Department of Military Psychology, Faculty of Medical Psychology, Army Medical University, Chongqing, China.
Department of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Eur J Oncol Nurs. 2024 Oct;72:102664. doi: 10.1016/j.ejon.2024.102664. Epub 2024 Jul 10.
The incidence of breast cancer patients with negative body image has increased. However, research on interventions that explicitly reduce negative body image among breast cancer patients remains inadequate. The development of more pragmatic interventions is imperative. Therefore, we conducted this study to assess the effectiveness of a 6-week online Mindful Self-Compassion (MSC) intervention to reduce the negative body image in breast cancer patients.
We randomly assigned 64 female breast cancer patients to either the MSC group or the control group. The MSC group received a 6-week online Mindful Self-Compassion intervention, while the control group received no psychological training. Participants were surveyed by the Self-Compassion Scale-Short Form (SCS-SF), the Self-Acceptance Questionnaire (SAQ), the Chinese Perceived Stress Scale (CPSS), and the Body Image Scale (BIS) at baseline (T1), post-intervention (T2), and 1-month follow-up (T3).
All outcome variables demonstrated significant time main effects and nonsignificant group main effects. The MSC and control groups had significant time × group interaction effects on self-compassion, self-acceptance, perceived stress, and negative body image. Simple main effects analysis revealed significant improvements in outcome variables at three-time points for the MSC group.
A 6-week online Mindful Self-Compassion intervention can improve self-compassion and self-acceptance and reduce perceived stress and negative body image among the breast cancer patients in MSC group. Mindful Self-Compassion intervention shows promise as a viable way to maintain the mental well-being of breast cancer patients.
乳腺癌患者负面身体意象的发生率有所增加。然而，针对明确减少乳腺癌患者负面身体意象的干预措施的研究仍然不足。因此，我们开展了这项研究，以评估为期 6 周的在线正念自我同情（MSC）干预对减少乳腺癌患者负面身体意象的效果。
我们随机将 64 名女性乳腺癌患者分配至 MSC 组或对照组。MSC 组接受为期 6 周的在线正念自我同情干预，而对照组则不接受任何心理训练。参与者在基线（T1）、干预后（T2）和 1 个月随访（T3）时接受自我同情量表短式（SCS-SF）、自我接纳问卷（SAQ）、中文版知觉压力量表（CPSS）和身体意象量表（BIS）的评估。
所有结局变量均显示出显著的时间主效应，而无显著的组主效应。MSC 组和对照组在自我同情、自我接纳、知觉压力和负面身体意象方面均显示出显著的时间×组交互效应。简单主效应分析显示，MSC 组在三个时间点的结局变量均有显著改善。
为期 6 周的在线正念自我同情干预可以改善乳腺癌患者的自我同情和自我接纳，降低知觉压力和负面身体意象。正念自我同情干预有望成为维持乳腺癌患者心理健康的可行方法。
