{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:52:13Z","timestamp":1786978333306,"version":"build-2736575974"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,2,5]],"date-time":"2020-02-05T00:00:00Z","timestamp":1580860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000150","name":"Canadian Breast Cancer Research Alliance","doi-asserted-by":"publisher","award":["#017731"],"award-info":[{"award-number":["#017731"]}],"id":[{"id":"10.13039\/501100000150","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      Body image (BI) remains a significant survivorship challenge among breast cancer (BC) survivors. We describe an 8\u2010week group intervention\u2014\n                      <jats:italic>restoring body image after cancer<\/jats:italic>\n                      (ReBIC)\u2014developed to target BI distress for BC survivors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The intervention was informed by interviews with BC survivors and by a descriptive, exploratory approach which adapted guided imagery exercises to address BI. Educational material was selected to address sociocultural factors that may contribute to BI distress and affect adjustment. Videotape reviews and content analyses further refined the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The intervention incorporates three active components: psychotherapeutic group principles; guided imagery exercises to address BI; and psychoeducation on relevant socialization factors and gender\u2010based messages internalized by women in Western society. The therapeutic group was a supportive and effective way to assist BC survivors to gain insight on BI impacts, their histories, and relevant sociocultural factors contributing to BI distress. The group also facilitated the working through of grief over multiple losses. Guided imagery was well\u2010received, and appeared to help survivors identify negative and emerging self\u2010schema, as well as facilitate new self\u2010views. Specific themes included negative emotions associated with an altered body and self, grief and loss, isolation, difficulties with sexual intimacy, relationship challenges, and uncertainty around sense of self and future.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>An empirically tested group therapy intervention is described and has implications for survivorship programs to help address BI\u2010related challenges. Future work could consider testing a similar approach tailored for other cancer populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.5304","type":"journal-article","created":{"date-parts":[[2020,1,27]],"date-time":"2020-01-27T01:58:50Z","timestamp":1580090330000},"page":"671-680","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Restoring body image after cancer (ReBIC): A group therapy intervention"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6034-2235","authenticated-orcid":false,"given":"Mary Jane","family":"Esplen","sequence":"first","affiliation":[{"name":"de Souza Institute, University Health Network, Department of Psychiatry, Faculty of Medicine, University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Warner","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology, Sunnybrook Health Sciences Centre, Faculty of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Boquiren","sequence":"additional","affiliation":[{"name":"CBT Associates  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0369-2455","authenticated-orcid":false,"given":"Jiahui","family":"Wong","sequence":"additional","affiliation":[{"name":"de Souza Institute, University Health Network, Department of Psychiatry, Faculty of Medicine, University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Toner","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,5]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"World Health Organization. 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