Sexual activity and body image: Examining gender variability and the influence of psychological distress in cancer patients

Krok, Jessica L.; Baker, Tamara A.; McMillan, Susan C.

doi:10.1080/09589236.2012.708828

Cited by 22 publications

(15 citation statements)

References 64 publications

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“…In contrast, Campo et al (2017) found a large effect size (d = 1.39) for body image following an abbreviated MSC program in an allfemale sample of cancer survivors. Studies on body image in cancer survivors have found that body image dissatisfaction is higher in women than men (Grant et al, 2011;Krok et al, 2013), consistent with findings in the general population (Algars et al, 2009). Accordingly, it may be that body image concerns were less salient in the current mixed-sex sample than the female samples studied in prior research on self-compassion interventions and body image.…”

Section: Discussionsupporting

confidence: 77%

A feasibility and acceptability study of an adaptation of the Mindful Self-Compassion program for adult cancer patients

et al. 2019

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ObjectivesPsychosocial interventions that mitigate psychosocial distress in cancer patients are important. The primary aim of this study was to examine the feasibility and acceptability of an adaptation of the Mindful Self-Compassion (MSC) program among adult cancer patients. A secondary aim was to examine pre–post-program changes in psychosocial wellbeing.MethodThe research design was a feasibility and acceptability study, with an examination of pre- to post-intervention changes in psychosocial measures. A study information pack was posted to 173 adult cancer patients 6 months–5 years post-diagnosis, with an invitation to attend an eight-week group-based adaptation of the MSC program.ResultsThirty-two (19%) consented to the program, with 30 commencing. Twenty-seven completed the program (mean age: 62.93 years, SD 14.04; 17 [63%] female), attending a mean 6.93 (SD 1.11) group sessions. There were no significant differences in medico-demographic factors between program-completers and those who did not consent. However, there was a trend toward shorter time since diagnosis in the program-completers group. Program-completers rated the program highly regarding content, relevance to the concerns of cancer patients, and the likelihood of recommending the program to other cancer patients. Sixty-three percent perceived that their mental wellbeing had improved from pre- to post-program; none perceived a deterioration in mental wellbeing. Small-to-medium effects were observed for depressive symptoms, fear of cancer recurrence, stress, loneliness, body image satisfaction, mindfulness, and self-compassion.Significance of resultsThe MSC program appears feasible and acceptable to adults diagnosed with non-advanced cancer. The preliminary estimates of effect sizes in this sample suggest that participation in the program was associated with improvements in psychosocial wellbeing. Collectively, these findings suggest that there may be value in conducting an adequately powered randomized controlled trial to determine the efficacy of the MSC program in enhancing the psychosocial wellbeing of cancer patients.

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Section: Discussionsupporting

confidence: 77%

A feasibility and acceptability study of an adaptation of the Mindful Self-Compassion program for adult cancer patients

et al. 2019

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“…In fact, studies have shown that symptom distress is closely related to contexts that challenge patients' relationships and activities (Boland et al, ; Potrata, Cavet, Blair, Howe, & Molassiotis, ). Regarding body image, and as corroborated by the literature (Ålgars et al, ; Krok, Baker, & McMillan, ; Woertman & van den Brink, ), the results showed a more negative perception of their body image compared to men. Evolutionary and sociocultural perspectives show that gender is an important determinant of body satisfaction (Ålgars et al, ; Woertman & van den Brink, ), with women reporting higher levels of body dissatisfaction than men, as a result of the rigidity of cultural beauty ideologies (Striegel‐Moore & Franko, ).…”

Section: Discussionsupporting

confidence: 81%

Validation of the Quality of Life Multiple Myeloma Module Questionnaire (QLQ‐MY20) in Portuguese myeloma patients

et al. 2019

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Objective The aim of this study was the validation of the European Organization for Research and Treatment of Cancer's Multiple Myeloma Module (QLQ‐MY20) in Portuguese myeloma patients. Methods A total of 213 Portuguese patients diagnosed with multiple myeloma participated in this study and were assessed with the European Organization for Research and Treatment of Cancer's (EORTC) Questionnaire C30 (QLQ‐C30), the EORTC Multiple Myeloma Module (QLQ‐MY20), the Hospital Anxiety and Depression Scale (HADS) and the Satisfaction with Social Support Scale (SSSS). Results The validated version includes 17 items presenting good global adjustment and good internal consistency. Overall, the Portuguese validation maintains the original model with the exception of three items that were excluded. The instrument also showed good reliability and good convergent and divergent validity. Conclusion The Portuguese version of the EORTC Multiple Myeloma Module questionnaire seems to be a valid instrument for myeloma patients to help monitor interventions in this population focused on the promotion of quality of life.

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“…Some studies have evaluated sex differences with regard to appearance-related concerns. In one report, female patients and patients with functional limitations were more likely to have distress related to appearance (Krok et al, 2013). Similarly, a separate study tested the sex difference hypothesis and their data revealed that women experienced more distress related to physical changes.…”

Section: Discussionmentioning

confidence: 99%

Depressive, anxiety, and distress symptoms among cancer patients who endorse appearance problems

Chopra

Garza

2018

Pall Supp Care

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All adult patients with active cancer diagnosis seen in the outpatient psychiatry oncology clinic (June 2014-January 2016) who provided informed consent were included (N = 1,939) in the cross-sectional study design. "Appearance problems" were assessed as a categorical, binomial variable (yes/no) using the National Comprehensive Cancer Network Distress Thermometer checklist. Other assessments included the Patient Health Questionnaire-9, Patient Health Questionnaire-2, Generalized Anxiety Disorder-7, Distress Thermometer, and Edmonton Symptom Assessment Scale.ResultThe overall prevalence rate of individuals who endorsed appearance problems was approximately 36%; they were more likely to be younger, female, Black or Hispanic, and not in a committed relationship (all results for demographic variables were statistically significant; all p < .001). Importantly, those patients who endorsed appearance problems exhibited higher scores for depression (p < .0001), anxiety (p < .0001), and distress (p < .0001), and these differences were of medium effect size (Cohen's d = 0.5-0.6).Significance of resultsThe current results underscore the need to identify patients with body image problems early given that they are likely to exhibit higher magnitude of anxiety, depression and distress symptoms while undergoing cancer care. The results highlight the importance of body image issues and the need to evaluate them in cancer patients.

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Sexual activity and body image: Examining gender variability and the influence of psychological distress in cancer patients

Cited by 22 publications

References 64 publications

A feasibility and acceptability study of an adaptation of the Mindful Self-Compassion program for adult cancer patients

A feasibility and acceptability study of an adaptation of the Mindful Self-Compassion program for adult cancer patients

Validation of the Quality of Life Multiple Myeloma Module Questionnaire (QLQ‐MY20) in Portuguese myeloma patients

Depressive, anxiety, and distress symptoms among cancer patients who endorse appearance problems

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