Department of Psychology, Uppsala University, Uppsala, Sweden.
Cancer. 2010 Aug 1;116(15):3549-57. doi: 10.1002/cncr.25251.
In this controlled postdiagnosis study, the authors examined various aspects of body image of breast cancer survivors in cross-sectional and longitudinal designs.
In 2004 and 2007 the Body Image Scale (BIS) was completed by the same 248 disease-free women who had been treated for stage II and III breast cancer between 1998 and 2002. "Poorer" body image was defined as greater than the 70th percentile (N=76 women) of the BIS scores in contrast to "better" body image (N=172 women). Breast cancer survivors were examined clinically in 2004, and their BIS scores were compared with the scores from an age-matched group of women from the general population.
In this cross-sectional study, poorer body image in 2004 was associated significantly with modified radical mastectomy, undergoing or planning to undergo breast-reconstructive surgery, a change in clothing, poor physical and mental health, chronic fatigue, and reduced quality of life (QoL). In univariate analyses, most of these factors and manually planned radiotherapy were significant predictors of poorer body image in 2007. In multivariate analyses, manually planned radiotherapy, poor physical QoL and high BIS score in 2004 remained independent predictors of a poorer body image in 2007. Body image ratings were relatively stable from 2004 to 2007. Twenty-one percent of breast cancer survivors reported body image dissatisfaction, similar to the proportion of dissatisfaction in controls.
In this cross-sectional analysis, body image in breast cancer survivors was associated with the types of surgery and radiotherapy and with mental distress, reduced health, and impaired QoL. Body image ratings were relatively stable over time, and the antecedent body image score was a strong predictor of body image at follow-up. Body image in breast cancer survivors differed very little from that in controls.
在这项对照诊断后研究中，作者从横断面和纵向设计两个方面，研究了乳腺癌幸存者的身体意象的多个方面。
2004 年和 2007 年，248 名疾病无复发的乳腺癌幸存者完成了身体意象量表（BIS），这些患者在 1998 年至 2002 年期间接受了 II 期和 III 期乳腺癌治疗。与“更好”的身体意象（172 名女性）相比，“更差”的身体意象被定义为 BIS 评分大于第 70 百分位（N=76 名女性）。2004 年对乳腺癌幸存者进行了临床检查，并将其 BIS 评分与一般人群中年龄匹配的女性组的评分进行了比较。
在这项横断面研究中，2004 年较差的身体意象与改良根治性乳房切除术、接受或计划接受乳房重建手术、改变服装、身心健康状况较差、慢性疲劳和生活质量（QoL）降低显著相关。在单变量分析中，这些因素中的大多数以及计划中的手动放疗是 2007 年身体意象较差的重要预测因素。在多变量分析中，计划中的手动放疗、身体 QoL 差和 2004 年的 BIS 评分高仍然是 2007 年身体意象更差的独立预测因素。身体意象评分从 2004 年到 2007 年相对稳定。21%的乳腺癌幸存者报告身体意象不满意，与对照组的不满意比例相似。
在这项横断面分析中，乳腺癌幸存者的身体意象与手术和放疗类型以及精神困扰、健康状况下降和 QoL 受损有关。身体意象评分在时间上相对稳定，且初始身体意象评分是随访时身体意象的有力预测指标。乳腺癌幸存者的身体意象与对照组的身体意象差异非常小。
