ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Trajectories and interactions of body image and subjective well-being in colorectal cancer patients with colostomy: a longitudinal study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Perceived Ostomy odor and body image disturbance in colorectal cancer survivors: differences by ostomy status and sex.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Use of the Survivors' Unmet Needs Survey (SUNS) Framework to Understand the Needs of Colorectal Cancer Survivors in Thailand: A Qualitative Descriptive Study.Healthcare (Basel, Switzerland) · 2025Article
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Abstract
objectiveTo explore the developmental trajectory of body image and subjective well-being in colorectal cancer patients with colostomy, and to examine the predictive relationship between the two, in order to provide a theoretical basis for improving the well-being of ostomy patients.
methodsA total of 285 ostomy patients were selected as the study population. Body image and subjective well-being were assessed at three time points: T1 (initial diagnosis), T2 (3 months post-diagnosis), and T3 (6 months post-diagnosis). A follow-up investigation was conducted, and data were analyzed using a cross-lagged model and latent growth modeling.
resultsA total of 260 valid questionnaires were collected. Pearson correlation analysis revealed significant correlations between body image and subjective well-being at all three time points (P < 0.05). The cross-lagged model showed that body image significantly predicted subsequent subjective well-being (T1 → T2: β = -0.467, P < 0.01; T2 → T3: β = -0.457, P < 0.001), while subjective well-being did not significantly predict later body image (T1 → T2: β = -0.102, P = 0.151; T2 → T3: β = -0.133, P = 0.124). The latent growth model indicated that body image significantly increased over time (S = 0.288, P < 0.001), whereas subjective well-being decreased (S = -0.355, P < 0.001). At baseline, body image was negatively correlated with subjective well-being (r = -0.377, P = 0.002). Furthermore, the initial level of body image positively predicted both its own trajectory (β = 0.345, P = 0.006) and the rate of change in subjective well-being (β = 0.530, P = 0.002). The growth rate of body image also positively predicted the growth rate of subjective well-being (β = 0.552, P < 0.001).
conclusionsWhile body image among ostomy patients improves over time, their subjective well-being declines. Body image exerts a significant predictive effect on subjective well-being, suggesting that it is a critical risk factor affecting the psychological adjustment of ostomy patients.
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