Meme Kanseri Hastalarında Eşler Arası Uyum ve Sosyal Destek Düzeyinin Depresyon, Anksiyete, Benlik Saygısı ve Cinsellik Üzerine Etkilerinin İncelenmesi

Yıl 2022, Cilt: 48 Sayı: 3, 349 - 355, 30.12.2022

Kübra Duran , Aslı Sarandöl

https://doi.org/10.32708/uutfd.1159556

Öz

Bu çalışmada meme kanseri hastalarında eşler arasındaki uyum ve algılanan sosyal desteğin depresyon, anksiyete, benlik saygısı ve cinsellik üzerine etkilerinin incelenmesi amaçlandı. Uludağ Üniversitesi Tıp Fakültesi Ruh Sağlığı Anabilim Dalı ve Radyasyon Onkolojisi Anabilim Dalı polikliniklerine başvuran ve meme kanseri tanısı olan 50 hasta çalışmaya alınmıştır. Çalışmaya alınan tüm hastalar, Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Ölçeği (BAÖ), Golombok-Rust Cinsel Doyum Ölçeği-Kadın Formu (G-RCDÖ), Rosenberg Benlik Saygısı Ölçeği (RBSÖ), Çok Boyutlu Algılanan Sosyal Destek Ölçeği (ÇBASDÖ) ve Çiftler Uyum Ölçeği (ÇUÖ) ile değerlendirilmiştir. Hastaların eşler arası uyum ve sosyal destek düzeyleri arttıkça BDÖ, BAÖ ve G-RCDÖ puanlarında istatistiksel olarak anlamlı bir azalma olduğu izlendi (p<0,05). Eşler arası uyum düzeyi ve sosyal destek düzeyi ile benlik saygısı arasında istatistiksel olarak anlamlı bir ilişki bulunmadı (p>0,05). Sosyodemografik özellikler ve hastalıkla ilgili değişkenler ile bakılan ölçek puanları arasında anlamlı ilişki bulunmadı (p>0,05). Meme kanseri tanısı bulunan hastaların hastalıkla mücadele etmelerinde ve psikososyal yönden uyum sağlamalarında eşlerinden ve aileden gelen sosyal destek önemli bir etmendir. Hastaların yaşadığı ruhsal sorunların azaltılmasında eşlerin ve ailelerin de katıldığı psikoeğitim ve psikososyal destek programlarının faydalı olabileceği düşünülmektedir.

Anahtar Kelimeler

meme kanseri, depresyon, cinsellik, sosyal destek, eş desteği

Destekleyen Kurum

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Proje Numarası

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Investigation of the Effects of Spousal Adjustment and Social Support Level on Mental Health, Self-Esteem and Sexual Function in Patients Diagnosed with Breast Cancer

Öz

In this examination, we aimed to investigate the effects of marital adjustment and perceived social support on depression, anxiety, self-esteem, and sexuality in patients with breast cancer. Fifty breast cancer patients who applied to Uludag University Medical Faculty Mental Health Department and Department of Radiation Oncology were included in the study. The Beck Depression Scale (BDS), the Beck Anxiety Scale (BAS), the Golombok-Rust Sexual Satisfaction Scale-Woman Form (GRSSS), the Rosenberg Self-Esteem Scale (RSES), the Multidimensional Perceived Social Support Scale (MPSSS) was assessed with the Couple Adjustment Scale (CAS). As the level of couple adjustment and social support of patients increased, it was observed that there was a statistically significant decrease in BDS, BAS, and G-RSSS scores. No significant relationship was found between socio-demographic characteristics and disease-related variables and scale scores. Conclusion: Social support from partners and family members is important in patients with breast cancer diagnoses and psychosocial disorders. It is thought that psycho-education and psychosocial support programs which spouses and their families participate in reducing psychiatric problems experienced by patients can be beneficial.

