EFFECTIVENESS OF COGNITIVE-BASED INTERVENTIONS FOR IMPROVING BODY IMAGE OF PATIENTS HAVING BREAST CANCER

AJ KHAN; M KHAN; A MUMTAZ

doi:10.54112/bcsrj.v2024i1.1083

Authors

AJ KHAN General Surgery, Surgical ICU Khyber Teaching Hospital Peshawar, Pakistan
M KHAN Surgical D Unit Khyber Teaching Hospital Peshawar, Pakistan
A MUMTAZ Khyber Teaching Hospital Peshawar, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.1083

Keywords:

Breast cancer, Body image, Cognitive Behavioral Therapy, Quasi-experimental, Psychosocial intervention

Abstract

Breast cancer is one of the most common tumors among women. CBT is an algorithmic, time-bound method of treatment that concentrates on altering negative cognitive processes and behavioral patterns. Objectives: The main objective of the study is to find the effectiveness of cognitive-based interventions for improving the body image of patients with breast cancer. Methods: This quasi-experimental study was conducted at Khyber Teaching Hospital Peshawar from January 2023 to January 2024. Data were collected from 105 breast cancer patients, all of whom had undergone various treatments such as mastectomy, lumpectomy, or chemotherapy, which resulted in noticeable physical changes. All patients diagnosed with breast cancer and having undergone surgical or medical treatments and experiencing concerns related to body image post-treatment with no prior history of psychiatric disorders were included in the study. Results: Data were collected from 105 patients. The results show that the intervention group experienced a significant improvement in body image, with a 45.6% reduction in Body Image Scale (BIS) scores from 22.8 ± 3.5 pre-intervention to 12.4 ± 3.1 post-intervention (p = 0.001). In contrast, the control group showed only a minimal 3.6% improvement, with scores decreasing slightly from 22.5 ± 3.7 to 21.7 ± 3.4 (p = 0.152). Conclusion: It is concluded that cognitive-based interventions, particularly Cognitive Behavioral Therapy (CBT), are highly effective in improving body image and reducing anxiety and depression in breast cancer patients.

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References

Durosini, I., Tarocchi, A., and Aschieri, F. (2017). Therapeutic assessment with a client with persistent complex bereavement disorder: a single-case time-series design. Clin. Case Stud. 16, 295–312. doi: 10.1177/1534650117693942

Fioretti, C., Mazzocco, K., and Pravettoni, G. (2017). “Psychological support in breast cancer patients: a personalized approach,” in Breast Cancer, eds U. Veronesi, A. Goldhirsch, P. Veronesi, O. D. Gentilini, and M. C. Leonardi (Cham: Springer), 841–847. doi: 10.1007/978-3-319-48848-6_73

Yang, Y., Wen, Y., Bedi, C., and Humphris, G. (2017). The relationship between cancer patient's fear of recurrence and chemotherapy: a systematic review and meta-analysis. J. Psychosom. Res. 98, 55–63. doi: 10.1016/j.jpsychores.2017.05.002

Andreis, F., Meriggi, F., Codignola, C., Frigoli, I., Prochilo, T., Mutti, S., et al. (2018). Impact of a psycho-educational team in early breast cancer patients' coping strategies: the Venere project. Rev. Recent Clin. Trials 13, 274–280. doi: 10.2174/1574887113666180409152025

Assink, M., Spruit, A., Schuts, M., Lindauer, R., van der Put, C. E., and Stams, G. J. J. (2018). The intergenerational transmission of child maltreatment: a three-level meta-analysis. Child Abuse Neglect 84, 131–145. doi: 10.1016/j.chiabu.2018.07.037

Beatty, L., Kemp, E., Butow, P., Girgis, A., Schofield, P., Turner, J., et al. (2018). A systematic review of psychotherapeutic interventions for women with metastatic breast cancer: context matters. Psycho-oncology 27, 34–42. doi: 10.1002/pon.4445

David, D., Cotet, C., Matu, S., Mogoase, C., and Stefan, S. (2018). 50 years of rational-emotive and cognitive-behavioral therapy: a systematic review and meta-analysis. J. Clin. Psychol. 74, 304–318. doi: 10.1002/jclp.22514

Eriksen, M. B., and Frandsen, T. F. (2018). The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. J. Med. Libr. Assoc. 106:420. doi: 10.5195/JMLA.2018.345

Jabłoński, M. J., Mirucka, B., Streb, J., Słowik, A. J., and Jach, R. (2019). Exploring the relationship between the body self and the sense of coherence in women after surgical treatment for breast cancer. Psycho-Oncology 28, 54–60. doi: 10.1002/pon.4909

Lewis-Smith, H., Diedrichs, P. C., and Harcourt, D. (2018). A pilot study of a body image intervention for breast cancer survivors. Body Image 27, 21–31. doi: 10.1016/j.bodyim.2018.08.006

Möller, U. O., Beck, I., Ryden, L., and Malmström, M. (2019). A comprehensive approach to rehabilitation interventions following breast cancer treatment-a systematic review of systematic reviews. BMC Cancer 19:472. doi: 10.1186/s12885-019-5648-7

Munzone, E., Bagnardi, V., Campenn,ì, G., Mazzocco, K., Pagan, E., Tramacere, A., et al. (2019). Preventing chemotherapy-induced alopecia: a prospective clinical trial on the efficacy and safety of a scalp-cooling system in early breast cancer patients treated with anthracyclines. Br. J. Cancer 121, 325–331. doi: 10.1038/s41416-019-0520-8

Oliveri, S., Ongaro, G., Durosini, I., Curigliano, G., and Pravettoni, G. (2020). Breast implant-associated anaplastic large cell lymphoma: emotional impact and guidelines for psychological support. Breast Cancer Res. Treat. 181, 221–224. doi: 10.1007/s10549-020-05601-w

Faccio, F., Mascheroni, E., Ionio, C., Pravettoni, G., Peccatori, F. A., Pisoni, C., et al. (2020). Motherhood during or after breast cancer diagnosis: a qualitative study. Eur. J. Cancer Care 29

. doi: 10.1111/ecc.13214

Sebri, V., Savioni, L., Triberti, S., Durosini, I., Mazzocco, K., and Pravettoni, G. (2020a). Do you transfer your skills? From sports to health management in cancer patients. Front. Psychol. 11:546. doi: 10.3389/fpsyg.2020.00546

Sebri, V., Triberti, S., and Pravettoni, G. (2020b). Injured self: autobiographical memory, self-concept, and mental health risk in breast cancer survivors. Front. Psychol. 11:607514. doi: 10.3389/fpsyg.2020.607514

Zhao W, Chong YY, Chien WT. Effectiveness of cognitive-based interventions for improving body image of patients having breast cancer: A systematic review and meta-analysis. Asia Pac J Oncol Nurs. 2023 Feb 23;10(4):100213. doi: 10.1016/j.apjon.2023.100213. PMID: 37089782; PMCID: PMC10120298.

Yee C., Wang K., Asthana R., et al. Radiation-induced skin toxicity in breast cancer patients: a systematic review of randomized trials. Clin Breast Cancer. 2018;18:e825–e840.

Naito Y., Kai Y., Ishikawa T., Fujita T., Uehara K. Chemotherapy-induced nausea and vomiting in patients with breast cancer: a prospective cohort study. Breast Cancer. 2020;27:122–128.