探讨乳腺癌手术后女性的身体自我与心理一致感之间的关系。
Exploring the relationship between the body self and the sense of coherence in women after surgical treatment for breast cancer.
机构信息
Institute of Psychology, Faculty of Philosophy, The Jesuit University Ignatianum, Cracow, Poland.
Department of General and Clinical Psychology, Faculty of Pedagogy and Psychology, The University of Bialystok, Bialystok, Poland.
出版信息
Psychooncology. 2019 Jan;28(1):54-60. doi: 10.1002/pon.4909. Epub 2018 Oct 25.
OBJECTIVE
Analysis of the relationship between the body self (BS) and the sense of coherence (SOC) in women after breast surgery due to cancer in comparison with a control group.
METHODS
A cross-sectional study in a group of 78 women using the body-self questionnaire (BS-Q), and the life orientation questionnaire (SOC-29). Statistics based on the IBM SPSS v.25.
RESULTS
Multivariate analysis of variance (MANOVA) has shown significant differences based on groups in experiencing intimacy, manifesting femininity, body acceptance, and manageability. In particular, manifesting femininity and body acceptance showed a big effect size (0.30 < partial ɳ < 0.32). Correlation analysis between the BS-Q and SOC-29 subscales and Fisher's r to z transformation determines that the differences between groups were significant in favour of healthy women in two sets of variables: experiencing intimacy/meaningfulness and attitude to food and weight/manageability.
CONCLUSIONS
Breast cancer survivors are at greater risk of developing decreased body acceptance and problems in intimacy, and have less correlation than the healthy control group between manageability and meaningfulness with an appropriate attitude to food and intimate relationship with their partner, respectively. A higher manifestation of femininity in the treated group can be considered a positive but socioculturally conditioned coping strategy.
目的
分析乳腺癌术后女性的身体自我(BS)与心理韧性(SOC)之间的关系,并与对照组进行比较。
方法
采用横断面研究方法,对 78 名女性进行身体自我问卷(BS-Q)和生活取向测验(SOC-29)调查。统计分析采用 IBM SPSS v.25。
结果
多变量方差分析(MANOVA)显示,两组在体验亲密、表现女性气质、身体接受和可管理性方面存在显著差异。特别是,表现女性气质和身体接受度的效应量较大(0.30<部分ɳ<0.32)。BS-Q 与 SOC-29 各分量表之间的相关分析和 Fisher's r 到 z 变换表明,在两组变量中,经历亲密/有意义和对食物及体重/可管理性的态度方面,健康女性组的差异具有统计学意义。
结论
乳腺癌幸存者面临着身体接受度下降和亲密关系问题的风险增加,与健康对照组相比,可管理性与有意义性之间以及对食物的适当态度与亲密关系之间的相关性较低。治疗组中较高的女性气质表现可以被认为是一种积极的、但受到社会文化影响的应对策略。