{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:06:20Z","timestamp":1785323180605,"version":"3.55.0"},"reference-count":51,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001593","name":"Irish Cancer Society","doi-asserted-by":"publisher","award":["SSSHAN25"],"award-info":[{"award-number":["SSSHAN25"]}],"id":[{"id":"10.13039\/501100001593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Ostomy surgery, often required in the treatment of colorectal, bladder, prostate and gynaecological cancers, has profound effects on body image and psychosocial well\u2010being. While previous reviews have examined body image in colorectal cancer patients, no synthesis to date, to our knowledge, has focused on body image across cancer\u2010related ostomy populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review methodology was employed, following PRISMA guidelines. Four databases (PsycINFO, MEDLINE, CINAHL, and Web of Science) were systematically searched for peer\u2010reviewed, quantitative studies assessing body image in cancer survivors with ostomies. Inclusion criteria required validated body image measures and separable ostomy data. Ten studies met eligibility criteria, comprising 1454 participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Across studies, the presence of a stoma was consistently associated with poorer body image compared to non\u2010stoma groups. Permanent stomas were linked with the greatest body image disturbance, while reversal of temporary stomas was associated with improvements. Body image was associated with psychosocial outcomes including quality of life, anxiety, depression, self\u2010efficacy, and social support, and many of these psychosocial variables mediated the relationship between stoma status and psychological wellbeing. However, evidence regarding differences across cancer types was limited, and definitions and measures of body image varied considerably, with some studies relying on instruments not specifically designed for cancer populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Body image distress is a significant yet under\u2010recognised concern for cancer survivors with ostomies. Greater conceptual clarity, standardised and ostomy\u2010sensitive measurement, and longitudinal research across cancer diagnoses are needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for cancer survivors<\/jats:title>\n                    <jats:p>More refined ostomy\u2010sensitive measurement, routine assessment of body image concerns and access to tailored psychosocial interventions may improve body image and related outcomes for cancer survivors with ostomies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70538","type":"journal-article","created":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T12:16:15Z","timestamp":1783167375000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Body Image Following Ostomy Surgery for Cancer: A\u00a0Systematic Review"],"prefix":"10.1002","volume":"35","author":[{"given":"Emma","family":"Hanlon","sequence":"first","affiliation":[{"name":"School of Psychology Dublin City University  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Hayden","sequence":"additional","affiliation":[{"name":"School of Psychology Dublin City University  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Karl","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Zurich  Z\u00fcrich Switzerland"},{"name":"School of Psychology Victoria University of Wellington  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Dunne","sequence":"additional","affiliation":[{"name":"School of Psychology Dublin City University  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,4]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"National Cancer Strategy 2017\u20102026","author":"Department of Health","year":"2017"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102702.2004.00945.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3802\/jgo.2022.33.e21"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000525900"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955\u2010018\u20101054\u20100"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3517"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2009.12.008"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2004.11.051"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001085"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.4236\/jct.2013.46120"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12245\u2010022\u201000421\u20109"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-90055-3.00044-2"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27544"},{"key":"e_1_2_9_15_1","first-page":"490","volume-title":"Body Image: A Handbook of Science, Practice, and Prevention","author":"Cash T. 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