Abstract
Specialized psychological interventions have been developed to reduce the negative impact on body image in patients with breast cancer; however, there are no systematic reviews to assess their efficacy. Objective. To evaluate the evidence and feasibility of psychological interventions available for body image problems in patients with breast cancer. Method. Fifteen articles emerged in four essential databases following the PIO system. Articles appeared between 2011 and 2020. There Seven interventions were analyzed using the PICO system. Additionally, the Shekelle criteria identified each intervention's level of evidence and recommendation. Results. 85% of the studies were conducted in high-income countries; 71% of interventions used individual modality; 71.42% used a face-to-face model, and 28.57% a digital version. The interventions implemented different approaches and strategies, such as cognitive behavioral components, hypnosis, and reflective writing, but all were brief, with an average of six sessions. Interventions with cognitive-behavioral components showed greater efficacy consistency, evidence level, and recommendations than the other studies. Discussion and conclusion. There are different alternatives for psychological intervention to attend body-image problems in patients with breast cancer. Interventions could have an impact even on distal variables, such as depression and quality of life.
References
Aguilar, M.J., Mur, N., Neri, M., Pimentel R, M.L., García R., A. y Gómez, E. (2015). Breast cancer and body image as a prognostic factor of depression: a case study in México City. Nutrición Hospitalaria, 31(1), 371-379.
Al-Azri, M., Al-Awisi, H., Al-Rasbi, S., El-Shafie, K., Al-Hinai, M., Al-Habsi, H. y Al-Moundhri, M. (2014). Psychosocial impact of breast cancer diagnosis among Omani women. Oman Medical Journal, 29(6), 437-444.
Andreis, F., Meriggi, F., Codignola, C., Frigoli, I., Prochilo, T., Mutti, S., Huscher, A., Libertini, M., Di Biasi, B., Abeni, C., Ogliosi, C., Noventa, S., Rota, L., Pedrali, C. y Zaniboni, A. (2018). Impact of a psycho-educational team in early breast cancer patients’ coping strategies: the Verene project. Reviews on Recent Clinical Trials, 13, 274-280.
Avis, N.E., Crawford, S. y Manuel, J. (2004). Psychosocial problems among young women with breast cancer. Psycho-Oncology, 13, 295-308.
Axelsson, E., Andersson, E., Ljótsson, B., Björkander, D., Hedman-Lagerlöf, M. y Hedman-Lagerlöf, E. (2020). Effect of internet vs face-to-face cognitive behavior therapy for health anxiety. JAMA Psychiatry, 77(9), 915-924. Doi: 10.1001/jamapsychiatry.2020.0940.
Barrera C., A., Viniegra O., A., Valenzuela F., A.A., Torres A., L.P. y Dávila, J. (2016). Metodología para el desarrollo y la actualización de guías de práctica clínica: estado actual. Revista Médica del Instituto Mexicano del Seguro Social, 54(1), 78-91.
Barton, D.L., Brooks, T.M., Cieslak, A., Elkins, G.R., Clark, P.M., Baydoun, M., Smith, A.B. y Van Poznak, C.H. (2019). Phase II randomized controlled trial of hypnosis versus progressive muscle relaxation for body image after breast or gynecologic cancer. Breast Cancer Research and Treatment, 178, 357-365. Doi: 10.1007/s10549-019-05395-6.
Begovic-Juhant, A., Chmielewski, A., Iwuagwu, S. y Champan, L.A. (2012). Impact of body image on depression and quality of life among women with breast cancer. Journal of Psychosocial Oncology, 30(4), 446-460. Doi: 10.1080/07347332.2012.684856.
Burwell, S.R., Case, D.L., Kaelin, C., Avis, N.E. (2006). Sexual problems in younger women after breast cancer surgery. Journal of Clinical Oncology, 24(18), 2815-2821.
Carlbring, P., Andersson, G., Cuijpers, P., Riper, H. y Hedman-Lagerlöf, E. (2017). Internet-based vs. face-to-face cognitive behavior therapy for phychiatric and somatic disorders: an updated systematic review and meta-analysis. Cognitive Behaviour Therapy, 47(1), 1-18. Doi: 10.1080/16506073.2017.1401115.
