{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T07:49:00Z","timestamp":1791791340295,"version":"4.3.4"},"reference-count":48,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000982","name":"Conquer Cancer Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000982","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Body image distress is a major concern for cancer survivors and includes views on physical appearance and body functions. As body image is largely developed in adolescence and young adulthood with implications for self\u2010identity and social relationships, it may impact adolescent and young adult (AYA) cancer survivors in distinct ways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Explore the manifestations of body image distress in adolescent and young adult cancer survivors who participated in a body image\u2010focused expressive writing intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews focusing on the body image experience were conducted and reviewed with a reflexive thematic analysis approach embedded within an interpretative phenomenological framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Qualitative analysis of 24 interviews revealed the following themes: Feasibility and Acceptability; Reconciling Intellectual and Emotional Understanding of Anticipated Body Image Changes; What We Gained and What We Lost; Body Image Distress as a Source of Guilt and Shame; We are a Community, but We Lack a Community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Discussion of body image distress represented an example of trauma\u2010informed care that allowed participants to build a small community within the study and regain a sense of self identity lost in the cancer experience. This approach informs suggestions for cancer survivorship care and adopting a trauma\u2010informed care approach during clinical or research environment. Future studies will endeavor to facilitate the adaptation of expressive writing to the needs of a given cancer survivor while building a community around those who seek to further their intellectual and emotional understanding of the ramifications of body image distress with peers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70626","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T07:28:33Z","timestamp":1791790113000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Manifestations of Body Image Distress in AYA Cancer Survivors: A Qualitative Analysis of Participants in an Expressive Writing Intervention"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3052-7455","authenticated-orcid":false,"given":"Victoria","family":"Wytiaz","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Division of Oncology University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2993-7363","authenticated-orcid":false,"given":"Amy","family":"Hecht\u2010Zizes","sequence":"additional","affiliation":[{"name":"School of Social Work University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010014\u20100422\u2010y"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.800"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010017\u20101520\u2010x"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2009.06.002"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_4_15"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5610"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.59.4.381"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640260500403840"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021\u2010843x.95.3.274"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0959\u20108049(00)00353\u20101"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/1099\u20101611(200011\/12)9:6<462::aid\u2010pon485>3.0.co;2\u2010j"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2023.04.014"},{"key":"e_1_2_12_14_1","volume-title":"Body Image: A Handbook of Science, Practice, and Prevention","author":"Cash T. 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