Body image as a predictor of psychopathology in surgical patients with colorectal disease
Body image as a predictor of psychopathology in surgical patients with colorectal disease
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DOI：
10.1016/j.jpsychores.2012.08.010
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发表时间：
2012-12-01
影响因子：
4.7
通讯作者：
Bokey, Les
中科院分区：
文献类型：
--
作者：
Bullen, Tracey L.;Sharpe, Louise;Bokey, Les
目的：本研究旨在测试结直肠手术患者前瞻性研究中身体意象认知行为模型的相关性，并确定先前存在的身体意象障碍是否影响手术后的心理调整。方法：67 名连续接受结直肠手术的成人患者在入院前使用问卷调查完成了评估精神病理学、身体意象相关信念和健康相关生活质量的测量。每个参与者在手术后三个月进行随访。结果：抑郁和焦虑与基线时的身体形象障碍和自我评价呈正相关。那些继续接受造口的患者的身体形象明显恶化，而那些手术未形成造口的患者则没有观察到这一点。在回归分析中，身体意象障碍是抑郁基线水平和情绪生活质量的重要预测因素。在分别控制医疗变量以及抑郁和焦虑的基线水平后，身体意象干扰的初始水平仍然是后续评估中抑郁和焦虑的重要预测因素。结论：我们的研究结果支持这样的假设：身体意象中预先存在的缺陷会影响手术后恢复阶段的情绪调整。有必要对手术患者的身体意象障碍筛查进行进一步研究，以促进调整。 Crown 版权所有 (C) 2012 由 Elsevier Inc. 出版。保留所有权利。
Objective: This study aimed to test the relevance of a cognitive behavioural model of body image in a prospective study of colorectal surgery patients and to determine if pre-existing body image disturbance influenced psychological adjustment following surgery.Methods: Sixty-seven adult consecutive colorectal surgery patients completed measures assessing psychopathology, body image related beliefs and health related quality of life during pre-admission for surgery using a questionnaire battery. Each participant was followed up three months after surgery.Results: Depression and anxiety were positively correlated with body image disturbance and self evaluation at baseline. Those patients who went on to receive stomas experienced a significant deterioration in their body image that was not observed in those whose surgery did not result in the formation of a stoma. In the regression analysis, body image disturbance was a significant predictor of baseline levels of depression and emotional quality of life. Initial levels of body image disturbance remained a significant predictor of depression and anxiety at follow up assessment after medical variables and baseline levels of depression and anxiety, respectively, had been controlled for.Conclusion: Our findings support the hypothesis that pre-existing vulnerabilities in body image influence emotional adjustment during the recovery phase following surgery. Further research on screening for body image disturbance in surgical patients in order to promote adjustment is warranted. Crown Copyright (C) 2012 Published by Elsevier Inc. All rights reserved.