer poses not only a physical health threat but also emotional and identity challenges for women, particularly regarding femininity and body image. Understanding how patients adapt psychologically can guide effective psychosocial interventions. Objective: This study aimed to evaluate psychological adaptation, coping strategies, illness acceptance, and body image in women with breast cancer and identify factors associated with better adjustment. Methods: A cross-sectional study was conducted among 30 women aged 22–66 undergoing treatment at the Wielkopolskie Centrum Onkologii, Poland. Standardized tools included the Mini-MAC scale (coping strategies), Acceptance of Illness Scale (AIS), and Body Image Scale (BIS). Descriptive statistics and correlations were analyzed. Results: Most participants exhibited a constructive coping style, with positive redefinition and fighting spirit being predominant. Some women simultaneously showed elements of a destructive coping style, including helplessness and hopelessness, indicating complex emotional reactions. Overall, participants demonstrated high illness acceptance, despite notable body image-related discomfort, particularly shame, reduced perceived attractiveness, and appearance-related anxiety. While age did not correlate significantly with coping or body image, a significant negative association was found between age and illness acceptance, with younger women showing better adjustment. Conclusions: Psychological adaptation to breast cancer is multidimensional and individualized, dependent on personality traits, internal resources, and social support. Findings highlight the need for holistic, patient-centered psychosocial care, addressing both emotional adaptation and body image-related distress, including support for intimacy and prosthetic interventions. Individualized strategies can improve quality of life and functional outcomes during and after cancer treatment.
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Keywords PL
Keywords EN
breast cancer
body image
coping strategies
intimacy
illness acceptance
psychological adaptation
psycho-oncology
body image
coping strategies
intimacy
illness acceptance
psychological adaptation
psycho-oncology
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Sustainable Development Goals
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8Acquisition Date2.04.2026
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