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癌症后的身体:乳腺癌幸存者身体表象的定性研究。

The Body after Cancer: A Qualitative Study on Breast Cancer Survivors' Body Representation.

机构信息

Department of Oncology and Hemato-Oncology, University of Milan, 20122 Milan, Italy.

Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy.

出版信息

Int J Environ Res Public Health. 2022 Sep 30;19(19):12515. doi: 10.3390/ijerph191912515.


DOI:10.3390/ijerph191912515
PMID:36231811
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9566341/
Abstract

OBJECTIVE: The relationship with the body is a relevant issue for breast cancer survivors. Oncological treatments damage their bodies due to scars, weight gain, and other side effects. Starting from the efficacy of psychological interventions for breast cancer survivors, a tailored psychological support program was provided to promote overall well-being after illness dealing with bodily signals and related emotions and thoughts. This study presents changes in the description of the relationship with their bodies as well as participants' emotions and thoughts before and after a psychological intervention. METHODS AND MEASURES: Eighteen women answered questions related to their bodies before and after the psychological intervention. Results were analyzed in accordance with the procedure of the Word Association Analysis through the T-Lab software and the Qualitative Thematic Analysis. RESULTS: Participants reported a great awareness of their bodies and the desire to take care of them daily. In particular, the body is now perceived as a helper to sustain breast cancer survivors in their everyday activities. CONCLUSION: The words and the themes that characterized the participants' reports highlighted the impact of cancer diagnosis and oncological therapies on breast cancer survivors. The participation in the psychological intervention focused on self-compassion towards their body helps women to create an improved body perception.

摘要

目的:身体关系是乳腺癌幸存者的一个重要问题。由于疤痕、体重增加和其他副作用,肿瘤治疗会损害她们的身体。本研究从心理干预对乳腺癌幸存者的疗效出发,提供了量身定制的心理支持方案,以促进疾病后整体幸福感,处理身体信号及相关情绪和想法。本研究介绍了身体关系描述以及参与者在心理干预前后的情绪和想法的变化。

方法和措施:18 名女性在心理干预前后回答了与身体相关的问题。结果根据 T-Lab 软件和定性主题分析的词汇联想分析程序进行分析。

结果:参与者报告说对自己的身体有了很大的认识,并希望每天都照顾好自己的身体。特别是,身体现在被视为帮助乳腺癌幸存者在日常生活中维持活动的助手。

结论:参与者报告中描述的词汇和主题突出了癌症诊断和肿瘤治疗对乳腺癌幸存者的影响。参与以自我同情为重点的心理干预有助于女性改善身体感知。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43e5/9566341/da79e96e8bbf/ijerph-19-12515-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43e5/9566341/c303d414481c/ijerph-19-12515-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43e5/9566341/da79e96e8bbf/ijerph-19-12515-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43e5/9566341/c303d414481c/ijerph-19-12515-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43e5/9566341/da79e96e8bbf/ijerph-19-12515-g002.jpg

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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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本文引用的文献

[1]
Prevalence and determinants of anxiety and depression in long-term breast cancer survivors.

BMC Psychiatry. 2022-2-9

[2]
Psychological Benefits of a Sport-Based Program for Female Cancer Survivors: The Role of Social Connections.

Front Psychol. 2021-11-26

[3]
The Impact of Unsupportive Social Support on the Injured Self in Breast Cancer Patients.

Front Psychol. 2021-9-20

[4]
Feasibility and pilot study of a brief self-compassion intervention addressing body image distress in breast cancer survivors.

Health Psychol Behav Med. 2021-5-21

[5]
Changes in the Semantic Construction of Compassion after the Cognitively-Based Compassion Training (CBCT) in Women Breast Cancer Survivors.

Span J Psychol. 2021-5-24

[6]
Cancer patients' participation and commitment to psychological interventions: a scoping review.

Psychol Health. 2022-8

[7]
The Efficacy of Psychological Intervention on Body Image in Breast Cancer Patients and Survivors: A Systematic-Review and Meta-Analysis.

Front Psychol. 2021-3-1

[8]
In the eye of a quiet storm: A critical incident study on the quarantine experience during the coronavirus pandemic.

PLoS One. 2021-2-17

[9]
The Motivation Journey: A Grounded Theory Study on Female Cancer Survivors' Experience of a Psychological Intervention for Quality of Life.

Int J Environ Res Public Health. 2021-1-22

[10]
Injured Self: Autobiographical Memory, Self-Concept, and Mental Health Risk in Breast Cancer Survivors.

Front Psychol. 2020-11-4

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