Mary Jane Esplen1,2, Lianne Trachtenberg3. 1. Department of Psychiatry, Faculty of Medicine, University of Toronto. 2. de Souza Institute. 3. Department of Surgical Oncology, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Abstract
PURPOSE OF REVIEW: Body image is a critical psychosocial issue for patients with cancer, because of the profound effects the disease and its treatment can have on appearance and bodily functioning. Adverse psychological effects of body image changes associated with cancer include debilitating levels of anxiety, social avoidance, depression, problems with intimacy and impaired sexuality, and feelings of shame/inadequacy. The construct of body image is increasingly recognized as complex and multifaceted from an embodied lens, creating more meaningful and efficacious interventions. Although there is some evidence now for in-person interventions, more research is needed in online and in-person interventions, particularly beyond what has been demonstrated in breast cancer. There is also need to address concerns around the practical and psychosocial barriers that can diminish access to, and participation in such individual or group interventions. Internet-based interventions offer opportunity for greater access to tailored psychosocial care. RECENT FINDINGS: An emerging conceptualization of body image for cancer patients is discussed. Internet-delivered interventions targeting body image are outlined; the majority are pilot trials and those developed for breast cancer patients. Challenges found in online interventions are also discussed. SUMMARY: Internet-delivered body image interventions would benefit from a broader conceptualization of body image, greater methodological rigor, and investigations focused on a broader range of cancer populations, beyond patients with breast cancer. Future research is needed to develop, test, and identify who can benefit from online interventions within cancer care.
PURPOSE OF REVIEW: Body image is a critical psychosocial issue for patients with cancer, because of the profound effects the disease and its treatment can have on appearance and bodily functioning. Adverse psychological effects of body image changes associated with cancer include debilitating levels of anxiety, social avoidance, depression, problems with intimacy and impaired sexuality, and feelings of shame/inadequacy. The construct of body image is increasingly recognized as complex and multifaceted from an embodied lens, creating more meaningful and efficacious interventions. Although there is some evidence now for in-person interventions, more research is needed in online and in-person interventions, particularly beyond what has been demonstrated in breast cancer. There is also need to address concerns around the practical and psychosocial barriers that can diminish access to, and participation in such individual or group interventions. Internet-based interventions offer opportunity for greater access to tailored psychosocial care. RECENT FINDINGS: An emerging conceptualization of body image for cancerpatients is discussed. Internet-delivered interventions targeting body image are outlined; the majority are pilot trials and those developed for breast cancerpatients. Challenges found in online interventions are also discussed. SUMMARY: Internet-delivered body image interventions would benefit from a broader conceptualization of body image, greater methodological rigor, and investigations focused on a broader range of cancer populations, beyond patients with breast cancer. Future research is needed to develop, test, and identify who can benefit from online interventions within cancer care.
Authors: Melissa Henry; Justine G Albert; Saul Frenkiel; Michael Hier; Anthony Zeitouni; Karen Kost; Alex Mlynarek; Martin Black; Christina MacDonald; Keith Richardson; Marco Mascarella; Gregoire B Morand; Gabrielle Chartier; Nader Sadeghi; Christopher Lo; Zeev Rosberger Journal: Front Psychol Date: 2022-03-24
Authors: Valeria Sebri; Ilaria Durosini; Davide Mazzoni; Gabriella Pravettoni Journal: Int J Environ Res Public Health Date: 2022-09-30 Impact factor: 4.614