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Body image in multiple sclerosis patients: a descriptive review

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Abstract

Objective

Multiple sclerosis is a neurological disorder—may in some patients have impact on body image; this could contribute to neurological disability, psychological distress, and can reduce quality of life. This review has been conducted on studies investigating the representation of body image.

Method

We have researched PubMed and Web of Science databases and included screening references for studies and review articles about this topic. From the initial 316 publications, we included only 9 studies that met the search criteria.

Result and conclusion

The results showed that this construct has been little emphasized over time and has a significant impact on the patient.

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Abbreviations

MS:

multiple sclerosis

HC:

health controls

BC:

Body Cathexis Scale

SC:

Self-Cathexis Scale

BDI-II:

Beck Depression Inventory-II

BIQ:

Body Image Ideals Questionnaire

BDI-SF:

Beck Depression Inventory-Short Form

SD:

sexual dysfunction

PCS/MCS of the SF-12:

Physical/Mental Component Summary of the Short Form-12

PDDS:

Patient Determined Disease Steps

MSISQ-19:

The Multiple Sclerosis Intimacy and Sexuality Questionnaire-19

ZIP:

German version of the Relationship Assessment Scale

TSST:

Tu¨bingen Scales for Sexual Therapy

BES:

body estimate scale

RSES:

Rosenberg self-esteem scale

MSIS-29:

multiple sclerosis impact scale

B-IPQ:

perception questionnaire

ED:

extended disability scale

ESES:

Eysenck Self-Esteem

References

  1. Cash TF, Pruzinsky T (2004) Body image: a handbook of theory, research, and clinical practice. Guilford, New York

  2. Schilder P (2013) The image and appearance of the human body, vol. 163. Routledge

  3. Slade PD (1994) What is body image? Behav Res Ther 32(5):497–502

    Article  CAS  PubMed  Google Scholar 

  4. Tsakiris M (2010) My body in the brain: a neurocognitive model of body-ownership. Neuropsychologia 48(3):703–712

    Article  PubMed  Google Scholar 

  5. Price B (1990) A model for body-image care. J Adv Nurs 15(5):585–593

    Article  CAS  PubMed  Google Scholar 

  6. Posavac SS, Posavac HD (2002) Predictors of women’s concern with body weight: the roles of perceived self-media ideal discrepancies and self-esteem. Eat Disord 10(2):153–160

    Article  PubMed  Google Scholar 

  7. Strauss RS (1999) Self-reported weight status and dieting in a cross-sectional sample of young adolescents: National Health and Nutrition Examination Survey III. Arch Pediatr Adolesc Med 153(7):741–747

    Article  CAS  PubMed  Google Scholar 

  8. Connors J, Casey P (2006) Sex, body-esteem and self-esteem. Psychol Rep 98(3):699–704

    Article  PubMed  Google Scholar 

  9. Lewis JS, Kersten P, McCabe CS, McPherson KM, Blake DR (2007) Body perception disturbance: a contribution to pain in complex regional pain syndrome (CRPS). Pain 133(1–3):111–119

    Article  PubMed  Google Scholar 

  10. Tsakiris M, Hesse MD, Boy C, Haggard P, Fink GR (2007) Neural signatures of body ownership: a sensory network for bodily self-consciousness. Cereb Cortex 17(10):2235–2244

    Article  PubMed  Google Scholar 

  11. Tsakiris M, Haggard P (2005) The rubber hand illusion revisited: visuotactile integration and self-attribution. J Exp Psychol Hum Percept Perform 31(1):80–91

    Article  PubMed  Google Scholar 

  12. Serino A, Alsmith A, Costantini M, Mandrigin A, Tajadura-Jimenez A, Lopez C (2013) Bodily ownership and self-location: components of bodily self-consciousness. Conscious Cogn 22(4):1239–1252

    Article  PubMed  Google Scholar 

  13. Costantini M (2014) Body perception, awareness, and illusions. Wiley Interdiscip Rev Cogn Sci 5(5):551–560

    Article  PubMed  Google Scholar 

  14. Nava E, Mattioli F, Gamberini C, Stampatori C, Bellomi F, Turati C, Bolognini N (2018) Altered bodily self-consciousness in multiple sclerosis. J Neuropsychol 12(3):463–470

    Article  PubMed  Google Scholar 

  15. Chiaravalloti ND, DeLuca J (2008) Cognitive impairment in multiple sclerosis. Lancet Neurol 7(12):1139–1151

    Article  PubMed  Google Scholar 

  16. Moseley GL, Flor H (2012) Targeting cortical representations in the treatment of chronic pain: a review. Neurorehabil Neural Repair 26(6):646–652

    Article  PubMed  Google Scholar 

  17. Pfaffenberger N, Gutweniger S, Kopp M, Seeber B, Stürz K, Berger T, Günther V (2011) Impaired body image in patients with multiple sclerosis. Acta Neurol Scand 124(3):165–170

    Article  CAS  PubMed  Google Scholar 

  18. Cash TF, Santos MT, Williams EF (2005) Coping with body-image threats and challenges: validation of the body image coping strategies inventory. J Psychosom Res 58:191–199

    Article  Google Scholar 

  19. Samonds RJ, Cammermeyer M (1989) Perceptions of body image in subjects with multiple sclerosis: a pilot study. J Neurosci Nurs 21(3):190–194

