Clinical trial NCT04043117: Body Image and Self-esteem in Adolescence
Official title: Body Image and Self-esteem in a Sample of Oncological Adolescents: A Pilot Study
Study type: OBSERVATIONAL
Overall status: TERMINATED
Conditions: Body Image
Keywords: Dimorphism
self-esteem
oncological treatments
Lead sponsor: Meyer Children's Hospital IRCCS
Sponsor class: OTHER
First posted: 2019-08-02
Enrollment: 14
Sex: ALL
Minimum age (years): 12
Maximum age (years): 19
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: The Adolescents considered suitable to participate in the study on the basis of the inclusion criteria will be recruited by the investigator in the Oncohematology department and Day Hospital of the same department during the first hospitalization following the communication of the diagnosis

Brief summary: To evaluate the difference between body image and self-esteem scores during and at the end of the medical. Hypothesis: body image and self-esteem changes during the oncological treatments.

Detailed description: Body image and self-esteem represent important variables linked to adolescents' development. These two variables are the most affected in patients with the oncological disease.

The consequences of a visible difference may have a significant impact on behaviour and mood, causing relevant impairments in individuals well-being and quality of life. Among different personal attributes, self-esteem may be the one with the greatest impact on body image (Cash, 2002). Indeed previous studies have investigated different features of body image and self-esteem (Webster \& Tiggemann, 2003), showing that they have a significant influence on the overall well-being (Cash \& Fleming, 2002), and that those aspects are also significantly influenced by age and gender. The patients are evaluated at T0 (within the first week of hospitalization after diagnosis), T1 (within 3 months after diagnosis), T2 (within 6 months after diagnosis), T3 (within 12 months after diagnosis, at the end of cancer treatment), according to a follow-up study design. Data analysis: r Pearson's correlation, repeated measure ANOVA and regression analysis will be carried out to investigate relations between studied variables and eventual changes over time. Analyses are performed using SPSS software (Chicago, S. P. S. S. SPSS Inc; 2008. SPSS Statistics, 17.)

Eligibility criteria: Inclusion criteria for patients:

* Age between 12 and 19 years
* Adequate knowledge of the Italian language
* Consent to participation
* First diagnosis for oncological pathology of leukaemia or bone cancer

Exclusion criteria for pediatric patients:

* Patients under the age of 12 or over 19 years
* Not adequate knowledge of the Italian language
* Patients who have a relapse with respect to the pathology already treated
* Patients with previous oncological diseases
* Cognitive disability
* Patients with brain tumours
* Patients with gender dysphoria
* Absence of informed consent
* Previous diagnosis of Anxiety or Depression
* Diagnosis of an eating disorder

Primary outcomes:
measure: Change in Body Image perception during the path of illness
timeFrame: Evaluation at T0 (within the first week of hospitalization after diagnosis), T1 (within 3 months after diagnosis), T2 (within 6 months after diagnosis), T3 (within 12 months after diagnosis, at the end of cancer treatment).
measure: Change in self esteem levels during the path of illness
timeFrame: Evaluation at T0 (within the first week of hospitalization after diagnosis), T1 (within 3 months after diagnosis), T2 (within 6 months after diagnosis), T3 (within 12 months after diagnosis, at the end of cancer treatment), according to a foll
Secondary outcomes:
Other outcomes:
Locations:
city: Florence
country: Italy
facility: Meyer Children's Hospital
Study officials:
affiliation: Head of Pediatric Psychology
name: Rosanna Martin, MSc
role: PRINCIPAL_INVESTIGATOR
References:
citation: Cash TF, Fleming EC. The impact of body image experiences: development of the body image quality of life inventory. Int J Eat Disord. 2002 May;31(4):455-60. doi: 10.1002/eat.10033.
citation: Gatti, E., Ionio, C., Traficante, D., & Confalonieri, E. (2014). "I Like My Body; Therefore, I Like Myself": How Body Image Influences Self-Esteem-A Cross-Sectional Study on Italian Adolescents. Europe's Journal of Psychology, 10(2), 301-317.
citation: Pendley JS, Dahlquist LM, Dreyer Z. Body image and psychosocial adjustment in adolescent cancer survivors. J Pediatr Psychol. 1997 Feb;22(1):29-43. doi: 10.1093/jpepsy/22.1.29.
citation: Armstrong-James L, Cadogan J, Williamson H, Rumsey N, Harcourt D. An evaluation of the impact of a burn camp on children and young people's concerns about social situations, satisfaction with appearance and behaviour. Scars Burn Heal. 2018 Dec 10;4:2059513118816219. doi: 10.1177/2059513118816219. eCollection 2018 Jan-Dec.
citation: Stormer SM, Thompson JK. Explanations of body image disturbance: a test of maturational status, negative verbal commentary, social comparison, and sociocultural hypotheses. Int J Eat Disord. 1996 Mar;19(2):193-202. doi: 10.1002/(SICI)1098-108X(199603)19:23.0.CO;2-W.
citation: Webster J, Tiggemann M. The relationship between women's body satisfaction and self-image across the life span: the role of cognitive control. J Genet Psychol. 2003 Jun;164(2):241-52. doi: 10.1080/00221320309597980.
citation: Wardle J, Beales S. Restraint, body image and food attitudes in children from 12 to 18 years. Appetite. 1986 Sep;7(3):209-17. doi: 10.1016/s0195-6663(86)80026-5.