Centre for Appearance Research, University of the West of England, United Kingdom.
Centre for Appearance Research, University of the West of England, United Kingdom.
Body Image. 2020 Dec;35:114-125. doi: 10.1016/j.bodyim.2020.08.011. Epub 2020 Sep 30.
Body image concerns are common among breast cancer survivors and women in midlife. However, effective interventions are lacking for breast cancer survivors. This may be related to prior research having examined non-modifiable and medicalised influences on body image, instead of modifiable sociocultural and psychological influences. An adaptation of the 'Tripartite Influence Model of Body Image' was tested among women with (n = 169; mean age = 49.9) and without (n = 323; mean age = 47.6) a history of breast cancer, to investigate whether psychological and sociocultural influences on body image were similar between groups. Structural equation modelling revealed the model fit was satisfactory. Media pressure had an indirect effect on body image among both groups, and a direct effect among women treated for breast cancer. An additional influence of relevance only to women without breast cancer was pressure from friends. Overall, findings indicate common influences of media pressure and appearance comparisons on body image among both groups of women. This suggests that with some tailoring, existing evidence-based body image interventions designed for midlife women targeting these factors may also be relevant and beneficial for breast cancer survivors.
身体意象问题在乳腺癌幸存者和中年女性中很常见。然而，针对乳腺癌幸存者的有效干预措施却很缺乏。这可能与之前的研究只考察了身体意象的不可改变的和医学化的影响因素，而没有考察可改变的社会文化和心理影响因素有关。本研究在有（n=169；平均年龄=49.9）和没有（n=323；平均年龄=47.6）乳腺癌病史的女性中测试了“身体意象的三重影响模型”的适应性，以调查身体意象的心理和社会文化影响在两组之间是否相似。结构方程模型显示，模型拟合度令人满意。媒体压力对两组女性的身体意象都有间接影响，对接受乳腺癌治疗的女性有直接影响。仅对没有乳腺癌的女性有额外影响的是来自朋友的压力。总的来说，研究结果表明，媒体压力和外貌比较对两组女性的身体意象都有共同的影响。这表明，通过一些针对性的调整，针对中年女性的针对这些因素的基于证据的身体意象干预措施也可能对乳腺癌幸存者具有相关性和有益性。
