Impact of Body Image Perception on Behavioral Outcomes in Chinese Adolescent and Young Adult Survivors of Sarcoma
Refereed conference paper presented and published in conference proceedings
CUHK Authors
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AbstractPurpose: To identify the prevalence and predictive factors of body image dissatisfaction among Chinese adolescent and young adult (AYA) survivors of sarcoma, and to evaluate its associations with behavioral outcomes.
Methods: In total, 116 AYA survivors (48.3% female; mean age 28.2 years, SD=8.2 years) of osteosarcoma (49.1%) or soft-tissue sarcoma (50.9%) were recruited from an academic hospital. The survivors self-reported their perceived body image using the Body Image Scale. Behavioral outcomes were assessed using DSM-oriented scales of the ASEBA Adult Self-Report checklist. Multivariable linear regression was conducted to identify predictors of body image perception, and to investigate the association between body image dissatisfaction and behavioral outcomes (adjusted for clinically relevant variables and corrected for false discovery rate). Mediation analyses were performed to examine the mediating effects of body image perception between clinical, treatment or socioenvironmental risk factors and behavioral outcomes.
Results: At 15 years post-cancer diagnosis, one third of the cohort (35.3%) reported dissatisfaction with their body image. The significant risk factors associated with body image dissatisfaction were being female (Est=3.01, SE=1.49; P=0.047), surgery treatment (Est=7.414, SE=3.65; P=0.046) and worse family functioning (Est=0.131, SE=0.051, P=0.013). Body image dissatisfaction was associated with symptoms of depression (Est=0.11, SE=0.05; P=0.034) and avoidant personality problems (Est=0.17, SE=0.05; P=0.012). Negative body image perception significantly mediated the association between poor family functioning and avoidant personality problems (proportion mediated 26.3%, P=0.038).
Conclusion: Body image dissatisfaction was associated with more significant internalizing symptoms of depression, anxiety, and avoidant personality. A negative body image perception may mediate the association between poor family functioning and psychological distress among adult survivors. The provision of psychosocial intervention early during the cancer care continuum may mitigate the negative impact of body image distress in Chinese AYA survivors.
Methods: In total, 116 AYA survivors (48.3% female; mean age 28.2 years, SD=8.2 years) of osteosarcoma (49.1%) or soft-tissue sarcoma (50.9%) were recruited from an academic hospital. The survivors self-reported their perceived body image using the Body Image Scale. Behavioral outcomes were assessed using DSM-oriented scales of the ASEBA Adult Self-Report checklist. Multivariable linear regression was conducted to identify predictors of body image perception, and to investigate the association between body image dissatisfaction and behavioral outcomes (adjusted for clinically relevant variables and corrected for false discovery rate). Mediation analyses were performed to examine the mediating effects of body image perception between clinical, treatment or socioenvironmental risk factors and behavioral outcomes.
Results: At 15 years post-cancer diagnosis, one third of the cohort (35.3%) reported dissatisfaction with their body image. The significant risk factors associated with body image dissatisfaction were being female (Est=3.01, SE=1.49; P=0.047), surgery treatment (Est=7.414, SE=3.65; P=0.046) and worse family functioning (Est=0.131, SE=0.051, P=0.013). Body image dissatisfaction was associated with symptoms of depression (Est=0.11, SE=0.05; P=0.034) and avoidant personality problems (Est=0.17, SE=0.05; P=0.012). Negative body image perception significantly mediated the association between poor family functioning and avoidant personality problems (proportion mediated 26.3%, P=0.038).
Conclusion: Body image dissatisfaction was associated with more significant internalizing symptoms of depression, anxiety, and avoidant personality. A negative body image perception may mediate the association between poor family functioning and psychological distress among adult survivors. The provision of psychosocial intervention early during the cancer care continuum may mitigate the negative impact of body image distress in Chinese AYA survivors.
All Author(s) ListYihui Wei, Chung Tin Ma, Michael Can Heng Li, Keary Rui Zhou, Herbert Ho Fung Loong, Kwok Chuen Wong, Chi Kong Li, Yin Ting Cheung
Name of Conference9th Nursing Symposium on Cancer Care cum 1st Genomic and Genetic Nursing Forum
Start Date of Conference22/05/2024
End Date of Conference24/05/2024
Place of ConferenceThe Nethersole School of Nursing, The Chinese University of Hong Kong
Country/Region of ConferenceHong Kong
Year2024
LanguagesEnglish-United Kingdom
KeywordsAdolescents and young adults, sarcoma survivors, body image dissatisfaction, behavioral outcomes
