Body Image Discomfort of Adolescent and Young Adult Hematologic Cancer Survivors

Zucchetti, Giulia; Bellini, Simona; Bertolotti, Marina; F, Bona; Biasin, Eleonora; Bertorello, Nicoletta; Tirtei, Elisa; Fagioli, Franca

doi:10.1089/jayao.2016.0067

Cited by 30 publications

(38 citation statements)

References 24 publications

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“…On the basis of this framework, we assumed that changes in appearance caused by OCC, and its treatment would lead to differences in internalization and representation between males and females. Previous studies of cancer patients indicated that poor physical function, greater emotional distress, poor psychosocial function, and female gender were negatively associated with body image satisfaction. These patients may also experience altered body image after treatment, although insufficient attention has been devoted to this important topic.…”

Section: Introductionmentioning

confidence: 92%

“…An altered body image in cancer patients is associated with more physical symptoms, depression, lower global health status, more severe symptoms, and impaired psychosocial adjustment . Gender also affects the psychosocial adaptation and body image of cancer patients, in that females report greater psychological disturbances, more changes in appearance, and greater alterations in body image …”

Section: Introductionmentioning

confidence: 99%

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Factors influencing body image in posttreatment oral cavity cancer patients

et al. 2019

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Objective: The purpose of this study of posttreatment oral cavity cancer (OCC) patients was to identify factors associated with self-reported overall body image, perceived attractiveness, and dissatisfaction with body appearance. Methods: This cross-sectional study recruited patients with OCC from the outpatient radiation department of a single cancer center in Northern Taiwan. Demographic and clinical characteristics were recorded, and patients were assessed using the Hospital Anxiety and Depression Scale (HADS), the Liebowitz Social Anxiety Scale (LSAS), the University of Washington Quality of Life Scale (UW-QOL), and the Body Image Scale (BIS). Results: A total of 168 patients were included in this current study, 76 females and 92 males. Negative overall body image was associated with greater degree of depression, greater fear of social interactions, poorer social-emotional function, receipt of surgery, female gender, and greater avoidance of social interaction; these factors explained 49.0% of the variance in this outcome measure. Poor perceived attractiveness was associated with greater depression, greater fear of social interaction, and receipt of surgery; these factors explained 25.4% of the variance in this outcome measure. Dissatisfaction with body appearance was associated with poor socialemotional function, greater fear of social interaction, receipt of reconstruction, advanced cancer stage, and female gender; these factors explained 52.2% of the variance in this outcome measure. Conclusions: This study of posttreatment OCC patients indicated that depression and fear of social interaction strongly influenced overall body image, perceived attractiveness, and dissatisfaction with body appearance. KEYWORDS cancer, body image, depression, oncology, quality of life 1 | BACKGROUNDCancer is a leading cause of mortality and morbidity worldwide. Oral cavity cancer (OOC), which refers to cancer anywhere in the mouth (including the lips, tongue, cheeks, mouth floor, and gums) 1 has an annual worldwide incidence 2 of 300 000. In Taiwan, OCC has become the fourth most common cancer among males, and the most common sites for OCC are the buccal mucosa and tongue. The high incidence of OCC in Taiwan reflects the widespread practice of betel quid chewing by males. 3 The cancer itself and its treatment commonly

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Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Factors influencing body image in posttreatment oral cavity cancer patients

et al. 2019

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“…The extent to which results and clinical implications can be generalised to a broader AYA population with a diverse range of cancers is unclear. Quantitative data have shown AYA body image to worsen as a result of the cancer experience (Bellizzi et al, ), particularly in women (Olsson, Enskär, Steineck, Wilderäng, & Jarfelt, ; Vlachioti, Perdikaris, Megapanou, Sava, & Matziou, ; Zucchetti et al, ). In a Danish study, more than half of AYA patients and survivors reported that cancer had negatively affected their body image, and 45% reported that it negatively affected their feelings of being attractive (Graugaard et al, ).…”

Section: Introductionmentioning

confidence: 99%

Impact of physical appearance changes reported by adolescent and young adult cancer survivors: A qualitative analysis

et al. 2019

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Poor body image may be one driver of distress for adolescent and young adults (AYAs) after cancer. We explored physical appearance changes reported by AYA cancer survivors to understand impacts on body image, distress, lifestyle and health behaviours. We recruited AYAs (15–25 years) who had completed cancer treatment. Using semi‐structured interviews, we asked participants about appearance changes resulting from their cancer. We used iterative thematic analyses to explain experiences. Forty‐three participants (51% male, mean age = 21 years) completed an interview. Two key themes emerged. Participants discussed physical appearance changes and psychosocial impacts including appraisal of their changed appearance. Thirty‐eight participants (n = 38/43) reported that their cancer and/or treatment changed their appearance (most commonly: alopecia [n = 15/43], scarring [n = 14/43] and weight gain [n = 11/43]). Ten participants (n = 10/43) acknowledged body dissatisfaction. Other impacts included feeling a loss of identity, not being recognised by peers and feeling helpless to change. Our results have translational significance for AYA care. Body image concerns should be considered a potential barrier to successful reintegration post‐treatment. AYAs may benefit from familial and peer support, healthy lifestyle interventions and clinical environments catering to appearance‐related sensitivities.

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“…Unfortunately, over 40% of childhood cancer survivors develope severe or chronic health conditions such as second malignancies, cardiac and vascular abnormalities, pulmonary complications. Moreover, these effects are always associated with stress, isolation and depression state [2] and body image discomfort [3]. For these reasons, the need for a structured long-term follow-up (LTFU) system, aimed at countering potential health risks and supporting beneficial behaviors among youth survivors, has been widely recognized.…”

Section: Introductionmentioning

confidence: 99%

The biopsychosocial condition of childhood cancer survivors in the transition towards adult care: a national survey from the joint pediatric and adult transition care group

Zucchetti

Bellini

Bertolotti

et al. 2018

International Journal of Adolescent Medicine and Health

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BackgroundTo provide successful transfer from childhood to adult-oriented healthcare is one of the priorities of survivorship care plans.PurposeThis study describes adolescent and young adult childhood cancer survivors’ conditions at the moment of the transition to adult care deepening their biological, psychological, social and assistant state and their associations with socio-demographic and clinical characteristics.MethodsA biopsychosocial check-list in four health domains (biological, psychological, social and assistant) was filled in by healthcare professionals (oncologists, psychologists, social workers and nurses) through qualitative interviews and clinical observations of 79 survivors (58% boys; Mage= 20 years old) at the moment of the transition from the Pediatric Oncology Unit to the Transition Unit of the Childhood Cancer Survivors.ResultsAt the moment of transition, 38% of survivors showed a positive condition in all the four health domains without any kind of impairment. Biological (37%) and psychological areas (44%) were found to be those with major incidence of impairments. Association phenomena were found between psychological and social condition (p < 0.05) and between social and assistant condition (p < 0.05). Biological condition was also significantly associated with the type of cancer (χ = 6,2414, p < 0.05).ConclusionAlthough many survivors entered in adult care system without any impairment, the biopsychosocial approach highlighted that there is a presence of impairments in at least one of the main health domains.

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Body Image Discomfort of Adolescent and Young Adult Hematologic Cancer Survivors

Cited by 30 publications

References 24 publications

Factors influencing body image in posttreatment oral cavity cancer patients

Factors influencing body image in posttreatment oral cavity cancer patients

Impact of physical appearance changes reported by adolescent and young adult cancer survivors: A qualitative analysis

The biopsychosocial condition of childhood cancer survivors in the transition towards adult care: a national survey from the joint pediatric and adult transition care group

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