Efficacy of psychosocial and physical activity-based interventions to improve body image among women treated for breast cancer: A systematic review

Psycho-oncology
Helena Lewis-SmithDiana Harcourt

Abstract

Body image concerns warrant attention among women who have undergone treatment for breast cancer, due to their significant consequences for psychological and physical health, and interpersonal relationships. This paper systematically reviews the effectiveness of interventions on body image outcomes among this group, in order to inform health care provision and strategic directions for research. Fourteen electronic databases were searched for articles published between 1992 and 2017 that evaluated interventions with women who had undergone treatment for breast cancer in controlled trials with at least one body image measure. Data were extracted and studies were assessed for their methodological quality using the Cochrane Collaboration tool for assessing risk of bias. Twenty-one articles evaluating 26 interventions met inclusion criteria. Nine interventions significantly improved body image at either post-test or follow-up (ds = 0.15-1.43), with none reporting sustained effects across all time points. Effective interventions comprised psychotherapy, psychoeducation, or physical activity, were delivered at different treatment stages and mostly adopted a multisession, face-to-face, group format. However, only 4 interventions were e...Continue Reading

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Citations

Jan 3, 2020·Current Opinion in Supportive and Palliative Care·Mary Jane Esplen, Lianne Trachtenberg
Jan 28, 2020·Psycho-oncology·Mary Jane EsplenBrenda Toner
Nov 29, 2020·BMJ Supportive & Palliative Care·Philippa TollowDiana Harcourt
Apr 1, 2021·Women's Health Reports·Corrie J EffaMargaret L McNeely
Jun 10, 2021·Health Psychology and Behavioral Medicine·Angela MifsudKerry A Sherman
Jul 17, 2021·The Breast : Official Journal of the European Society of Mastology·Renée Ml MiseréRené Rwj van der Hulst
Jan 15, 2022·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Laura Catherine EdneyJonathan Karnon

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