501. The prevalence of altered body image in patients with primary brain tumors: an understudied population.
- Author
-
Rowe, Lindsay, Vera, Elizabeth, Acquaye, Alvina, Crandon, Sonja, Shah, Veeraj, Bryla, Christine, Wu, Jing, Wall, Kathleen, Siegel, Christine, Reyes, Jennifer, Penas-Prado, Marta, Leggiero, Nicole, Cordova, Christine, Burton, Eric, Antony, Ramya, Boris, Lisa, Aboud, Orwa, Vyas, Yamini, Mathen, Peter, Gilbert, Mark, Camphausen, Kevin, Mendoza, Tito, and Armstrong, Terri
- Subjects
Humans ,Brain Neoplasms ,Prognosis ,Prevalence ,Follow-Up Studies ,Prospective Studies ,Cross-Sectional Studies ,Depression ,Anxiety ,Body Image ,Quality of Life ,Adult ,Aged ,Middle Aged ,United States ,Female ,Male ,Young Adult ,Body image ,Brain tumors ,Psychological distress ,Quality of life ,Clinical Research ,Behavioral and Social Science ,Cancer ,Neurosciences ,Mental Health ,Brain Disorders ,Mental health ,Good Health and Well Being ,Oncology and Carcinogenesis ,Oncology & Carcinogenesis - Abstract
PurposeBody image (BI) is an important issue for cancer patients, as patients with BI concerns are susceptible to depression, anxiety, difficulty coping, and poor quality of life (QoL). While this concern has been documented in patients with other malignancies, no data exists of this QoL issue in patients with primary brain tumors (PBT).MethodsA cross-sectional survey of 100 PBT patients was conducted on an IRB approved prospective protocol using structured questionnaires. Participants completed the body image scale (BIS), Appearance Scheme Inventory Revised (ASI-R), MD Anderson Symptom Inventory Brain Tumor (MDASI-BT), and Patient-Reported Outcomes Measurement Information System (PROMIS) Depression, Anxiety, and Psychosocial Impact Positive measures.ResultsThe prevalence of clinically significant body image dissatisfaction (BIS ≥ 10) was 28% (95% CI 19-37%), median BIS score was 5 (range 0-27). The median ASI-R composite score was 2.9 (range 1.5-4.7). BIS was significantly correlated with the ASI-R (r = 0.53, 95% CI 0.37 to 0.65). The mean PROMIS Depression score was 48.4 (SD = 8.9), PROMIS Anxiety score was 49.4 (SD = 9.9), and PROMIS Psychosocial Illness Impact Positive score was 48.9 (SD = 9.7). BIS was significantly correlated with age, and trended with BMI and sex. The PROMIS Psychosocial Illness Impact Positive and PROMIS Anxiety scores were the most strongly related to BIS.ConclusionsThis study, the first to explore altered body image in PBT patients, revealed clinically significant body image dissatisfaction in nearly 1/3 of patients, similar to other malignancies. These findings underscore the potential contribution of disease and treatment-related body image concerns on psychosocial wellbeing in patients with PBT.
- Published
- 2020