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The role of body image dissatisfaction in the association between treatment-related scarring or disfigurement and psychological distress in adult survivors of childhood cancer.
- Source :
- Psycho-Oncology; Jan2018, Vol. 27 Issue 1, p216-222, 7p, 1 Diagram, 2 Charts, 1 Graph
- Publication Year :
- 2018
-
Abstract
- <bold>Objective: </bold>To examine the potential mediating role of body image dissatisfaction on the association between treatment-related scarring/disfigurement and psychological distress in adult survivors of childhood cancer.<bold>Methods: </bold>Participants included 1714 adult survivors of childhood cancer (mean [SD] age at evaluation = 32.4 [8.0] years, time since diagnosis = 24.1 [8.1] years) enrolled in the St. Jude Lifetime Cohort Study. Survivors completed measures of body image, emotional distress, and posttraumatic stress symptoms (PTSS). Body image dissatisfaction (BID) was categorized into 2 groups (cancer-related and general) based on factor analysis. Using causal mediation analysis, we estimated the proportion of psychological distress associated with treatment-related scarring/disfigurement that could be eliminated by resolving BID through a hypothetical intervention.<bold>Results: </bold>Among survivors with scarring/disfigurement of the head, a sizable proportion of the relative excess of psychological distress could be eliminated if BID was successfully treated (males: [cancer-related BID: depression: 63%; anxiety: 100%; PTSS: 52%]; [general BID: depression: 70%; anxiety: 100%; PTSS: 42%]; females: [cancer-related BID: depression: 20%; anxiety; 36%; PTSS: 23%]; [general BID: depression: 32%; anxiety: 87%; PTSS: 38%]). The mediating effect of BID was less pronounced for the association between scarring/disfigurement of the body and psychological distress for both males and females.<bold>Conclusions: </bold>Body image dissatisfaction mediates the association treatment-related scarring/disfigurement and psychological distress among adult survivors of childhood cancer, particularly among survivors with scarring/disfigurement of the head and male survivors. Successful treatment of body image dissatisfaction has the potential to eliminate a substantial proportion of psychological distress related to scarring/disfigurement among adult survivors of childhood cancer. [ABSTRACT FROM AUTHOR]
- Subjects :
- BODY image
CANCER patient psychology
CHILDHOOD cancer
POST-traumatic stress disorder
PSYCHOLOGICAL distress
TUMORS & psychology
ANXIETY
COMPARATIVE studies
MENTAL depression
FACTOR analysis
LONGITUDINAL method
RESEARCH methodology
MEDICAL cooperation
QUALITY of life
RESEARCH
RESEARCH funding
SCARS
PSYCHOLOGICAL stress
EVALUATION research
PSYCHOLOGICAL factors
Subjects
Details
- Language :
- English
- ISSN :
- 10579249
- Volume :
- 27
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Psycho-Oncology
- Publication Type :
- Academic Journal
- Accession number :
- 127502526
- Full Text :
- https://doi.org/10.1002/pon.4439