Anahtar Kelimeler

breast cancer, depression, sexuality, socıal support, partner support

Proje Numarası

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Kaynakça

• 1. Benson JR, Jatoi I. The global breast cancer burden. Future oncology. 2012;8(6):697-702.
• 2. Torre LA, Bray F, Siegel RL, Ferlay J, Lortet‐Tieulent J, Jemal A. Global cancer statistics, 2012. CA: a cancer journal for clinicians. 2015;65(2):87-108.
• 3. Jean CY, Syrjala KL. Anxiety and depression in cancer survivors. Medical Clinics. 2017;101(6):1099-113.
• 4. Ateşçi FÇ, Oğuzhanoğlu NK, Baltalarli B, Karadağ F, Özdel O, Karagöz N. Kanser hastalarinda psikiyatrik bozukluklar ve ilişkili etmenler. Türk Psikiyatri Dergisi. 2003;14(2):145-52.
• 5. Tsaras K, Papathanasiou IV, Mitsi D, et al. Assessment of depression and anxiety in breast cancer patients: prevalence and associated factors. Asian Pacific journal of cancer prevention: APJCP. 2018;19(6):1661.
• 6. Kübler-Ross E. OLUM VE ÖLMEK ÜZERİNE. 2010.
• 7. Özkan S. Psikiyatrik ve psikososyal açıdan kanser. Psikiyatrik Tıp: Konsültasyon-Liyezon Psikiyatrisi İstanbul: Roche Yayınları. 1993.
• 8. Tünel M, Vural A, Evlice YE, Tamam L. Meme kanserli hastalarda psikiyatrik sorunlar. Arşiv Kaynak Tarama Dergisi. 2012;21(3):189-219.
• 9. Paterson C, Lengacher CA, Donovan KA, Kip KE, Tofthagen CS. Body image in younger breast cancer survivors: a systematic review. Cancer nursing. 2016;39(1):E39.
• 10. Archangelo SdCV, Sabino M, Veiga DF, Garcia EB, Ferreira LM. Sexuality, depression and body image after breast reconstruction. Clinics. 2019;74.
• 11. Hocaoğlu Ç, Kandemir G, Civil F. Meme kanserinin aile ilişkilerine etkileri. Meme Sağlığı Dergisi. 2007;3(3):163-6.
• 12. Boing L, Pereira GS, Araújo CdCRd, et al. Factors associated with depression symptoms in women after breast cancer. Revista de saúde pública. 2019;53.
• 13. Słowik AJ, Jabłoński MJ, Michałowska-Kaczmarczyk AM, Jach R. Evaluation of quality of life in women with breast cancer, with particular emphasis on sexual satisfaction, future perspectives and body image, depending on the method of surgery. Psychiatr Pol. 2017;51(5):871-88.
• 14. Avis NE, Crawford S, Manuel J. Psychosocial problems among younger women with breast cancer. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer. 2004;13(5):295-308.
• 15. Alder J, Zanetti R, Wight E, Urech C, Fink N, Bitzer J. Sexual dysfunction after premenopausal stage I and II breast cancer: do androgens play a role? The journal of sexual medicine. 2008;5(8):1898-906.
• 16. Maly RC, Umezawa Y, Leake B, Silliman RA. Mental health outcomes in older women with breast cancer: impact of perceived family support and adjustment. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer. 2005;14(7):535-45.
• 17. Su J-A, Yeh D-C, Chang C-C, et al. Depression and family support in breast cancer patients. Neuropsychiatric disease and treatment. 2017;13:2389.
• 18. Yoo GJ, Levine EG, Aviv C, Ewing C, Au A. Older women, breast cancer, and social support. Supportive care in cancer. 2010;18(12):1521-30.
• 19. Oztunc G, Yesil P, Paydas S, Erdogan S. Social support and hopelessness in patients with breast cancer. Asian Pacific Journal of Cancer Prevention. 2013;14(1):571-8.
• 20. Talley A, Molix L, Schlegel RJ, Bettencourt A. The influence of breast cancer survivors' perceived partner social support and need satisfaction on depressive symptoms: a longitudinal analysis. Psychology and Health. 2010;25(4):433-49.
• 21. Moreira H, Canavarro MC. Psychosocial adjustment and marital intimacy among partners of patients with breast cancer: a comparison study with partners of healthy women. Journal of psychosocial oncology. 2013;31(3):282-304.
• 22. Kinsinger SW, Laurenceau J-P, Carver CS, Antoni MH. Perceived partner support and psychosexual adjustment to breast cancer. Psychology & health. 2011;26(12):1571-88.
• 23. Speer JJ, Hillenberg B, Sugrue DP, et al. Study of sexual functioning determinants in breast cancer survivors. The breast journal. 2005;11(6):440-7.
• 24. Hisli N. Beck Depresyon Ölçeği’nin bir Türk örnekleminde geçerlilik ve güvenilirliği. Psikoloji Dergisi. 1988;6(22):118-22.
• 25. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. Journal of cognitive psychotherapy. 1998;12(2):163.
