Quality of Life Research

, Volume 28, Issue 2, pp 379–387 | Cite as

Determinants of satisfaction with life and self-esteem in women with breast cancer

  • Ana Isabel Cobo-CuencaEmail author
  • Noelia María Martín-Espinosa
  • María Aurora Rodríguez-Borrego
  • Juan Manuel Carmona-Torres



To determine satisfaction with life (LISAT) and self-esteem in women with breast cancer and the relation between sociodemographic and clinical variables with LISAT and self-esteem.


Cross-sectional study with 514 Spanish women with breast cancer. Data were collected using an online questionnaire that included the Satisfaction with Life Questionnaire (LISAT-8) and the Rosenberg self-esteem scale. Variables are age, education, occupation, marital status, surgical treatment, breast reconstruction, adjuvant treatment, time since diagnosis, the self-esteem scale, and the LISAT. A multinomial logistic regression was performed to identify possible factors associated with the LISAT and self-esteem after breast cancer.


The average age was 46.34 (SD ± 8.28), average age at diagnosis was 42.26 (SD ± 8.56), and average time since diagnosis was 4.05 years (SD ± 5.23). Reports showed the following: good general LISAT (61.7%), economic LISAT (44.7%), and social life LISAT (75.9%) and medium sexual LISAT (41.2%). Of the respondents, 39% had lower self-esteem (p < 0.001). Those who were working (p = 0.002) and those with breast reconstruction (p < 0.037) had a good LISAT. Women with mastectomies had a worse LISAT (p < 0.001). Self-esteem was associated with the general LISAT (Pearson = 0.536, p < 0.001), social LISAT (Pearson = 0.502, p < 0.001), and sexual LISAT (Pearson = 0.329, p < 0.001).


Women with breast cancer had a good LISAT overall; the sexual aspect was evaluated as the lowest in terms of life satisfaction. Marital status, occupation, surgical treatment and self-esteem are associated with the LISAT. Health professionals should know the variables that influence life satisfaction of women with breast cancer to plan and conduct appropriate nursing care.


Breast cancer Quality of life Self-esteem Chemotherapy 


Author contributions

All the authors have contributed intellectually to its production and are thus to be regarded as material authors. Study design: AICC, JMCT, MARB, NME. Data collection: AICC, JMCT. Data analysis: AICC, JMCT, NME. Study supervision: AICC, JMCT, MARB. Manuscript writing: AICC, JMCT, MARB, NME. Critical revisions for important intellectual content: AICC, JMCT, MARB, NME.

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest to disclose.


