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Enhancing Self-Esteem and Body Image of Breast Cancer Women through Interventions: A Systematic Review.

ABSTRACT: Breast Cancer (BC) is the most common neoplasm in women worldwide, considered a global public health problem. Among BC women, some of the most common psychological symptoms in the adaptation to the disease are reduction in self-esteem and distorted body image (BI). Although there are numerous studies with the goal of promoting different psychological variables, BI and self-esteem are often separately observed despite their relationship and their importance in the process of the illness. Moreover, there have been no reviews that have synthesized the findings related to interventions aimed at enhancing both self-esteem and BI in BC women. Therefore, the objective of this review was to identify and examine the implemented interventions aimed at boosting both variables in this population. For this purpose, a systematic review was implemented following the PRISMA statement. A thorough search was performed on the following databases: Web of Science, PubMed, PsychInfo, PsychArticles, and Scopus. Among 287 records, only eight articles met the eligibility criteria. Interventions were grouped into three types according to their characteristics: Group therapies, Physical activity therapies, and Cosmetic and beauty treatments. The levels of effectiveness of the different interventions varied between them, and within each, in their impact on self-esteem and BI. More interventions focused on developing BI and self-esteem in this population are needed due to their ability to predict psychological functioning and quality of life of women with breast cancer.

SUBMITTER: Morales-Sanchez L

PROVIDER: S-EPMC7914971 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Enhancing Self-Esteem and Body Image of Breast Cancer Women through Interventions: A Systematic Review.

Morales-Sánchez Lucía L Luque-Ribelles Violeta V Gil-Olarte Paloma P Ruiz-González Paula P Guil Rocío R

International journal of environmental research and public health 20210209 4

Breast Cancer (BC) is the most common neoplasm in women worldwide, considered a global public health problem. Among BC women, some of the most common psychological symptoms in the adaptation to the disease are reduction in self-esteem and distorted body image (BI). Although there are numerous studies with the goal of promoting different psychological variables, BI and self-esteem are often separately observed despite their relationship and their importance in the process of the illness. Moreover ...[more]

PMID: 33572137

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Project description:BackgroundWeight stigma is a serious challenge because of its negative impact on human health and harmful psychological and behavioral consequences. The aim of the study was to explore and compare the relationships between self-reported body weight and weight-related stigmatization experiences and body image, mental self-image, self-esteem, and stereotypes concerning people with obesity among young adult Polish women (N = 374; aged between 18 and 35).MethodsThe study was conducted online on a Polish sample recruited through a social network site, a website, and snowball sampling. Body mass index (BMI) was used to assign the respondents to groups with normal or excess weight. We tested whether women enrolled in the study experienced weight-related stigmatization using two questions based on the concepts of spoiled identity and related to the obesity stigma. The Contour Drawing Rating Scale was used to study different aspects of the body image and discrepancies between them. The Self-Discrepancy Questionnaire was used to study the self-schemas associated with mental qualities. The Polish version of the Rosenberg's Self Esteem Scale was applied to determine self-esteem level. Stereotypes concerning people with obesity were studied using the semantic differential method.ResultsAlthough excess weight was associated with weight-related stigmatization experiences, many women reported confronting such stigmatization even though their body weight was normal according to the World Health Organization (WHO) standards. Women with excess weight and women with weight-related stigmatization experiences were characterized by larger discrepancies between the actual body image and the ideal, reflected, and ought body image, lower self-esteem, and more negative beliefs about their mental actual and reflected self compared to women with normal weight and without weight-related stigmatization experiences. The study participants from all groups tended to believe their actual body image to be ampler than the ideal and the ought body images. They also believed that other people perceived their mental qualities more positively than they did. The study groups were also characterized by negative stereotypes of people with obesity, although these stereotypes were more vital in women with excess weight and women who experienced weight-related stigmatization.ConclusionThe study shows the similarity between psychological functioning of women with self-reported excess weight and those who experience weight-related stigma. The results also provide guidelines for practical actions aimed at reducing negative mental outcomes associated with not conforming to body weight standards.

Project description:IntroductionImproving body image may help to enhance the quality of life of women diagnosed with breast cancer. Although evidence suggests psychosocial interventions can effectively improve body image in this population, no review to date has assessed their feasibility or acceptability. This manuscript reports the protocol for a review summarising current evidence for the feasibility and acceptability of psychosocial interventions for body image targeting women diagnosed with breast cancer and the study methods used to evaluate the interventions in question to provide recommendations to optimise the success and sustainability of psychosocial interventions for body image and future studies. Results will also help to identify gaps in the existing evidence to provide direction for future research.Methods and analysisWe searched the following databases for articles published in the English language from January 2000 to June 2021 using a systematic search strategy: MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials, PsychINFO and EMBASE. This search will be supplemented with a manual search of reference lists from relevant systematic reviews and included articles. Eligible studies will include peer-reviewed publications reporting on feasibility and acceptability in the evaluation of psychosocial interventions for body image targeting women diagnosed with breast cancer. All study designs are eligible, although articles are required to have reported on an intervention evaluation. Two reviewers will independently carry out study selection, extraction of quantitative and qualitative data and quality assessment. Data will be summarised in a narrative review and thematic analysis.Ethics and disseminationNo ethical approval is required because this is a protocol for a systematic review. On completion, results will be submitted for publication in a peer-reviewed scientific journal and for presentation at a relevant conference.Trial registrationThis protocol has been registered in the Prospective Register of Systematic Reviews international registry (ID: CRD42021269062, 11 September 2021).

Project description:ObjectiveBody dysmorphic disorder (BDD) is associated with low self-esteem. The aim of this meta-analysis was to examine the strength of the cross-sectional relationship between BDD symptom severity and global self-esteem in individuals with BDD, mentally healthy controls, community or student samples, and cosmetic surgery patients. Moreover, the role of depressive symptom severity in this relationship and other moderating factors were investigated.MethodsA keyword-based literature search was performed to identify studies in which BDD symptoms and global self-esteem were assessed. Random effects meta-analysis of Fisher's z-transformed correlations and partial correlations controlling for the influence of depressive symptom severity was conducted. In addition to meta-analysis of the observed effects, we corrected the individual correlations for variance restrictions to address varying ranges of BDD symptom severity across samples.ResultsTwenty-five studies with a total of 6278 participants were included. A moderately negative relationship between BDD symptom severity and global self-esteem was found (r = -.42, CI = [-.48, -.35] for uncorrected correlations, r = -.45, CI = [-.51, -.39] for artifact-corrected correlations). A meta-analysis of partial correlations revealed that depressive symptom severity could partly account for the aforementioned relationship (pr = -.20, CI = [-.25, -.15] for uncorrected partial correlations, pr = -.23, CI = [-.28, -.17] for artifact-corrected partial correlations). The sample type (e.g., individuals with BDD, mentally healthy controls, or community samples) and diagnosis of BDD appeared to moderate the relationship only before artifact correction of effect sizes, whereas all moderators were non-significant in the meta-analysis of artifact-corrected correlations.ConclusionsThe findings demonstrate that low self-esteem is an important hallmark of BDD beyond the influence of depressive symptoms. It appears that negative evaluation in BDD is not limited to appearance but also extends to other domains of the self. Altogether, our findings emphasize the importance of addressing self-esteem and corresponding core beliefs in prevention and treatment of BDD.

Dataset Information

Enhancing Self-Esteem and Body Image of Breast Cancer Women through Interventions: A Systematic Review.

Publications

Enhancing Self-Esteem and Body Image of Breast Cancer Women through Interventions: A Systematic Review.

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