{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T14:05:54Z","timestamp":1781273154814,"version":"3.54.1"},"reference-count":45,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify the underlying profiles of postoperative body image in patients with colorectal cancer who have undergone stoma surgery and to analyze the factors influencing these profiles, thereby providing a basis for developing targeted intervention strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A convenience sample of 349 colorectal cancer patients with a stoma receiving treatment at a Grade A tertiary hospital in Anhui Province was selected as the study population. Data were collected using a general questionnaire, the Body Image Scale, the Perceived Social Support Scale, the Hospital Anxiety and Depression Scale, the Ostomy Adjustment Inventory-23, and the Brief Illness Perception Questionnaire. Latent profile analysis was used to identify latent profiles of body image, and univariate and multivariate logistic regression were employed to explore their influencing factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 332 valid questionnaires were collected in this study, representing a response rate of 95.1%. Body image among colorectal cancer patients with a stoma can be classified into three subtypes: low body image disturbance-emotional stability group (31.7%), moderate body image disturbance-cognitive regulation group (39.4%), and high body image disturbance-social avoidance group (28.9%). Age, gender, place of residence, educational level, stoma complications, time since stoma creation, social support, anxiety and depression, stoma adaptation, and illness perception were identified as factors influencing the latent profiles of body image among colorectal cancer patients with a stoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study findings suggest that body image among patients with colorectal cancer who have a stoma exhibits significant heterogeneity within the population. Healthcare professionals can identify patients with different body image profiles at an early stage and develop targeted nursing interventions to alleviate body image disturbances and promote the restoration of social functioning and reintegration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1860267","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T14:20:37Z","timestamp":1780928437000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Body image and its influencing factors in colorectal cancer patients with a stoma: a latent profile analysis"],"prefix":"10.3389","volume":"14","author":[{"given":"Xinyue","family":"Tian","sequence":"first","affiliation":[{"name":"School of Nursing, Bengbu Medical University","place":["Bengbu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rongrong","family":"Ma","sequence":"additional","affiliation":[{"name":"School of Nursing, Bengbu Medical University","place":["Bengbu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongxia","family":"Chen","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Bengbu Medical University","place":["Bengbu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yudie","family":"Shao","sequence":"additional","affiliation":[{"name":"School of Nursing, Bengbu Medical University","place":["Bengbu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huiru","family":"Ma","sequence":"additional","affiliation":[{"name":"School of Nursing, Bengbu Medical University","place":["Bengbu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Dong","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Bengbu Medical University","place":["Bengbu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Huo","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Bengbu Medical University","place":["Bengbu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binbin","family":"Wang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Bengbu Medical University","place":["Bengbu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"229","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray","year":"2024","journal-title":"CA Cancer J Clin"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.19538\/j.cjps.issn1005-2208.2024.01.01","article-title":"Chinese expert consensus on the multidisciplinary team diagnostic and treatment model for colorectal cancer (2023 edition)","volume":"44","author":"Yao","year":"2024","journal-title":"Zhongguo Shiyong Waike Zazhi"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1200\/JGO.18.00214","article-title":"Treatment of patients with early-stage colorectal cancer: ASCO resource-stratified guideline","volume":"5","author":"Costas-Chavarri","year":"2019","journal-title":"J Glob Oncol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1243","DOI":"10.1111\/jan.16928","article-title":"Network analysis of psychosocial adaptation in intestinal stoma patients: a national cross-sectional study in China","volume":"82","author":"Zhang","year":"2026","journal-title":"J Adv Nurs"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1007\/s00520-025-09315-x","article-title":"Determinants