  1. 1.
    Siegel, R. L., Miller, K. D., & Jemal, A. (2016). Cancer statistics, 2016. CA: A Cancer Journal for Clinicians, 66(1), 7–30. Scholar
  2. 2.
    Carmona-Torres, J. M., Cobo-Cuenca, A. I., Martín-Espinosa, N. M., Piriz-Campos, R. M., Laredo-Aguilera, J. A., & Rodriguez-Borrego, M. A. (2017). Prevalencia en la realización de mamografías en españa: Análisis por comunidades 2006–2014 y factores que influyen. Atención Primaria. Scholar
  3. 3.
    Galceran, J., Ameijide, A., Carulla, M., Mateos, A., Quirós, J., Rojas, D., et al. (2017). Cancer incidence in Spain, 2015. Clinical Translactional Oncology, 19(7), 799–825. Scholar
  4. 4.
    Sociedad Española de Oncología Médica (SEOM). (2017). Las Cifras del Cáncer en España. Madrid: SEOM. Retrieved from
  5. 5.
    Marino, J. L., Saunders, C. M., Emery, L. I., Green, H., Doherty, D. A., & Hickey, M. (2016). How does adjuvant chemotherapy affect menopausal symptoms, sexual function, and quality of life after breast cancer? Menopause, 23(9), 1000–1008.Google Scholar
  6. 6.
    Narváez, A., Rubiños, C., Cortés-Funes, F., Gómez, R., & García, A. (2008). Valoración de la eficacia de una terapia grupal cognitivo-conductual en la imagen corporal, autoestima, sexualidad y malestar emocional (ansiedad y depresión) en pacientes de cáncer de mama. Psicooncología, 5(1), 93.Google Scholar
  7. 7.
    Rincón Fernández, M., Pérez San Gregorio, M., Borda Más, M., & Martín Rodríguez, A. (2012). Impacto de la reconstrucción mamaria sobre la autoestima y la imagen corporal en pacientes con cáncer de mama. Universitas Psychologica, 11(1), 25–41.Google Scholar
  8. 8.
    Karimi, M., & Brazier, J. (2016). Health, health-related quality of life, and quality of life: what is the difference? Pharmacoeconomics, 34(7), 645–649.Google Scholar
  9. 9.
    Osoba, D. (1994). Lessons learned from measuring health-related quality of life in oncology. Journal of Clinical Oncology, 12(3), 608–616. Scholar
  10. 10.
    Dialla, P. O., Chu, W. O., Roignot, P., Bone-Lepinoy, M. C., Poillot, M. L., Coutant, C., et al. (2015). Impact of age-related socioeconomic and clinical determinants of quality of life among long-term breast cancer survivors. Maturitas, 81(3), ,362–370.Google Scholar
  11. 11.
    Moro-Valdezate, D., Buch-Villa, E., Peiro, S., Morales-Monsalve, M. D., Caballero-Garate, A., Martinez-Agullo, A., et al. (2014). Factors associated with health-related quality of life in a cohort of Spanish breast cancer patients. Breast Cancer, 21(4), ,442–452.Google Scholar
  12. 12.
    Maly, R. C., Liu, Y., Liang, L. J., & Ganz, P. A. (2015). Quality of life over 5 years after a breast cancer diagnosis among low-income women: Effects of race/ethnicity and patient-physician communication. Cancer, 121(6), 916–926.Google Scholar
  13. 13.
    Remmers, H., Holtgräwe, M., & Pinkert, C. (2010). Stress and nursing care needs of women with breast cancer during primary treatment: a qualitative study. European Journal Oncology Nursing, 14(1), 11–16.Google Scholar
  14. 14.
    Delgado-Sanz, M. C., García-Mendizábal, M. J., Pollán, M., Forjaz, M. J., López-Abente, G., Aragonés, N., et al. (2011). Heath-related quality of life in Spanish breast cancer patients: A systematic review. Health Quality Outcomes, 9(1), 3.Google Scholar
  15. 15.
    Arraras, J. I., Manterola, A., Asin, G., Illarramendi, J. J., Cruz, S. L., Ibanez, B., et al. (2016). Quality of life in elderly patients with localized breast cancer treated with radiotherapy. A prospective study. Breast, 26, 46–53.Google Scholar
  16. 16.
    Arraras, J. I., Illarramendi, J. J., de la Cruz, S., Asin, G., Manterola, A., Ibanez, B., et al. (2016). Quality of life in long-term premenopausal early-stage breast cancer survivors from Spain. Effects of surgery and time since surgery. Journal of BUON, 21(5), 1090–1098.Google Scholar
  17. 17.
    Moncada, I., Micheltorena, C. F., Martínez-Sánchez, E. M., & Gutiérrez, J. R. (2008). Evaluation of the psychometric properties of the life satisfaction checklist as a screening tool for erectile dysfunction. Journal Sexual of Medecin, 5(1), 83–91.Google Scholar
