Content categories system for body constructs applied to patients with mastectomy

  1. M. Segura Valverde
  2. L.A. Saúl
  3. E. Baca García
Revista:
European journal of psychiatry

ISSN: 0213-6163

Ano de publicación: 2017

Volume: 31

Número: 2

Páxinas: 66-72

Tipo: Artigo

DOI: 10.1016/J.EJPSY.2017.02.001 DIALNET GOOGLE SCHOLAR

Outras publicacións en: European journal of psychiatry

Obxectivos de Desenvolvemento Sustentable

Resumo

Background and objectives Body image is a predictor of psychological adjustment to cancer and a risk factor for depression. Questionnaires to assess body image in cancer patients assume a preconceived concept of body image and do not reflect the patient's subjective experience. This study aims to develop a content categories system for analyzing body constructs in breast cancer patients from their own experience. Methods The sample comprised 542 constructs, from 23 patients subjected to surgery (12 mastectomy/11 breast-conserving surgery) and 24 controls. Participants were assessed with the Body Grid. Three independent judges coded the constructs elicited following a tentative categories system. Result Six categories appeared: Objective Appearance, Esthetics, Function, Strength, Energy and Emotions, with similar distribution in the samples. Objective Appearance, Esthetics and Emotions were the most used. The inter-rater agreement was very good. Conclusions These findings highlight the importance of knowing which thematic areas concern the most to each patient and the absent ones in their constructions, in order to focus psychotherapy on the developing of new meanings that allow a more integrated body image.

