Breast cancer has been widely studied with respect to its psychological impact because it is a disease which threatens an organ that is intimately associated with self-image, self-esteem, sexuality, femininity, and reproductive and nurturing capacity. Breast cancer is a significant stress for any woman; however, women vary widely in their response to diagnosis and treatment. In this manuscript we review the following issues: social, psychological, and medical variables that contribute to the psychological response, and the usual responses of women in the pre- and postsurgical treatment period.
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Massie et al. (1991) studied this question.
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