    Article  CAS  PubMed  Google Scholar 

  20. Kindrat S (2007) The relationship between body image and depression in women diagnosed with relapsing remitting multiple sclerosis. Can J Neurosci Nurs 29(1):8–13

    PubMed  Google Scholar 

  21. Minden SL, Orav J, Reich P (1987) Depression in multiple sclerosis. Gen Hosp Psychiatry 9(6):426–434

    Article  CAS  PubMed  Google Scholar 

  22. Kolzet J, Quinn H, Zemon V, Tyry T, Marrie RA, Foley FW, Flood S (2015) Predictors of body image related sexual dysfunction in men and women with multiple sclerosis. Sex Disabil 33(1):63–73

    Article  Google Scholar 

  23. Reininghaus E, Reininghaus B, Fitz W, Hecht K, Bonelli RM (2012) Sexual behaviour, body image, and partnership in chronic illness: a comparison of Huntington’s disease and multiple sclerosis. J Nerv Ment Dis 200(8):716–720

    Article  PubMed  Google Scholar 

  24. Shirvani M, Ali Sheikhi R, Heidari M, Ghodusi M (2016) The relation between body esteem with self esteem and perceived social support in multiple sclerosis patients–assessment. NJIRM 7(1)

  25. Wilski M, Tasiemski T, Dąbrowski A (2016) Body esteem among women with multiple sclerosis and its relationship with demographic, clinical and socio-psychological factors. Int J Behav Med 23(3):340–347

    Article  CAS  PubMed  Google Scholar 

  26. Rybarczyk B, Nyenhuis DL, Nicholas JJ, Cash SM, Kaiser J (1995) Body image, perceived social stigma, and the prediction of psychosocial adjustment to leg amputation. Rehabil Psychol 40(2):95–110

    Article  Google Scholar 

  27. Barak Y, Lampl Y, Sarova-Pinchas I, Achiron A (1999) Self and body esteem perception in multiple sclerosis. Behav Neurol 11(3):159–161

    Article  CAS  PubMed  Google Scholar 

  28. Koutsouraki E, Costa V, Baloyannis S (2010) Epidemiology of multiple sclerosis in Europe: a review. Int Rev Psychiatry 22(1):2–13

    Article  PubMed  Google Scholar 

  29. Higuera L, Carlin CS, Anderson S (2016) Adherence to disease-modifying therapies for multiple sclerosis. J Manag Care Spec Pharm 22(12):1394–1401

    PubMed  Google Scholar 

  30. Sharac J, McCrone P, Sabes-Figuera R (2010) Pharmacoeconomic considerations in the treatment of multiple sclerosis. Drugs 70(13):1677–1691

    Article  CAS  PubMed  Google Scholar 

  31. Rahn K, Slusher B, Kaplin A (2012) Cognitive impairment in multiple sclerosis: a forgotten disability remembered. In: Cerebrum: the Dana forum on brain science, vol. 2012. Dana Foundation

  32. Tomassini V, Matthews PM, Thompson AJ, Fuglø D, Geurts JJ, Johansen-Berg H, Palace J (2012) Neuroplasticity and functional recovery in multiple sclerosis. Nat Rev Neurol 8(11):635

    Article  PubMed  PubMed Central  Google Scholar 

  33. Dineen RA, Vilisaar J, Hlinka J, Bradshaw CM, Morgan PS, Constantinescu CS, Auer DP (2009) Disconnection as a mechanism for cognitive dysfunction in multiple sclerosis. Brain 132(1):239–249

    Article  CAS  PubMed  Google Scholar 

  34. Peterson DS, Fling BW (2017) How changes in brain activity and connectivity are associated with motor performance in people with MS. NeuroImage

  35. Guimarães J, Sá MJ (2012) Cognitive dysfunction in multiple sclerosis. Front Neurol 3:74

    Article  PubMed  PubMed Central  Google Scholar 

  36. Mohr DC, Cox D (2001) Multiple sclerosis: empirical literature for the clinical health psychologist. J Clin Psychol 57(4):479–499

    Article  CAS  PubMed  Google Scholar 

  37. Gutweniger S, Kopp M, Mur E, Günther V (1999) Body image of women with rheumatoid arthritis. Clin Exp Rheumatol 17:413–418

    CAS  PubMed  Google Scholar 

  38. Thompson JK (2004) The (mis) measurement of body image: ten strategies to improve assessment for applied and research purposes. Body Image 1(1):7–14

    Article  PubMed  Google Scholar 

  39. Rumsey N, Clarke A, Musa M (2002) Altered body image: the psychosocial needs of patients. Br J Community Nurs 7(11):563–566

    Article  PubMed  Google Scholar 

  40. Leopold JS (2003) The direct and indirect effect of body image on sexual satisfaction

  41. Farnam A, Marashi F, Sana’tnama M (2017) The relationship of body image with emotion regulation, stress, and aggression and their comparison between males and females with multiple sclerosis. Jundishapur J Chronic Dis Care 6(3)

  42. Cash TF, Pruzinsky TE (1990) Body images: development, deviance, and change. Guilford, New York

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Correspondence to Marcella Di Cara.

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Di Cara, M., Lo Buono, V., Corallo, F. et al. Body image in multiple sclerosis patients: a descriptive review. Neurol Sci 40, 923–928 (2019). https://doi.org/10.1007/s10072-019-3722-1

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  • DOI: https://doi.org/10.1007/s10072-019-3722-1

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