젊은 유방암 생존자의 신체상, 자아존중감, 우울이 성기능에 미치는 영향
The Effect of Body Image, Self-esteem and Depression on Sexual Function in Young Breast Cancer Survivors
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Purpose: This study aimed to investigate the influence of body image, self-esteem, and depression on sexual function in young breast cancer survivors. Methods: Data were collected through an online questionnaire from 171 patients under 50 years of age between February and April 2023. The statistical analysis, performed using SPSS/WIN 26.0, included descriptive statistics, independent t-tests, one-way analysis of variance, Pearson’s correlation, and multiple linear regression. The bias-corrected bootstrap method was employed for testing mediation using JASP 0.17.2. Results: Sexual function correlated with body image (r=-.54, p<.001), self-esteem (r=.50, p<.001), and depression (r=-.60, p<.001). Regression analysis revealed depression, age, and cancer stage influenced sexual function. Body image and self-esteem indirectly influenced sexual function through depression. Conclusion: A tailored sexual function improvement program for young breast cancer survivors should consider addressing issues related to body image, self-esteem and depression.
Abstract
Purpose: This study aimed to investigate the influence of body image, self-esteem, and depression on sexual function in young breast cancer survivors. Methods: Data were collected through an online questionnaire from 171 patients under 50 years of age between February and April 2023. The statistical analysis, performed using SPSS/WIN 26.0, included descriptive statistics, independent t-tests, one-way analysis of variance, Pearson’s correlation, and multiple linear regression. The bias-corrected bootstrap method was employed for testing mediation using JASP 0.17.2. Results: Sexual function correlated with body image (r=-.54, p<.001), self-esteem (r=.50, p<.001), and depression (r=-.60, p<.001). Regression analysis revealed depression, age, and cancer stage influenced sexual function. Body image and self-esteem indirectly influenced sexual function through depression. Conclusion: A tailored sexual function improvement program for young breast cancer survivors should consider addressing issues related to body image, self-esteem and depression.
참고문헌 (28)
- "2020 Cancer statistics"[URL]
- "Breast cancer facts & Fig.s 2022"[URL]
- Hwang SY, "The impact of socioeconomic status on quality of life among breast cancer survivors : focusing on breast cancer survivors in their 40s", J Korea Contents Assoc, 16, pp.503~512 (2016)[DOI]
- Bower JE, "Mindfulness meditation for younger breast cancer survivors : a randomized controlled trial", Cancer, 121, pp.1231~1240 (2015)[DOI]
- Male DA, "Sexual identity after breast cancer : sexuality, body image, and relationship repercussions", Curr Opin Support Palliat Care, 10, pp.66~74 (2016)[DOI]
- Ljungman L, "Sexual dysfunction and reproductive concerns in young women with breast cancer : type, prevalence, and predictors of problems", Psychooncology, 27, pp.2770~2777 (2018)[DOI]
- Moon DH, "Effect of sexual function improvement program for breast cancer survivors on sexual distress, sexual satisfaction and marital intimacy", Korean J Women Health Nurs, 22, pp.30~38 (2016)[DOI]
- Fouladi N, "Sexual life after mastectomy in breast cancer survivors : a qualitative study", Psychooncology, 27, pp.434~441 (2018)[DOI]
- Hur SS, "A subjectivity study on the sexual life of women with breast cancer after mastectomy", Asian Oncol Nurs, 15, pp.140~148 (2015)[DOI]
- Kowalczyk R, "Factors affecting sexual function and body image of earlystage breast cancer survivors in Poland : a short-term observation", Clin Breast Cancer, 19, pp.e30~e39 (2019)[DOI]
- Qi A, "Incidence and risk factors of sexual dysfunction in young breast cancer survivors", Ann Palliat Med, 10, pp.4428~4434 (2021)[DOI]
- Kim HY, "Sexual dysfunction and related factors in peri-menopausal women", Asia-Pac J Multimed Serv Converg Art Humanit Soc, 7, pp.405~417 (2017)[DOI]
- Jeon YK, "The association between body image and depression, spouse support, and pre-pregnancy body mass index in pregnant women", master, pp.2016
- Kim SO, "A study on relationships among university students’self-differentiation, self-esteem and mental health : focused on depression and anxiety", Korean J Hum Ecol, 22, pp.539~558 (2013)[DOI]
- Byun HS, "Factors affecting sexual function of breast cancer women after receiving cancer treatment", Asian Oncol Nurs, 13, pp.85~94 (2013)[DOI]
- Hopwood P, "A body image scale for use with cancer patients", Eur J Cancer, 37, pp.189~197 (2001)[DOI]
- Rosenberg M, "Society and the adolescent self-image" (1965), Princeton University Press
- Radloff LS, "The CES-D scale : a self-report depression scale for research in the general population", Appl Psychol Meas, 1, pp.385~401 (1977)[DOI]
- Rosen R, "The Female Sexual Function Index(FSFI) : a multidimensional self-report instrument for the assessment of female sexual function", J Sex Marital Ther, 26, pp.191~208 (2000)[DOI]
- Boquiren VM, "Sexual functioning in breast cancer survivors experiencing body image disturbance", Psychooncology, 25, pp.66~76 (2016)[DOI]
- Pauwels EEJ, "Care needs after primary breast cancer treatment. Survivors’ associated sociodemographic and medical characteristics", Psychooncology, 22, pp.125~132 (2013)[DOI]
- Boswell EN, "Breast cancer and sexual function", Transl Androl Urol, 4, pp.160~168 (2015)[DOI]
- Byun HS, "Experiences of sexuality of women in breast cancer survivors", Korean J Adult Nurs, 23, pp.446~459 (2011)
- Kong LV, "Bidimensional self-esteem and sexual functioning among young adults : a systematic review", Curr Psychol, pp.1~15 (2023)[DOI]
- Boing L, "Factors associated with depression symptoms in women after breast cancer", Rev Saude Publica, 53, pp.30~ (2019)[DOI]
- Jeong K, "Influence of spiritual health and fatigue on depression in breast cancer patients", Asian Oncol Nurs, 14, pp.51~57 (2014)[DOI]
- Seong SR, "Effects of a group coaching program on depression, anxiety and hope in women with breast cancer undergoing chemotherapy", Asian Oncol Nurs, 17, pp.188~199 (2017)[DOI]
- Shao D, "The efficacy and mechanisms of a guided self-help intervention based on mindfulness in patients with breast cancer : a randomized controlled trial", Cancer, 127, pp.1377~1386 (2021)[DOI]