Cieslak, A., Elkins, G., Banerjee, T., Marsack, J., Hichman, K., Johnson, A., Henry, N.L. y Barton, D. (2016). Developing a hypnotic relaxation intervention to improve body image: a feasibility study. Oncology Nursing Forum, 43(6), E233-E241. Doi: 10.1188/16.ONF.E233-E241.
Emilee, G., Ussher, J.M. y Perz, J. (2010). Sexuality after breast cancer: A review. Maturitas, 66, 397-407.
Epstein, E.E., McCrady, B.S., Hallgren, K.A., Gaba, A., Cook, S., Jensen, N., Hildebrandt, T., Glanton, C. y Litt, M.D. (2018). Individual versus group female-specific congitive behavior therapy for alcohol use disorder. Journal of Substance Abuse Treatment, 88, 27-43. Doi: 10.1016/j.jsat.2018.01.003.
Garrusi, B. y Faezee, H. (2008). How do Iranian women with breast cancer conceptualise sex and body image? Sex Disabilities, 26,159-165.
Hungr, C., Sánchez-Varela, V. y Bober, S.L. (2017). Self-image and sexuality issues among young women with breast cancer: practical recommendations. Revista de Investigación Clínica, 69, 114-122.
Instituto Nacional de Estadística y Geografía [INEGI]. (2020, 15 de octubre). Estadísticas a propósito del Día Mundial de la Lucha contra el Cáncer de Mama. Comunicado de Prensa Núm. 462/20. Ciudad de México: INEGI. Recuperado de https://www.inegi.org.mx/contenidos/saladeprensa/aproposito/2020/Cancermama20.pdf.
Kolodziejczyk, A. y Pawlowski, T. (2019). Negative body image in breast cancer patients. Advances in Clinical and Experimental Medicine, 28(8), 1137-1142.
Lewis-Smith, H., Claire, P. y Harcourt, D. (2018). A pilot study of a body image intervention for breast cancer survivors. Body Image, 27, 21-31.
Luo, C., Sanger, N., Singhal, N., Pattrick, K., Shams, I., Shahid, H., Hoang, P., Schmidt, J., Lee, J., Haber, S., Puckering, M., Buchanan, N., Lee, P., Ng, K., Sun, S., Kheyson, S., Cho-Yan, D., Sanger, S., Thabane, L. y Samaan, Z. (2020). A comparison of electronically-delivered and face to face cognitive behavioural therapies in depressive disorders: A systematic review and meta-analysis. ClinicalMedicine, 24, 1-16. Doi: 10.1016/j.eclinm.2020.100442.
O’Shea, G., Spence, S.H. y Donovan, C.L. (2015). Group versus individual interpersonal psychotherapy for depressed adolescents. Behavioural and Cognitive Psychotherapy, 43(1), 1-19. Doi: 10.1017/S1352465814000216.
Pintado, S. y Andrade, S. (2017). Randomized controlled trial of mindfulness program to enhance body image in patients with breast cancer. European Journal of Integrative Medicine, 12, 147-152. Doi: 10.1016/j.eujim.2017.05.009.
Schier, K. (2014). Dorosłe dzieci. Psychologiczna problematyka odwrócenia ról wrodzinie. Warszawa (Poland): Wydawnictwo Naukowe Scholar.
Shekelle, P.G., Woolf, S.H., Eccles, M. y Grimshaw, J. (1999). Clinical guidelines: developing guidelines. British Medical Journal, 318(7183), 593-596. Doi: 10.1136/bmj.318.7183.593.
Sherman, K.A., Przezdziecki, A., Alcorso, J., Kilby, C.J., Elder, E., Boyages, J., Koelmeyer, J. y MAckie, H. (2018). Reducing body image-related distress in women with breast cancer using a structured online writing excercise: results from the My Changed Body Randomized Controlled Trial. Journal of Clinical Oncology, 36(19),1930-1940.
Speer, J.J., Hillenberg, B., Sugrue, D.P., et al. (2005). Study of sexual functioning determinants in breast cancer survivors. Breast Journal, 11(6), 440-447.
Trachtenberg, L., Wong, J., Rennie, H., McLeod, D., Leung, Y., Warner, E. y Esplen, M.J. (2019). Feasibility and acceptability of i-Restoring Body Image after cancer (i-ReBIC): a pilot trial for female cancer surviviors. Psycho-Oncology, 29, 639-646.