A pilot study of a body image intervention for breast cancer survivors

被引:50
作者
Lewis-Smith, Helena [1 ]
Diedrichs, Phillippa Claire [1 ]
Harcourt, Diana [1 ]
机构
[1] Univ West England, Ctr Appearance Res, Coldharbour Lane, Bristol BS16 1QY, Avon, England
关键词
Body image; Breast cancer; Cognitive behavioral therapy; Group; Intervention; Body appreciation; Self-esteem; QUALITY-OF-LIFE; EATING-DISORDERS; WOMEN; EXPERIENCES; APPEARANCE; VALIDATION; ATTITUDES; AMERICAN; DISTRESS; SUPPORT;
D O I
10.1016/j.bodyim.2018.08.006
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Body image interventions for breast cancer survivors are lacking in empirical support. Examining existing research on effective body image interventions for women in midlife more broadly may provide useful insights. This pilot study assessed the acceptability, feasibility, and preliminary effects of a Cognitive Behavioural Therapy-based intervention adapted from women in midlife to promote positive body image among breast cancer survivors. Twenty-two breast cancer survivors received the 7-week group intervention, co-facilitated by a clinical psychologist and peer. Participant evaluations suggested the intervention was both acceptable (e.g., 94% would recommend it) and feasible (e.g., 91% completed the intervention). Improvements were identified at either post-test or 1-month follow-up in nearly all body image measures. Maintained improvements were found in body appreciation, weight and shape concern, acceptance of aging-related appearance changes, and self-esteem. This study suggests that the adapted intervention is acceptable, feasible, and demonstrates preliminary efficacy in improving body image and secondary outcomes among breast cancer survivors. (C) 2018 Elsevier Ltd. All rights reserved.
引用
收藏
页码:21 / 31
页数:11
相关论文
共 53 条
[1]   THE EUROPEAN-ORGANIZATION-FOR-RESEARCH-AND-TREATMENT-OF-CANCER QLQ-C30 - A QUALITY-OF-LIFE INSTRUMENT FOR USE IN INTERNATIONAL CLINICAL-TRIALS IN ONCOLOGY [J].
AARONSON, NK ;
AHMEDZAI, S ;
BERGMAN, B ;
BULLINGER, M ;
CULL, A ;
DUEZ, NJ ;
FILIBERTI, A ;
FLECHTNER, H ;
FLEISHMAN, SB ;
DEHAES, JCJM ;
KAASA, S ;
KLEE, M ;
OSOBA, D ;
RAZAVI, D ;
ROFE, PB ;
SCHRAUB, S ;
SNEEUW, K ;
SULLIVAN, M ;
TAKEDA, F .
JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1993, 85 (05) :365-376
[2]  
[Anonymous], 2004, EAT WELL ACT PUBL HL
[3]   Understanding the breast cancer experience of women: A qualitative study of African American, Asian American, Latina and Caucasian cancer survivors [J].
Ashing-Giwa, KT ;
Padilla, G ;
Tejero, J ;
Kraemer, J ;
Wright, K ;
Coscarelli, A ;
Clayton, S ;
Williams, I ;
Hills, D .
PSYCHO-ONCOLOGY, 2004, 13 (06) :408-428
[4]  
Avalos Laura, 2005, Body Image, V2, P285, DOI 10.1016/j.bodyim.2005.06.002
[5]   The psychosocial concerns and needs of women recently diagnosed with breast cancer: a qualitative study of patient, nurse and volunteer perspectives [J].
Beatty, Lisa ;
Oxlad, Melissa ;
Koczwara, Bogda ;
Wade, Tracey D. .
HEALTH EXPECTATIONS, 2008, 11 (04) :331-342
[6]   Effectiveness of peer-led eating disorders prevention: A replication trial [J].
Becker, Carolyn Black ;
Bull, Stephanie ;
Schaumberg, Katherine ;
Cauble, Adele ;
Franco, Amanda .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2008, 76 (02) :347-354
[7]   Impact of Body Image on Depression and Quality of Life Among Women with Breast Cancer [J].
Begovic-Juhant, Ana ;
Chmielewski, Amy ;
Iwuagwu, Stella ;
Chapman, Lauren A. .
JOURNAL OF PSYCHOSOCIAL ONCOLOGY, 2012, 30 (04) :446-460
[8]  
Braun V., 2006, QUAL RES PSYCHOL, V3, P77, DOI [10.1191/1478088706qp063oa, DOI 10.1191/1478088706QP063OA]
[9]  
Breast Cancer Care, 2014, MY BOD MYS ALT BOD I
[10]  
Cash T.F., 2000, MULTIDIMENSIONAL BOD