نقش پیش بینی کننده تصویر بدن و عملکرد جنسی در کیفیت زندگی پس از ماستکتومی رادیکال اصلاح شده با توجه به نقش واسطه ای هیجان. یک مطالعه مقطعی

عنوان انگليسی

The predictive role of body image and sexual function in quality of life after modified radical mastectomy, the mediating role of emotion; A cross sectional study

خلاصه انگلیسی

Background: Mastectomy has negative effects on body image, sexual function and quality of life (QOL). Additionally, manipulative emotion regulation strategy is considered as a trans-diagnostic mechanism underlying related to psychiatric syndrome in these patients. Objectives: The predictive role of body image and sexual function in QOL has not been studied regarding to the mediating role of difficulty in emotion regulation. Methods: In a correlational study, during March to December 2016, among patients undergoing modified radical mastectomy (MRM) at Early-Stage Breast Cancer (BC), 90 patients were selected using a respondent-driven sampling (RDS). To collect the data, the Multidimensional Body-Self Relations Questionnaire (MBSRQ), Persian language version of the Female Sexual Function Index (P-FSFI), QOL questionnaire, and Difficulties in Emotion Regulation Scales (DERS) were used. Data were analyzed through Pearson's correlation coefficient, regression analysis and path analysis using AMOS and SPSS software version 22 and the significance criterion was considered as 0.05. Results: Data analysis showed that there is a direct relationship between body image and sexual function with QOL, and it has an inverse relationship with difficulty in emotion regulation (all's p<0.01). Also, body image, sexual function, and difficulty in emotion regulation were predictors of QOL (all's p<0.01). In addition, in predicting QOL based on sexual function and body image, the difficulty in emotion regulation has a mediating role (all's p<0.01). Conclusion: In patients with breast cancer under mastectomy, proper sexual function, sexual attraction depending on body image and QOL are influenced by emotion regulation. Reducing the difficulty in emotion regulation through emotion-focused interventions can improve the QOL in patients.

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