Body Image and Self-esteem in Adolescence

NCT ID: NCT04043117

Last Updated: 2025-02-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Total Enrollment

14 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-09-15

Study Completion Date

2022-07-30

Brief Summary

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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

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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.)

Conditions

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Body Image

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Clinical Group

Group is composed by 12-19 years adolescents with a tumor (excluding brain tumor). Every patient included in the group complete the assessment including: evaluation of self-esteem (TMA test) and body image (BUT test, I-BICI test and Human Figure Drawing).

Body Image evaluation

Intervention Type OTHER

Evaluation of body image perception requires three assessment tools administered at four different times:

T0: During the first week of admission T1: Three months from the first admission T2: Six months from the first admission T3: One year from the end of the treatment

1. Italian Body Image Concern Inventory: 19-items self-report instrument rated on a 5-points Likert scale (1 = never; 5 = always). It consists of two sub-scales to evaluate body image-related dissatisfaction and concern respectively.
2. Body Uneasiness Test: 71-item self-report questionnaire on a 6-points Likert scale (0 = never; 5 = always) that consists of two subscales: BUT-A (measuring weight phobia, body image concerns, avoidance, compulsive self-monitoring, detachment and body depersonalization) and BUT-B (measuring worries about specific body parts or functions).
3. Human Figure Drawing: qualitative measure of adolescent's body perception; participants are asked a free draw, representing themselves.

Self esteem evaluation

Intervention Type OTHER

Evaluation of body image perception is achieved administering TMA test at four different times:

T0: During the first week of admission T1: Three months from the first admission T2: Six months from the first admission T3: One year from the end of the treatment

TMA (Multidimensional Self-Esteem Test): a 150-items self-report questionnaire for children and adolescents from 9 to 19 years old. It's made up of six subscales: interpersonal relationships, environmental control competence, emotionality, scholastic success, family life, body perception. Participants have to express their agreement with each item according to the following response options: absolutely true, true, false, absolutely false.

Interventions

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Body Image evaluation

Evaluation of body image perception requires three assessment tools administered at four different times:

T0: During the first week of admission T1: Three months from the first admission T2: Six months from the first admission T3: One year from the end of the treatment

1. Italian Body Image Concern Inventory: 19-items self-report instrument rated on a 5-points Likert scale (1 = never; 5 = always). It consists of two sub-scales to evaluate body image-related dissatisfaction and concern respectively.
2. Body Uneasiness Test: 71-item self-report questionnaire on a 6-points Likert scale (0 = never; 5 = always) that consists of two subscales: BUT-A (measuring weight phobia, body image concerns, avoidance, compulsive self-monitoring, detachment and body depersonalization) and BUT-B (measuring worries about specific body parts or functions).
3. Human Figure Drawing: qualitative measure of adolescent's body perception; participants are asked a free draw, representing themselves.

Intervention Type OTHER

Self esteem evaluation

Evaluation of body image perception is achieved administering TMA test at four different times:

T0: During the first week of admission T1: Three months from the first admission T2: Six months from the first admission T3: One year from the end of the treatment

TMA (Multidimensional Self-Esteem Test): a 150-items self-report questionnaire for children and adolescents from 9 to 19 years old. It's made up of six subscales: interpersonal relationships, environmental control competence, emotionality, scholastic success, family life, body perception. Participants have to express their agreement with each item according to the following response options: absolutely true, true, false, absolutely false.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 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

* 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
Minimum Eligible Age

12 Years

Maximum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Meyer Children's Hospital IRCCS

OTHER

Sponsor Role lead

Responsible Party

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Rosanna Martin

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rosanna Martin, MSc

Role: PRINCIPAL_INVESTIGATOR

Head of Pediatric Psychology

Locations

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Meyer Children's Hospital

Florence, Florence, Italy

Site Status

Countries

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Italy

References

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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.

Reference Type BACKGROUND
PMID: 11948650 (View on PubMed)

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.

Reference Type BACKGROUND

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.

Reference Type BACKGROUND
PMID: 9019046 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 30574405 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 8932558 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 12856818 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 3800362 (View on PubMed)

Other Identifiers

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Dimorphism and Self-esteem

Identifier Type: -

Identifier Source: org_study_id

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