  18. 18.
    Vázquez, A., Jiménez, R., & Vázquez, R.(2004). Escala de autoestima de Rosenberg: fiabilidad y validez en población clínica española. Apuntes de psicología, 2(2), 247–256.Google Scholar
  19. 19.
    Olsson, M., Nilsson, M., Fugl-Meyer, K., Petersson, L. M., Wennman-Larsen, A., Kjeldgård, L., & Alexanderson, K. (2017). Life satisfaction of women of working age shortly after breast cancer surgery. Quality of Life Research, 26(3), 673–684.Google Scholar
  20. 20.
    Chu, W. O., Dialla, P. O., Roignot, P., Bone-Lepinoy, M. C., Poillot, M. L., Coutant, C., et al. (2016). Determinants of quality of life among long-term breast cancer survivors. Quality of Life Research, 25(8), 1981–1990.Google Scholar
  21. 21.
    De Aguiar, S. S., Bergmann, A., & Mattos, I. E. (2014). Quality of life as a predictor of overall survival after breast cancer treatment. Quality of Life Research, 23(2), 627.Google Scholar
  22. 22.
    Janz, N. K., Mujahid, M., Lantz, P. M., Fagerlin, A., Salem, B., Morrow, M., et al. (2005). Population-based study of the relationship of treatment and sociodemographics on quality of life for early stage breast cancer. Quality of Life Research, 14(6), 1467–1479.Google Scholar
  23. 23.
    Ussher, J. M., Perz, J., & Gilbert, E. (2012). Changes to sexual well-being and intimacy after breast cancer. Cancer Nursing, 35(6), 456–465.Google Scholar
  24. 24.
    Champion, V. L., Wagner, L. I., Monahan, P. O., Daggy, J., Smith, L., Cohee, A., et al. (2014). Comparison of younger and older breast cancer survivors and age-matched controls on specific and overall quality of life domains. Cancer, 120(15), 2237–2246. Scholar
  25. 25.
    Burwell, S. R., Case, L. D., Kaelin, C., & Avis, N. E. (2006). Sexual problems in younger women after breast cancer surgery. Journal Clinical Oncology, 24(18), 2815–2821.Google Scholar
  26. 26.
    Kim, M. K., Kim, T., Moon, H. G., Jin, U. S., Kim, K., Kim, J. et al. (2015). Effect of cosmetic outcome on quality of life after breast cancer surgery. European Journal of Surgical Oncology, 41(3), 426–432.Google Scholar
  27. 27.
    Acil, H., & Cavdar, I. (2014). Comparison of quality of life of Turkish breast cancer patients receiving breast conserving surgery or-modified radical mastectomy. Asian Pacific Journal Cancer Preventive, 15(13), 5377–5381.Google Scholar
  28. 28.
    Salakari, M., Pylkkanen, L., Sillanmaki, L., Nurminen, R., Rautava, P., Koskenvuo, M., et al. (2017). Social support and breast cancer: A comparatory study of breast cancer survivors, women with mental depression, women with hypertension and healthy female controls. Breast, 35, 85–90.Google Scholar
  29. 29.
    Ha, E. H., & Cho, Y. K. (2014). The mediating effects of self-esteem and optimism on the relationship between quality of life and depressive symptoms of breast cancer patients. Psychiatry Investigation, 11(4), ,437–445.Google Scholar
  30. 30.
    Tae, Y. S., & Kim, M. Y. (2011). Relationships between family support, perceived health status, and self-esteem in Korean women with breast cancer. Journal Korean Oncolical Nursing, 11(1), ,41–48.Google Scholar
  31. 31.
    Kesson, E. M., Allardice, G. M., George, W. D., Burns, H. J., & Morrison, D. S. (2012). Effects of multidisciplinary team working on breast cancer survival: retrospective, comparative, interventional cohort study of 13 722 women. British Medical Journal, 26, 344:e2718. Scholar
  32. 32.
    Kim, J. H., Yang, Y., & Hwang, E. S. (2015). The effectiveness of psychoeducational interventions focused on sexuality in cancer. Cancer Nursing, 38(5), E32–E42.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Universidad de Castilla la Mancha (UCLM)Ciudad RealSpain
  2. 2.Escuela Universitaria de Enfermería y Fisioterapia de ToledoToledoSpain
  3. 3.Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC)CórdobaSpain
  4. 4.Departamento de Enfermería, Hospital Universitario Reina Sofia, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC)Universidad de CórdobaCórdobaSpain

Personalised recommendations