Determinants of Self-Esteem Among Breast Cancer Patients: A Literature Review

Authors

  • Azra Deftiana Sukabumi College of Health Sciences Author
  • Johan Budhiana Sukabumi College of Health Sciences Author
  • Akhmad Huda Sukabumi College of Health Sciences Author

DOI:

https://doi.org/10.62710/rgef9229

Keywords:

Anxiety; Breast Cancer; Family Support; Self-Efficacy; Self-Esteem

Abstract

Breast cancer patients often experience physical and psychological changes that may affect their self-esteem. Low self-esteem can influence treatment adherence, psychological well-being, and overall quality of life. This study aims to identify factors that influence self-esteem among breast cancer patients. The method used was a literature review following the PRISMA guidelines. Articles were searched from Google Scholar, PubMed, ScienceDirect, and Taylor & Francis Online, databases using the keywords “self-esteem”, “breast cancer patients”, and “determinants”. Articles published between 2020–2025 were included. From 3,470 identified articles, 9 studies met the inclusion criteria and were analyzed descriptively. The results show that self-esteem in breast cancer patients is influenced by several factors, including family support, body image, meaning of life, self-efficacy, and anxiety. Family support was consistently reported as a significant factor associated with higher self-esteem. These findings highlight the importance of psychosocial support in improving the psychological well-being of breast cancer patients.

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References

Agustin, F. R., & Oktaviana, W. (2024). Relationship of family support on self-esteem in patients with breast cancer who are undergoing chemotherapy. Indonesian Journal of Global Health Research, 6(S5), 53–62. https://doi.org/10.37287/ijghr.v6iS5.4271

Alfiyah, S., & Susanti, M. (2024). Gambaran bakteri pada luka infeksi pasca operasi carcinoma mammae di RSUD Kraton. Jurnal Medika Husada, 4(1), 17–24. https://doi.org/10.62383/demokrasi.v1i3.62

Aprilianto, E., Lumadi, S. A., & Handian, F. I. (2021). Family social support and the self-esteem of breast cancer patients undergoing neoadjuvant chemotherapy. Journal of Public Health Research, 10(2). https://doi.org/10.4081/jphr.2021.2234

Ashfaq, M., Shahzadi, K., Zia, I., Ilyas, Z., & Bano, S. (2025). A cross-sectional study of body image dissatisfaction and self-esteem among breast cancer patients in Rawalpindi/Islamabad. Pakistan Journal of Humanities and Social Sciences, 13(1), 262–271. https://doi.org/10.52131/pjhss.2025.v13i1.2707

Barcelos de Souza, J. C., et al. (2025). What are the effects of free dance and dance therapy on self-esteem, anxiety, body image and depressive symptoms of women undergoing breast cancer surgery? Journal of Bodywork and Movement Therapies, 42, 1159–1167.

Bastos, M. C. S., Almeida, A. P. de, Bagnoli, F., & Oliveira, V. M. de. (2023). Early breast cancer: Concept and therapeutic review. Revista da Associação Médica Brasileira, 69(8). https://doi.org/10.1590/1806-9282.2023S114

Brajković, M., & Babić, D. (2024). The connection between quality and self-esteem in patients with breast cancer. Health Bulletin, 10(1), 124–135. https://doi.org/10.47960/2303-8616.2024.1.9.124

CDC. (2024). Breast cancer risk factors. Centers for Disease Control and Prevention. https://www.cdc.gov/breast-cancer/risk-factors/index.html

Deep, S., Swain, M., & Das, S. (2025). Level of self-esteem and self-efficacy among postoperative breast cancer patients. Indian Journal of Public Health, 69(2), 211–213. https://doi.org/10.4103/IJPH.IJPH_535_23

Dewi, E. I., Salsabila, M., & Fitria, Y. (2024). Relationship between self esteem and meaning of life in breast cancer patients at the Agricultural Regional Hospital of Jember Regency. Jurnal Pendidikan Keperawatan Indonesia, 10(2), 155–168. https://doi.org/10.17509/jpki.v10i2.66896

Dewi, R., Panduragan, S. L., Umar, N. S., Yulianti, M., & Budhiana, J. (2022). The five-finger relaxation techniques on anxiety, stress and quality of life in breast cancer patients. Malaysian Journal of Medicine and Health Sciences, 18, 96–100. https://medic.upm.edu.my/upload/dokumen/2022022317260619_0932.pdf

Fatrida, D., Elviani, Y., Mustakim, M., & Saputra, A. U. (2022). Asuhan keperawatan keluarga dan komunitas: Upaya pencegahan kanker payudara anak usia remaja. Penerbit Adab.

Globocan. (2022). Global Cancer Observatory: Cancer Today. International Agency for Research on Cancer. https://gco.iarc.who.int/media/globocan/factsheets/populations/360-indonesia-fact-sheet.pdf

Harbeck, N. (2022). Neoadjuvant and adjuvant treatment of patients with HER2-positive early breast cancer. The Breast, 62, 80–89. https://doi.org/10.1016/j.breast.2022.01.006

Hong, R., & Xu, B. (2022). Breast cancer: An up-to-date review and future perspectives. Cancer Communications, 42(10), 913–936. https://doi.org/10.1002/cac2.12358

International Agency for Research on Cancer (IARC). (2022). Cancer Today. https://gco.iarc.fr/today/en/dataviz/tables?mode=population

Khairunnisa, K., Nasution, T. H., & Rahmayanti, D. (2025). The relationship between family support and self-esteem in breast cancer patients undergoing palliative care (A correlational study at Ulin Regional Hospital, Banjarmasin). Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan, 13(2), 207–213. https://doi.org/10.20527/dk.v13i2.646

Mahayani, N. L. P., Sukraandini, N. K., & Suniyadewi, N. W. (2020). Hubungan dukungan keluarga dengan self esteem pada pasien kanker payudara di Poliklinik Bedah Onkologi RSUP Sanglah Denpasar. Jurnal Akademika Baiturrahim Jambi, 9(2), 181–189. https://doi.org/10.36565/jab.v9i2.210

Mateu, P., et al. (2025). A qualitative case study of body image in women with breast cancer participating in an exercise program. Supportive Care in Cancer, 33(10), 893.

Smolarz, B., Nowak, A. Z., & Romanowicz, H. (2022). Breast cancer—Epidemiology, classification, pathogenesis and treatment (Review of literature). Cancers, 14, 1–27. https://doi.org/10.3390/cancers14102569

Slamet, A., & Suryani, S. (2021). Family support and quality of life among breast cancer patients. Enfermería Clínica, 31 (2), S352-S355.

WHO. (2025). Breast cancer. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/breast-cancer

Yektatalab, S., & Ghanbari, E. (2020). The relationship between anxiety and self-esteem in women suffering from breast cancer. Journal of Mid-Life Health, 11(3), 126–132. https://doi.org/10.4103/jmh.JMH

Published

2026-08-02

How to Cite

Deftiana, A., Budhiana, J. ., & Huda, A. . (2026). Determinants of Self-Esteem Among Breast Cancer Patients: A Literature Review. Jurnal Ragam Pengabdian, 3(2), 6906-6917. https://doi.org/10.62710/rgef9229