Breast‐related stereotype threat contributes to a symptom cluster in women with breast cancer

Aims and objectives To investigate the prevalence of breast‐related stereotype threat and its effects on a symptom cluster consisting of anxiety, depression and fatigue and on each symptom. Background The stereotype that breasts are a sign of women's femininity results in patients with breast cancer fearing diminished femininity and rejection, which may induce psychological problems that co‐occur as a symptom cluster. Design Cross‐sectional study. Methods A total of 131 patients with breast cancer postmastectomy completed the study. A question measuring breast‐related stereotype threat, the Hospital Anxiety and Depression Scale and the Functional Assessment of Chronic Illness Therapy‐Fatigue Scale were used to assess their breast‐related stereotype threat and symptoms of anxiety, depression and fatigue. Results Of the 131 patients who answered the breast‐related stereotype threat question, 86 (65·6%) reported breast‐related stereotype threat. They did not differ significantly in social and clinical characteristics compared with those without the stereotype, but did report significantly higher levels of the symptom cluster and each symptom (anxiety, depression and fatigue). The odds ratios of the stereotype were significant for the symptom cluster, depression and fatigue (odds ratios = 2·52–3·98, p