Managing body image difficulties of adult cancer patients: lessons from available research.
Managing body image difficulties of adult cancer patients: lessons from available research.
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DOI：
10.1002/cncr.28469
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发表时间：
2014-03-01
期刊：
影响因子：
6.2
通讯作者：
Epner, Daniel E.
中科院分区：
文献类型：
--
作者：
Fingeret, Michelle Cororve;Teo, Irene;Epner, Daniel E.
身体形象是癌症患者的一个重要的心理社会问题，因为他们经常经历显着的变化，外观和功能。在这篇综述文章中，我们的主要目的是确定治疗成人癌症患者身体形象困难的方法，这些方法可以纳入高质量的综合癌症护理。我们概述了与癌症患者相关的身体意象理论模型，并介绍了2003-2013年关于身体意象和癌症的已发表文献的研究结果。我们将这些数据与医患沟通文献中的信息相结合，以描述一种评估和治疗成人癌症患者身体形象问题的实用方法。在不同癌症部位的患者中发现了身体形象困难，并且在术后即刻和治疗期间最普遍。年龄、体重指数和特定的癌症治疗已被确定为癌症患者体像障碍的潜在危险因素。目前的证据支持使用有时限的认知行为治疗干预来解决这些困难。其他干预战略也显示出希望，但需要进一步研究。我们确定了身体形象困难的潜在指标，以提醒医疗保健专业人员何时将患者转介给心理社会护理，并提出了一个框架，用于接近肿瘤治疗团队可以使用的身体形象对话。身体形象问题影响着广泛的癌症患者。提供者可以使用现有的证据与信息相结合的医疗保健传播文献，以制定切实可行的战略，治疗癌症患者的身体形象的关注。
Body image is a critical psychosocial issue for cancer patients as they often undergo significant changes to appearance and functioning. In this review article, our primary purpose was to identify empirically-supported approaches to treat body image difficulties of adult cancer patients that can be incorporated into high-quality comprehensive cancer care. We provided an overview of theoretical models of body image relevant to cancer patients, and presented findings from published literature on body image and cancer from 2003–2013. We integrated these data with information from the patient-doctor communication literature to delineate a practical approach for assessing and treating body image concerns of adult cancer patients. Body image difficulties were found across patients with diverse cancer sites, and were most prevalent in the immediate postoperative and treatment period. Age, body mass index, and specific cancer treatments have been identified as potential risk factors for body image disturbance in cancer patients. Current evidence supports the use of time-limited cognitive-behavioral therapy interventions for addressing these difficulties. Other intervention strategies also show promise but require further study. We identified potential indicators of body image difficulties to alert healthcare professionals when to refer patients for psychosocial care, and proposed a framework for approaching conversations about body image that can be used by the oncologic treatment team. Body image issues affect a wide array of cancer patients. Providers can use available evidence combined with information from the healthcare communication literature to develop practical strategies for treating body image concerns of cancer patients.
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影响因子：
2.8
作者：
Back, Anthony L.;Bauer-Wu, Susan M.;Halifax, Joan
通讯作者：
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DOI：
10.1002/hed.21181
发表时间：
2010-03-01
影响因子：
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作者：
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