Exploring Body Image and Support Needs in Women with Breast Cancer Experiencing Treatment-Related Dermatological Side Effects: A Focus Group Study

Background/Objectives: Cancer and its treatments are frequently associated with visible dermatological changes that can affect body image, emotional well-being, and quality of life. This exploratory qualitative study aimed to examine the experiences of women with breast cancer who had experienced treatment-related dermatological side effects, with particular attention to their perceived impact on body image and psychosocial well-being, and to explore unmet needs and patient-identified priorities that may inform future supportive care and psychosocial intervention development. Methods: Two semi-structured focus groups were conducted with nine women with breast cancer who had experienced visible treatment-related dermatological side effects and were recruited through the MamaHelp Association. Data were collected using a semi-structured interview guide and analyzed through thematic analysis with investigator triangulation. Results: Five overarching themes were identified: (1) the disruptive impact of visible physical changes; (2) emotional and psychological distress; (3) coping strategies and resilience; (4) perceived support; and (5) patient-identified priorities for future interventions. Alopecia was identified as the most symbolically significant treatment-related change, being closely associated with loss of identity and femininity. Participants emphasized the need for timely psychological support, practical coping strategies, multidisciplinary care, and peer support. Conclusions: Treatment-related dermatological changes were described as affecting body image, emotional well-being, and social functioning among the women participating in this study. Participants identified unmet needs related to psychological support, practical guidance, multidisciplinary care, and peer and family support. These findings may help inform further research examining supportive-care needs and the development of psychosocial approaches addressing body image in women with breast cancer.