of healthy lifestyle behaviours in colorectal cancer survivors: a systematic review","volume":"33","author":"ten De Vries-Have","year":"2025","journal-title":"Support Care Cancer"},{"key":"ref6","volume-title":"StatPearls","author":"Hosseini","year":"2026"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.1111\/jan.12892","article-title":"Body image disturbance in adults treated for cancer: a concept analysis","volume":"72","author":"Rhoten","year":"2016","journal-title":"J Adv Nurs"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"946","DOI":"10.1016\/j.ijnurstu.2009.12.008","article-title":"Restoring embodied control following surgical treatment for colorectal cancer: a longitudinal qualitative study","volume":"47","author":"Taylor","year":"2010","journal-title":"Int J Nurs Stud"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1030","DOI":"10.1007\/s00520-025-10075-x","article-title":"The impact of ostomy on colorectal cancer patients and caregivers: a qualitative study","volume":"33","author":"Asefa","year":"2025","journal-title":"Support Care Cancer"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1339","DOI":"10.1002\/pon.5688","article-title":"Body image in colorectal cancer patients: a longitudinal study","volume":"30","author":"Song","year":"2021","journal-title":"Psychooncology"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"e70249","DOI":"10.1002\/pon.70249","article-title":"The impact of an ostomy on body image and sexual function of patients with colorectal cancer: a systematic review and meta-analysis","volume":"34","author":"Redeker","year":"2025","journal-title":"Psychooncology"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"112595","DOI":"10.1016\/j.jpsychores.2026.112595","article-title":"Exploring psychosocial predictors of sexual quality of life in adults with ostomies","volume":"204","author":"Budak Ert\u00fcrk","year":"2026","journal-title":"J Psychosom Res"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1007\/s00520-025-09299-8","article-title":"Body image as a mediator between bowel dysfunction symptoms and psychological outcomes among patients with colorectal cancer","volume":"33","author":"Phung","year":"2025","journal-title":"Support Care Cancer"},{"key":"ref14","first-page":"123","article-title":"Changes and adaptation patient post colostomy","volume":"5","author":"Susanty","year":"2016","journal-title":"IOSR J Nurs Health Sci"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1223131","DOI":"10.3389\/fpsyg.2023.1223131","article-title":"Unchanging dynamics in posttraumatic growth in cancer patients","volume":"14","author":"Bayraktar","year":"2023","journal-title":"Front Psychol"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1097\/NCC.0000000000001085","article-title":"Body image issues in patients with colorectal cancer: a scoping review","volume":"46","author":"Phung","year":"2022","journal-title":"Cancer Nurs"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1016\/j.ijnss.2025.06.007","article-title":"Social alienation in patients with inflammatory bowel diseases","volume":"12","author":"Wang","year":"2025","journal-title":"Int J Nurs Sci"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1007\/s00520-020-05491-0","article-title":"Clinical relevance of a body image scale cut point of 10","volume":"29","author":"Chopra","year":"2020","journal-title":"Support Care Cancer"},{"key":"ref19","first-page":"378","article-title":"The sample size estimation in quantitative nursing research","volume":"45","author":"Ni","year":"2010","journal-title":"Chin J Nurs"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/S0959-8049(00)00353-1","article-title":"A body image scale for use with cancer patients","volume":"37","author":"Hopwood","year":"2001","journal-title":"Eur J Cancer"},{"key":"ref21","first-page":"192","article-title":"Applicability of the simplified Chinese version of the body image scale in patients with rectal cancer","volume":"33","author":"Song","year":"2019","journal-title":"Chin J Ment Health"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1080\/00223891.1990.9674095","article-title":"Psychometric characteristics of the multidimensional scale of perceived social support","volume":"55","author":"Zimet","year":"1990","journal-title":"J Pers Assess"},{"key":"ref23","first-page":"2048","article-title":"Evaluation of the application of the perceived social support scale in studies of social support among hospitalized patients in China","volume":"32","author":"Zhang","year":"2018","journal-title":"Nurs Res"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"},{"key":"ref25","first-page":"17","article-title":"Application and evaluation of the hospital anxiety and depression scale in patients from general hospitals","volume":"3","author":"Ye","year":"1993","journal-title":"Chin J Behav Med"},{"key":"ref26","first-page":"665","article-title":"Evaluation and analysis of the hospital anxiety and depression scale","volume":"10","author":"Zhou","year":"2006","journal-title":"Chin J Ment Health"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1097\/WON.0b013e3181919b7d","article-title":"Development