Referencias bibliográficas

  • AECC. Guía de preguntas frecuentes para pacientes con cáncer de mama 2012 (2012) Available from: http://www.aecc.es/SobreElCancer/CancerPorLocalizacion/CancerMama/Paginas/cancerdemama.aspx [cited 18.07.12]
  • D. Manos, J. Sebastián, M.J. Bueno, N. Mateos, A. De la Torre. Body image in relation to self-esteem in a sample of Spanish women with early-stage breast cancer. Psicooncología, 2 (2005), pp. 103-116
  • J. Sebastián, D. Manos, M.J. Bueno, N. Mateos. Imagen corporal y autoestima en mujeres con cáncer de mama participantes en un programa de intervención psicosocial. Clin Salud, 18 (2007), pp. 137-161
  • C.S. Carver, C. Pozo-Kaderman, A.A. Price, V. Noriega, S.D. Harris, R.P. Derhagopian, et al. Concerns about aspects of body image and adjustment to early stage cancer. Psychosom Med, 60 (1998), pp. 168-174
  • P.A. Ganz, K.A. Desmond, T.R. Belin, B.E. Meyerowitz, J.H. Rowland. Predictors of sexual health in women after a breast cancer diagnosis. J Clin Oncol, 17 (1999), pp. 2371-2380
  • P.A. Ganz. Psychological and social aspects of breast cancer. Oncology, 22 (2008), pp. 642-653
  • S.W. Noles, T.F. Cash, B.A. Winstead. Body image, physical attractiveness, and depression. J Consult Clin Psychol, 53 (1985), pp. 88-94
  • E. Andritsch, G. Dietmaier, G. Hofmann, S. Zloklikovits, H. Samonigg. Global quality of life and its potential predictors in breast cancer patients: an exploratory study. Support Care Cancer, 15 (2007), pp. 21-30
  • T.F. Cash, T.E. Pruzinsky. Body images: development, deviance, and change. The Guilford Press, New York (1990)
  • R. Raich. Imagen corporal. Conocer y valorar el propio cuerpo. Pirámide, Madrid (2000)
  • J.K. Thompson. Body image disturbances: assessment and treatment. Pergamon Press, New York (1990)
  • D.B. Santos, N.J. Ford, M.A. Dos Santos, E.M. Vieira. Breast cancer and sexuality: the impacts of breast cancer treatment on the sex lives of women in Brazil. Cult Health Sex, 16 (2014), pp. 246-257
  • L.G. Lane, L.L. Viney. The effects of personal construct group therapy on breast cancer survivors. J Consult Clin Psychol, 73 (2005), pp. 284-292
  • L. Rosenblatt. Being the monster: women's narrative of body and self after treatment for breast cancer. Med Hum, 32 (2006), pp. 53-56
  • W. Rhondali, G.B. Chisholm, M. Filbet, D.H. Kang, D. Hui, M.C. Fingeret, et al. Screening for body image dissatisfaction in patients with advanced cancer: a pilot study. J Palliat Med, 18 (2015), pp. 151-156
  • M.A. Annunziata, L. Giovannini, B. Muzzatti. Assessing the body image: relevance, application and instruments for oncological settings. Support Care Cancer, 20 (2012), pp. 901-907
  • C.S. Weber, E. Bronner, P. Thier, F. Schoeneich, O.B. Walter, B.F. Klapp, et al. Body experience and mental representation of body image in patients with haematological malignancies and cancer as assessed with the Body Grid. Br J Med Psychol, 74 (2001), pp. 507-521
  • M. Turpin, R. Dallos, R. Owen, M. Thomas. The meaning and impact of head and neck cancer: an interpretative phenomenological and repertory grid analysis. J Constr Psychol, 22 (2009), pp. 24-54
  • S. Cipolleta, F. Consolaro, P. Horvath. When health is an attitudinal matter: a qualitative research. J Humanist Psychol, 54 (2014), pp. 391-413
  • F. Fransella, R. Bell, D. Bannister. A manual for repertory grid technique (2nd ed.), John Wiley & Sons, Chichester, UK (2004)
  • R.A. Neimeyer. Enfoques constructivistas de la medida del significado. G. Neimeyer (Ed.), Evaluación constructivista, Paidós, Barcelona (1996), pp. 6-9
  • G.A. Kelly. The psychology of personal constructs. Norton, Nueva York (1955) [Reimpression Routledge, London, 1991]
  • A. Borkenhagen, B.F. Klapp, E. Brähler, F. Schnoeneich. Differences in the psychic representation of the body in bulimic and anoretic patients: a study with the body grid. J Constr Psychol, 21 (2008), pp. 60-81
  • C.S. Weber, P. Thier, O.B. Walter, B.F. Klapp. Characteristics of the body image of patients with haematological malignancies and cancer ilustrated by a case study. B.F. Klapp, J. Jordan, O.B. Walter (Eds.), Role repertory grid and body grid – construct psychological approaches in psychosomatic research, VAS – Verlag Akademische Schriften, Frankfurt (2004)
  • C.S. Weber, H. Fliege, P.C. Arck, K.A. Kreuzer, M. Rose, B.F. Klapp. Patients with haematological malignancies show a restricted body image focusing on function and emotion. Eur J Cancer Care, 14 (2005), pp. 155-165
  • D. Jankowicz. The easy guide to repertory grids. John Wiley, Chichester (2004)
  • L.L. Viney. The assessment of psychological states through content analysis of verbal communications. Psychol Bull, 94 (1983), pp. 542-563
  • K. Krippendorf. Content analysis. An introduction to its methodology. Sage, Thousand Oaks (2004)
  • B. Green. Personal construct psychology and content analysis. Pers Constr Theor Pract, 1 (2004), pp. 82-91
  • IBM. Statistical package for social sciences version 19.0 (SPSS 19.0) (2010) Chicago
  • J.L. Fleiss. Statistical methods for rates and proportions. John Wiley, New York (1981)
  • J.R. Landis, G.G. Koch. The measurement of observer agreement for categorical data. Biometrics, 33 (1977), pp. 159-174
  • M. Segura-Valverde, R. García-Nieto, L.A. Saúl. Imagen corporal y autoestima en mujeres mastectomizadas. Psicooncologia, 11 (2014), pp. 45-57
  • J. Vázquez-Ortiz, R. Antequera, A. Blanco Picabia. Ajuste sexual e imagen corporal en mujeres mastectomizadas por cáncer de mama. Psicooncologia, 7 (2010), pp. 433-451
  • C.S. Weber, E. Bronner, F. Shoenninch, O.B. Walter, B.F. Klapp. Which constructs do the patients use? A categorical system for the analysis of body grids. J. Fisher, N.I. Cornelius (Eds.), Challenging the boundaries PCP perspectives for the new millennium, EPCA. Publications, Farnborough, UK (2000)
  • C.S. Weber, E. Bronner, P. Thier, D. Kingreen, B.F. Klapp. Body construct systems of patients with haematological malignancies. J.W. Scheer (Ed.), The person in society: challenges to a constructivist theory, Psychozocial-verlag, Giesen, Germany (2000)
Fonte de datos: Dialnet