Objectives: Body image (BI) remains a significant survivorship challenge among breast cancer (BC) survivors. We describe an 8-week group intervention-restoring body image after cancer (ReBIC)-developed to target BI distress for BC survivors.Methods: The intervention was informed by interviews with BC survivors and by a descriptive, exploratory approach which adapted guided imagery exercises to address BI. Educational material was selected to address sociocultural factors that may contribute to BI distress and affect adjustment. Videotape reviews and content analyses further refined the intervention.Results: The intervention incorporates three active components: psychotherapeutic group principles; guided imagery exercises to address BI; and psychoeducation on relevant socialization factors and gender-based messages internalized by women in Western society. The therapeutic group was a supportive and effective way to assist BC survivors to gain insight on BI impacts, their histories, and relevant sociocultural factors contributing to BI distress. The group also facilitated the working through of grief over multiple losses. Guided imagery was well-received, and appeared to help survivors identify negative and emerging self-schema, as well as facilitate new selfviews. Specific themes included negative emotions associated with an altered body and self, grief and loss, isolation, difficulties with sexual intimacy, relationship challenges, and uncertainty around sense of self and future.Conclusion: An empirically tested group therapy intervention is described and has implications for survivorship programs to help address BI-related challenges. Future work could consider testing a similar approach tailored for other cancer populations. K E Y W O R D S body image, cancer, gender role socialization, group intervention, guided imagery, oncology, psycho education, sexual health, social and cultural factors 1 | INTRODUCTION Breast cancer (BC) is one of the most common cancers in the world and affects 2.1 million women each year. 1 With advances in treatment, the number of BC survivors is steadily increasing. All treatments impact appearance and cause some functional changes to the body that can adversely affect how women perceive, feel, and think about their bodies. 2 These issues are persistent problems for up to 75% of survivors. 2-5 Body-related changes include breast disfigurement or loss, changes in breast sensitivity, weight gain, altered body composition, loss of hair, and functional changes, such as chronic pain, infertility,
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