Association between body image and functionality in women with lymphedema after breast cancer surgery
DOI:
https://doi.org/10.55892/jrg.v9i20.2858Keywords:
Breast Cancer Lymphedema, Body Image, International Classification of Functioning, Disability and Health, LYMPH-ICF, BIRSAbstract
Breast cancer lymphedema is a chronic condition that can compromise upper limb functionality and negatively affect the body image and social participation of affected women. The aim of this study was to analyze the correlation between body image and functionality in women with lymphedema after breast cancer surgery. This is a cross-sectional, quantitative, and descriptive study conducted with 28 women followed up at the oncology physiotherapy outpatient clinic of a public hospital in the Federal District. Functionality was assessed using the Lymphoedema Functioning, Disability and Health Questionnaire (LYMPH-ICF), and body image using the Body Image and Relationship Scale (BIRS). The analysis of the non-causal relationship was performed using Pearson's correlation between the domains of the instruments. The average age of the participants was 58.5 years, with an average BMI of 34.4 kg/m². The total LYMPH-ICF score indicated moderate functional impairment, with the greatest impact on the Mental Function domain, classified as a severe problem. Body image showed an overall perception of a medium level, with lower scores in the Social Barriers and Appearance and Sexuality domains. No statistically significant correlation was observed between total functionality scores and body image; however, moderate and significant correlations were identified between the Mental Function domain of the LYMPH-ICF and the Appearance and Social Barriers factors of the BIRS, as well as between the Pain, Skin Sensation and Movement domain and the Appearance factor. It is concluded that, although the overall scores did not show a significant association, specific aspects of functionality are related to the perception of body image, highlighting the importance of integrated therapeutic approaches that consider physical and psychosocial dimensions in the care of women with lymphedema secondary to breast cancer.
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