Restoring Body Image After Cancer (ReBIC): Results of a Randomized Controlled Trial
Restoring Body Image After Cancer (ReBIC): Results of a Randomized Controlled Trial
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DOI：
10.1200/jco.2017.74.8244
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发表时间：
2018-03-10
影响因子：
45.3
通讯作者：
Toner, Brenda
中科院分区：
文献类型：
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作者：
Esplen, Mary Jane;Wong, Jiahui;Toner, Brenda
目的：本研究旨在测试群体心理社会干预对改善乳腺癌（BC）幸存者身体形象（BI）、性功能和生活质量的影响。方法采用前瞻性、随机对照试验，评估乳腺癌治疗后妇女8周的组干预效果。以手册为基础的干预结合了两个强大的成分：在群体治疗原则模型中整合的表达性引导意象练习。这种干预促进了对身份的探索、新的自我图式的发展和个人成长。此外，干预措施还包括对影响女性自尊和BI的社会和文化因素的教育内容。对照条件包括标准护理加教育性阅读材料。194名BC省幸存者参与了这项研究，他们表达了对BI阴性和/或性功能障碍的担忧；131人被随机分配到干预组，63人被分配到对照组。参与者被跟踪了1年。结果与对照组相比，干预组女性对身体外观的担忧/困扰明显减少（P < 0.01），身体耻辱感明显减少（P < 0.01）， bc相关担忧水平明显降低（P < 0.01）。1年随访时，干预组bc相关生活质量优于对照组（P < 0.01）。在性功能方面，组间差异无统计学意义。结论在群体治疗方法中使用引导图像进行群体干预的癌症后恢复身体形象（ReBIC）是解决癌症后bi相关问题和提高生活质量的有效方法。人工干预可以很容易地适用于癌症中心和初级保健机构。(C) 2018年由美国临床肿瘤学会出版
PurposeThis study aimed to test a group psychosocial intervention focused on improving disturbances of body image (BI), sexual functioning, and quality of life in breast cancer (BC) survivors.MethodsA prospective, randomized controlled trial was conducted to assess the efficacy of an 8-week group intervention in women after BC treatment. The manual-based intervention combined two powerful ingredients: expressive guided-imagery exercises integrated within a model of group-therapy principles. The intervention facilitates exploration of identity, the development of new self-schemas, and personal growth. In addition, the intervention included an educational component on the social and cultural factors affecting women's self-esteem and BI. The control condition included standard care plus educational reading materials. One hundred ninety-four BC survivors who had expressed concerns about negative BI and/or difficulties with sexual functioning participated in the study; 131 were randomly assigned to the intervention, and 63 were assigned to the control condition. Participants were followed for 1 year.ResultsWomen in the intervention group reported significantly less concern/distress about body appearance (P < .01), decreased body stigma (P < .01), and lower level of BC-related concerns (P < .01), compared with women in the control group. BC-related quality of life was also better in the intervention group compared with the control group at the 1-year follow-up (P < .01). There was no statistically significant group difference in sexual functioning.ConclusionRestoring Body Image After Cancer (ReBIC), a group intervention using guided imagery within a group-therapy approach, is an effective method for addressing BI-related concerns and quality of life post-BC. The manual-based intervention can be easily adapted to both cancer centers and primary care settings. (C) 2018 by American Society of Clinical Oncology