and psychometric evaluation of the ostomy adjustment inventory-23","volume":"36","author":"Simmons","year":"2009","journal-title":"J Wound Ostomy Continence Nurs"},{"key":"ref28","first-page":"811","article-title":"Reliability and validity of the Chinese version of the ostomy adjustment inventory","volume":"46","author":"Gao","year":"2011","journal-title":"Chin J Nurs"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1016\/j.jpsychores.2005.10.020","article-title":"The brief illness perception questionnaire","volume":"60","author":"Broadbent","year":"2006","journal-title":"J Psychosom Res"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"11","DOI":"10.16460\/j.issn1008-9969.2015.24.011","article-title":"Reliability and validity of the Chinese version of the brief illness perception questionnaire in female patients with breast cancer","volume":"22","author":"Mei","year":"2015","journal-title":"J Nurs"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1186\/s12885-026-15710-2","article-title":"Chemotherapy-related symptoms in colorectal cancer patients","volume":"26","author":"Xia","year":"2026","journal-title":"BMC Cancer"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1007\/s00520-026-10515-2","article-title":"The invisible wall: experiences of social isolation in colorectal cancer patients with ostomy","volume":"34","author":"Lin","year":"2026","journal-title":"Support Care Cancer"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"3013","DOI":"10.1111\/jan.16450","article-title":"Latent profiles of fear of cancer recurrence","volume":"81","author":"Liu","year":"2024","journal-title":"J Adv Nurs"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"1497428","DOI":"10.3389\/fpsyt.2024.1497428","article-title":"Resilience and vulnerability of post-ostomy patients","volume":"15","author":"Yang","year":"2025","journal-title":"Front Psych"},{"key":"ref35","first-page":"1295","article-title":"Latent profile analysis of emotional suppression in colorectal cancer patients with ostomy and its nursing implications","volume":"60","author":"Xu","year":"2025","journal-title":"Chin J Nurs"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1016\/j.jgo.2015.04.001","article-title":"The effects of age, education, and treatment on physical, sexual and body concern symptoms among multimorbid, colorectal cancer survivors","volume":"6","author":"Naik","year":"2015","journal-title":"J Geriatr Oncol"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"75","DOI":"10.5633\/amm.2017.0112","article-title":"Impact of the level of education on the quality of life of colostomy patients","volume":"56","author":"Repi\u0107","year":"2017","journal-title":"Acta Med Medianae"},{"key":"ref38","first-page":"3929","article-title":"Longitudinal trajectories of psychological distress","volume-title":"J Adv Nurs","author":"Wang","year":"2024"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"3933","DOI":"10.1007\/s00520-018-4268-0","article-title":"Ongoing ostomy self-care challenges","volume":"26","author":"Bulkley","year":"2018","journal-title":"Support Care Cancer"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/j.jcol.2014.05.005","article-title":"Association of sociodemographic and clinical factors with the self-image and self-esteem of individuals with intestinal stoma","volume":"34","author":"Salom\u00e9","year":"2014","journal-title":"J Coloproctol"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"303","DOI":"10.5152\/FNJN.2021.20198","article-title":"Disgust and its effect on quality of life","volume":"29","author":"\u015eeng\u00fcl","year":"2021","journal-title":"Florence Nightingale J Nurs"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"E121","DOI":"10.1097\/NCC.0000000000001303","article-title":"Embracing my stoma","volume":"48","author":"Afiyanti","year":"2025","journal-title":"Cancer Nurs"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"1634910","DOI":"10.3389\/fpubh.2025.1634910","article-title":"A latent profile analysis of post-traumatic growth","volume":"13","author":"Duan","year":"2025","journal-title":"Front Public Health"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1002\/pon.3409","article-title":"Prevalence of depression in cancer patients","volume":"23","author":"Krebber","year":"2014","journal-title":"Psychooncology"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"e0236572","DOI":"10.1371\/journal.pone.0236572","article-title":"Expression of resilience, coping and quality of life","volume":"15","author":"Mac\u00eda","year":"2020","journal-title":"PLoS One"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1860267\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T13:51:02Z","timestamp":1781272262000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1860267\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,8]]},"references-count":45,"alternative-id":["10.3389\/fpubh.2026.1860267"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1860267","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,8]]},"article-number":"1860267"}}