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Body image screening for cancer patients undergoing reconstructive surgery
Michelle Cororve Fingeret1, Summer Nipomnick, Michele Guindani
1Department of Behavioral Science, The University of MD Anderson Cancer Center, Houston, TX, USA; Department of Plastic Surgery, The University of MD Anderson Cancer Center, Houston, TX, USA.
Psycho-Oncology
|July 29, 2014
Summary
A new screening tool effectively identifies cancer patients experiencing body image distress after reconstructive surgery. Early screening can help connect patients with vital psychosocial support for appearance concerns.
Area of Science:
- Oncology
- Psychosocial Care
- Surgical Reconstruction
Background:
- Body image concerns are prevalent and distressing for cancer patients undergoing reconstructive surgery.
- Patients often hesitate to discuss appearance-related issues with healthcare providers.
- Disfigurement and functional impairment can lead to significant psychosocial difficulties.
Purpose of the Study:
- To design and evaluate a screening tool for identifying cancer patients with body image concerns.
- To aid healthcare providers in referring patients for specialized psychosocial care.
- To address the unmet needs of patients struggling with appearance changes post-reconstruction.
Main Methods:
- Development of a brief, four-item screening instrument.
- Administration of the tool to cancer patients undergoing reconstructive treatment.
- Use of regression models to assess predictors of interest and enrollment in counseling.
Main Results:
- Over 95% of patients reported concerns related to appearance changes.
- Approximately one-third of patients expressed interest in counseling or information.
- All survey items predicted interest and enrollment; concern about future changes was the strongest predictor.
- Demographic and clinical factors (sex, age, cancer type) did not predict counseling interest.
Conclusions:
- The Body Image Screener for Cancer Reconstruction shows initial promise for clinical use.
- Screening is beneficial for patients undergoing reconstructive surgery.
- Early identification and treatment of body image distress are recommended for this patient population.

