Body Image in Younger Breast Cancer Survivors: A Systematic Review.
Body Image in Younger Breast Cancer Survivors: A Systematic Review.
复制标题
DOI：
10.1097/ncc.0000000000000251
复制
发表时间：
2016-01
期刊：
影响因子：
2.6
通讯作者：
Tofthagen CS
中科院分区：
文献类型：
--
作者：
Paterson CL;Lengacher CA;Donovan KA;Kip KE;Tofthagen CS
身体形象是一个复杂的问题，有可能影响癌症生存的许多方面，特别是对年轻的乳腺癌幸存者来说。本综述的目的是对乳腺癌年轻女性的体像科学现状进行综述。“身体形象”、“性行为干预”、“女性”、“年轻女性”和“乳腺癌”等术语的组合在PubMed、JuncINFO、CINAHL、Web of Knowledge和Science Direct数据库中被搜索到2014年1月。这项综述的纳入标准是：1)原始研究；2)从2000年起以英文发表；3)测量身体形象作为结果变量；以及4)结果包括与年龄相关的结果的报告。36篇文章符合纳入标准。大多数研究是横断面的，在身体形象评估工具上有很大的差异。年龄和治疗类型对身体形象有显著影响，较差的身体形象与生理和心理困扰、性别和亲密关系以及年轻女性的伴侣关系有关。只有一项干预研究发现，干预后身体形象有显著改善。研究结果表明，对于乳腺癌幸存者，特别是年轻女性来说，身体形象是治疗后一个复杂的问题。这一综述的结果受到身体形象评估方法高度差异的限制。有必要对乳腺癌治疗后解决身体形象问题的干预措施进行进一步研究。身体形象的改善可能会改善年轻乳腺癌幸存者的生活质量。
Body image is a complex issue with the potential to impact many aspects of cancer survivorship, particularly for the younger breast cancer survivor. The purpose of this review is to synthesize the current state of the science for body image in younger women with breast cancer. Combinations of the terms “body image,” “sexuality intervention,” “women,” “younger women,” and “breast cancer” were searched in the PubMed, PsycInfo, CINAHL, Web of Knowledge and Science Direct databases through January 2014. Inclusion criteria for this review were: 1) original research; 2) published in English from the year 2000 forward; 3) measuring body image as an outcome variable; and 4) results included reporting of age-related outcomes. Thirty-six articles met the inclusion criteria. The majority of studies were cross-sectional, with extensive variation in body image assessment tools. Age and treatment type had a significant impact on body image, and poorer body image was related to physical and psychological distress, sex and intimacy, and the partnered relationship among younger women. Only one intervention study found a significant improvement in body image post-intervention. Findings suggest body image is a complex post-treatment concern for breast cancer survivors, particularly younger women. The findings of this review are limited by the high level of variation in the methods for assessing body image. Further research of interventions to address body image concerns following treatment for breast cancer is warranted. Improvement of body image may improve the quality of life of younger breast cancer survivors.