Effects of alopecia on body image and quality of life of Turkish cancer women with or without headscarf

Support Care Cancer. 2012 Oct;20(10):2349-56. doi: 10.1007/s00520-011-1338-y. Epub 2011 Dec 17.

Abstract

Purpose: The aim of this study was to find out the effects of chemotherapy-related alopecia on body image and quality of life of Turkish women who have cancer with or without headscarves and factors affecting them.

Methods: This descriptive study was conducted with 204 women who received chemotherapy at the Istanbul University Institute of Oncology, Turkey. The Patient Description Form, Body Image Scale and Nightingale Symptom Assessment Scale were used in data collection. Statistical analyses were performed using descriptive statistics and non-parametric tests. Logistic regression analysis was done to predict the factors affecting body image and quality of life of the patients.

Results: No difference was found between women wearing headscarves and those who did not in respect of their body image. However, women who wore headscarves who had no alopecia felt less dissatisfied with their scars, and women not wearing headscarves who had no alopecia have been feeling less self-conscious, less dissatisfied with their appearance. There was difference in terms of quality of life: women wearing headscarves had worse physical, psychological and general well-being than others.

Conclusion: Although there were many important factors, multivariate analysis showed that for body image, having alopecia and wearing headscarves; and for quality of life, having alopecia were the variables that had considerable effects.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Alopecia / chemically induced
  • Alopecia / psychology*
  • Antineoplastic Agents / adverse effects*
  • Body Image*
  • Clothing*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Middle Aged
  • Neoplasms / drug therapy
  • Neoplasms / psychology*
  • Quality of Life / psychology*
  • Regression Analysis
  • Turkey
  • Young Adult

Substances

  • Antineoplastic Agents