title: Effects of a multidisciplinary educational rehabilitative intervention in breast cancer survivors: the role of body image on quality of life outcomes.
abstract: In breast cancer survivors, own body image may change due to physical and psychological reasons, worsening women's living. The aim of the study was to investigate whether body image may affect the functional and quality of life outcomes after a multidisciplinary and educational rehabilitative intervention in sixty women with primary nonmetastatic breast cancer who have undergone conservative surgery. To assess the quality of life was administered The European Organization for Research and Treatment of Cancer Study Group on Quality of Life core questionnaire, while to investigate the psychological features and self-image were administered the following scales: the Body Image Scale, the Hamilton Rating Scale for Depression, and the State-Trait Anxiety Inventory. To assess the recovery of the function of the shoulder were administered: the Disabilities of the Arm, Shoulder, and Hand Questionnaire and the Constant-Murley Score. Data were collected at the baseline, at the end of the intervention, and at 3-month follow-up. We found a general improvement in the outcomes related to quality of life, and physical and psychological features after treatment (P < 0.001). During follow-up period, a higher further improvement in women without alterations in body image in respect of those with an altered self-perception of their own body was found (P = 0.01). In conclusion, the body image may influence the efficacy of a rehabilitative intervention, especially in the short term of follow-up.
authors.affiliation: Clinical Laboratory of Experimental Neurorehabilitation, IRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Rome, Italy.
authors.forename: Giovanni
authors.identifier: 0000-0003-3602-4197
authors.initials: G
authors.lastname: Morone
authors.affiliation: Clinical Laboratory of Experimental Neurorehabilitation, IRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Rome, Italy.
authors.forename: Marco
authors.identifier: 0000-0003-2434-3887
authors.initials: M
authors.lastname: Iosa
authors.affiliation: Clinical Laboratory of Experimental Neurorehabilitation, IRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Rome, Italy.
authors.forename: Augusto
authors.identifier: 0000-0002-8528-7834
authors.initials: A
authors.lastname: Fusco
authors.affiliation: Physical Medicine and Rehabilitation, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy.
authors.forename: Antonella
authors.initials: A
authors.lastname: Scappaticci
authors.affiliation: Physical Medicine and Rehabilitation, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy.
authors.forename: Maria Rosaria
authors.initials: MR
authors.lastname: Alcuri
authors.affiliation: Physical Medicine and Rehabilitation, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy ; Physical Medicine and Rehabilitation, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy.
authors.forename: Vincenzo Maria
authors.initials: VM
authors.lastname: Saraceni
authors.affiliation: Clinical Laboratory of Experimental Neurorehabilitation, IRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Rome, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Paolucci
authors.affiliation: Physical Medicine and Rehabilitation, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy ; Physical Medicine and Rehabilitation, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy.
authors.forename: Teresa
authors.initials: T
authors.lastname: Paolucci
mesh_terms: D000368:Aged; D001828:Body Image / Q000523:psychology*; D001943:Breast Neoplasms / Q000523:psychology* / Q000534:rehabilitation* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010353:Patient Education as Topic; D010555:Personality Inventory; D011788:Quality of Life / Q000523:psychology*; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D012649:Self Concept; D012785:Shoulder Joint / Q000502:physiology; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*