Body image in adolescent survivors of childhood cancer: The role of chronic health conditions.

Belle, Fabiën N; Sláma, Tomáš; Schindera, Christina; Diesch-Furlanetto, Tamara; Kartal-Kaess, Mutlu; Kuehni, Claudia E; Mader, Luzius (2022). Body image in adolescent survivors of childhood cancer: The role of chronic health conditions. Pediatric blood & cancer, 69(11), e29958. Wiley 10.1002/pbc.29958

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BACKGROUND

Cancer and its treatment may impair the body image of childhood cancer survivors during adolescence. We compared the body image between adolescent cancer survivors and their siblings, and determined whether survivors' body image is associated with socio-demographic characteristics, clinical characteristics and chronic health conditions.

PROCEDURE

As part of the nationwide Swiss Childhood Cancer Survivor Study, we sent questionnaires to adolescents (aged 16-19 years), who survived >5 years after having been diagnosed with childhood cancer between 1989 and 2010. Siblings received the same questionnaire. We assessed the level of agreement with three body image statements referring to body satisfaction and preferences for changes. Chronic health conditions were classified into cardiovascular, pulmonary, endocrine, musculoskeletal, renal/digestive, neurological and hearing or vision impairment. We used ordered logistic regression models to identify determinants of a more negative body image.

RESULTS

Our study included 504 survivors (48% female) with a median age at study of 17.7 years (interquartile range: 16.8-18.6) and 136 siblings. Survivors and siblings reported overall comparable levels of agreement with body image statements (all p > .05). Female survivors (all odds ratio [ORs] ≥1.7), survivors treated with haematopoietic stem cell transplantation (HSCT; all ORs ≥2.2), and survivors with ≥2 chronic health conditions (all ORs ≥1.4) reported a more negative body image. This was particularly pronounced for survivors suffering from musculoskeletal or endocrine conditions.

CONCLUSION

Female survivors, survivors treated with HSCT or with chronic health conditions are at risk of body image concerns during adolescence. Increased awareness among clinicians and targeted psychosocial support could mitigate such concerns.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine > Paediatric Haematology/Oncology
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Hämatologie / Onkologie (Pädiatrie)
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Hämatologie / Onkologie (Pädiatrie)

Graduate School:

Graduate School for Cellular and Biomedical Sciences (GCB)

UniBE Contributor:

Belle, Fabien Naomi, Sláma, Tomáš, Schindera, Christina, Kartal-Kaess, Mutlu, Kühni, Claudia, Mader, Luzius Adrian

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1545-5009

Publisher:

Wiley

Funders:

[193] Swiss Cancer League = Krebsliga Schweiz ; [189] Swiss Cancer Research = Krebsforschung Schweiz ; [228] Kinderkrebshilfe Schweiz

Language:

English

Submitter:

Anette van Dorland

Date Deposited:

12 Sep 2022 10:34

Last Modified:

02 Mar 2023 23:36

Publisher DOI:

10.1002/pbc.29958

PubMed ID:

36073857

Uncontrolled Keywords:

adolescence body image childhood cancer cohort survivorship

BORIS DOI:

10.48350/172773

URI:

https://boris.unibe.ch/id/eprint/172773

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