SPILS patients answered significantly more favorably to the items in the body image scale [ mean ( SD ) 5.6 ( 1.0 ) vs. 7.0 ( 3.3 ) ; -1.4 ( 95 % CI -2.8 to 1.5 ; p = 0.03 ) ] and the cosmetic scale [ 18.9 ( 4.1 ) vs. 15.3 ( 5.8 ) ; 3.6 ( 95 % CI 0.7-6 .5 ; p = 0.016 ) ] compared with patients in the Standard group .