Efficacy of a brief cognitive behavioral therapy for head and neck cancer survivors with body image distress: secondary outcomes from the BRIGHT pilot randomized clinical trial

Graboyes, Evan M.; Kistner-Griffin, Emily; Hill, Elizabeth G.; Maurer, Stacey; Balliet, Wendy; Williams, Amy M.; Padgett, Lynne; Yan, Flora; Rush, Angie; Johnson, Brad; McLeod, Taylor; Dahne, Jennifer; Ruggiero, Kenneth J.; Sterba, Katherine R.

doi:10.1007/s11764-023-01454-6

Cited by 2 publications

(1 citation statement)

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“… 23 Compared to other symptoms, body image disorder was rarely discussed between clinicians and survivors with colorectal cancer. 57 Hence, medical workers should also pay specific attention to those patients with body image concerns, tailor communication and take appropriate psychological interventions (eg, psychoeducation about the cognitive model of body image, cognitive-behavioral therapy on building a renewed image after cancer treatment) 58 accordingly, so as to help them correct wrong cognition, promote psychological adjustment, and contribute to good clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

Cancer-Related Fatigue and Its Influencing Factors Among Colorectal Cancer Patients: A Generalized Linear Modeling Approach

Wang,

Song,

Zhang

et al. 2024

IJGM

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Purpose This study aimed to improve cancer-related fatigue (CRF) and health outcomes of colorectal cancer patients by understanding the status quo of CRF, exploring the relations of coping, anxiety symptoms, depressive symptoms, body image perception and CRF, and also identifying the factors affecting CRF based on a generalized linear modeling approach. Patients and Methods An exploratory cross-sectional study was conducted on 370 colorectal cancer patients at two hospitals in Anhui Province, China, from July 2020 to February 2021. The data were collected by using general information questionnaire, cancer fatigue scale, simplified coping style questionnaire, generalized anxiety disorder-7 scale, patient health questionnaire-9, and body image scale. Descriptive statistics, t -tests, one-way analysis of variance, Pearson correlation analyses, and generalized linear model analyses were applied to analyze the data. Results The average CRF score of the patients was 21.612 ( SD =6.160), with a prevalence rate of 69.4% for clinically relevant fatigue. The generalized linear model revealed that: In step 1, gender (female) ( B =1.799, Wald χ 2 =7.506, p =0.006), per capita monthly income (1001–3000 RMB) ( B =−1.673, Wald χ 2 =5.536, p =0.019) and treatment modalities (chemotherapy+others) ( B =2.425, Wald χ 2 =8.211, p =0.004) were related to CRF. In step 2, depressive symptoms ( B =1.223, Wald χ 2 =129.019, p <0.001) and negative coping strategies ( B =0.215, Wald χ 2 =11.347, p =0.001) exhibited significant positive correlations with CRF, positive coping strategies ( B =−0.319, Wald χ 2 =59.175, p <0.001) showed significant negative correlations with CRF; While anxiety symptoms ( B =0.162, Wald χ 2 =1.840, p =0.175) and body image perception ( B =0.013, Wald χ 2 =0.048, p =0.826) had no correlations with CRF. Conclusion The prevalence of CRF was relatively high among colorectal cancer patients. Coping and depressive symptoms were the modifiable influencing factors of CRF. Tailored interventions dedicated to promoting positive coping behavior, diminishing negative coping behavior and redu...

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Section: Discussionmentioning

confidence: 99%