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Journal of Advances in Medicine and Medical Research

Journal of Advances in Medicine and Medical Research, ISSN: 2456-8899, ISSN: 2231-0614 (Past),Vol.: 23, Issue.: 4


Perception of Self-esteem and Body Image among Women with Breast Cancer of a University Hospital in Tunisia


Hela Ghali1*, Sirine Fendri2, Ines Ayedi3, Iheb Bougmiza4, Asma Ammar1, Imtinene Belaid5, Njah Mansour1 and Nabiha Bouafia1

1Department of Hospital Hygiene, University Hospital Farhat Hached, Sousse, Tunisia.

2Superior Institute of Nursing, Sousse, Tunisia.

3Department of Oncology, CHU Habib Bourguiba, Sfax, Tunisia.

4Department of Preventive and Community Medicine, University of Medecine of Sousse, Tunisia.

5Department of Oncology, University Hospital Farhat Hached, Sousse, Tunisia.


Article Information


(1) Dario Marchetti, Director, Biomarker Research Program, The Methodist Hospital Research Institute, USA and Professor, Department of Pathology and Genomic Medicine, Visiting Professor, Department of Molecular & Cellular Biology, Baylor College of Medicine, USA and Member, Methodist Cancer Center, Houston Methodist Hospital, Houston, USA.

(2) Muhammad Torequl Islam, Nuclear of Pharmaceutical Technology (NTF), Federal University of Piaui, Brazil.

(3) Philippe E. Spiess, Department of Genitourinary Oncology, Moffitt Cancer Center, USA and Department of Urology and Department of Oncologic Sciences (Joint Appointment), College of Medicine, University of South Florida, Tampa, FL, USA.


(1) Janani Kumar, University of North Dakota, USA.

(2) José Carlos Souza, Mato Grosso do Sul State University, Brazil.

Complete Peer review History:




Background: Breast cancer is a major public health problem. It represents the first female cancer which creates physical, psychological and social disorders.

Objectives: This study aimed to describe the perception of the self-esteem and the body image of women reached by breast cancer in the hospital of Habib Bourguiba of Sfax – Tunisia during three months.

Methods: It is a cross-sectional observational study. Two measure scales of beforehand designed and validated were administered to 125 patients treated for breast cancer: a scale estimating the body image according to Hopwood and a scale estimating the self-esteem according to Rosenberg.

Results: 79% of the investigated women had weak self-esteem and 62% had a distress of the body image. Our study also showed that there is a statistically significant correlation between the perception of the body image and the self-esteem. The presence of history of psychiatric pathologies (P=0,007) and alopecia (p=0,006) are statistically correlated to a body image distress. Civil status (p=0,025) and alopecia (p=0,014) statistically impacted the perception of self-esteem.

Conclusion: In order to improve the quality of life of women with breast cancer, healthcare professionals should take into consideration the psychological effect of the consequences of this disease.


Keywords :

Breast cancer; self-esteem; body-image; women.


Full Article - PDF    Page 1-12    Article Metrics


DOI : 10.9734/JAMMR/2017/35567

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