• 26. Golombok S, Rust J. Diagnosis of sexual dysfunction: relationships between DSM-III (R) and the GRISS. Sexual and marital therapy. 1988;3(1):119-24.
• 27. Tuğrul C, Öztan N, Kabakçı E. Golombok-Rust cinsel doyum ölçeği’nin standardizasyon çalışması. Türk Psikiyatri Dergisi. 1993;4(2):83-8.
• 28. Çuhadaroğiu F. Adölesanlarda benlik saygısı, Uzmanlık Tezi, H, Ü. Tıp Fakültesi, Ankara. 1986.
• 29. Eker D, Arkar H, YALDIZ H. Çok Boyutlu Algılanan Sosyal Destek Ölçeği'nin gözden geçirilmiş formunun faktör yapısı, geçerlik ve güvenirliği. Türk Psikiyatri Dergisi. 2001;12(1):17-25.
• 30. Fişiloğlu H, Demir A. Applicability of the Dyadic Adjustment Scale for measurement of marital quality with Turkish couples. European Journal of Psychological Assessment. 2000;16(3):214.
• 31. Hopwood P, Howell A, Maguire P. Psychiatric morbidity in patients with advanced cancer of the breast: prevalence measured by two self-rating questionnaires. British journal of cancer. 1991;64(2):349-52.
• 32. Mehnert A, Koch U. Psychological comorbidity and health-related quality of life and its association with awareness, utilization, and need for psychosocial support in a cancer register-based sample of long-term breast cancer survivors. Journal of psychosomatic research. 2008;64(4):383-91.
• 33. Kadan‐Lottick NS, Vanderwerker LC, Block SD, Zhang B, Prigerson HG. Psychiatric disorders and mental health service use in patients with advanced cancer: a report from the coping with cancer study. Cancer: Interdisciplinary International Journal of the American Cancer Society. 2005;104(12):2872-81.
• 34. Vin-Raviv N, Akinyemiju TF, Galea S, Bovbjerg DH. Depression and anxiety disorders among hospitalized women with breast cancer. PloS one. 2015;10(6):e0129169.
• 35. Bruno Q, Aymery C, Fabrice L, Hélène L. Factors predicting sexual functioning in patients 3 months after surgical procedures for breast cancer: The role of the Sense of Coherence. European Journal of Oncology Nursing 2014;18(1):41-5.
• 36. Fang SY, Chang HT, Shu BC. The moderating effect of perceived partner empathy on body image and depression among breast cancer survivors. Psycho‐Oncology. 2015;24(12):1815-22.
• 37. Pistrang N, Barker C. The partner relationship in psychological response to breast cancer. Social Science & Medicine. 1995;40(6):789-97.
• 38. White JL. Long-term breast cancer survivors' perceptions of support from female partners: An exploratory study. Paper presented at: Oncology nursing forum2012.
• 39. Makabe R. Social support and psychological and physical states among Japanese women with breast cancer before and after breast surgery. Number 4/July 2007. 2007;34(4):883-9.
• 40. Kroenke CH, Quesenberry C, Kwan ML, Sweeney C, Castillo A, Caan BJ. Social networks, social support, and burden in relationships, and mortality after breast cancer diagnosis in the Life After Breast Cancer Epidemiology (LACE) study. Breast cancer research and treatment. 2013;137(1):261-71.
• 41. Epplein M, Zheng Y, Zheng W, et al. Quality of life after breast cancer diagnosis and survival. Journal of Clinical Oncology. 2011;29(4):406.
• 42. Hughes S, Jaremka LM, Alfano CM, et al. Social support predicts inflammation, pain, and depressive symptoms: longitudinal relationships among breast cancer survivors. Psychoneuroendocrinology. 2014;42:38-44.
• 43. Santini ZI, Koyanagi A, Tyrovolas S, Mason C, Haro JM. The association between social relationships and depression: a systematic review. Journal of affective disorders. 2015;175:53-65.
• 44. Arving C, Sjode P-O, Bergh J, et al. Individual psychosocial support for breast cancer patients: a randomized study of nurse versus psychologist interventions and standard care. Cancer nursing. 2007;30(3):E10-E9.
• 45. Yoo W, Shah DV, Shaw BR, et al. The role of the family environment and computer-mediated social support on breast cancer patients’ coping strategies. Journal of Health Communication. 2014;19(9):981-98.
• 46. Pinquart M, Duberstein P. Depression and cancer mortality: a meta-analysis. Psychological medicine. 2010;40(11):1797-810.
• 47. Brown KW, Levy AR, Rosberger Z, Edgar L. Psychological distress and cancer survival: a follow-up 10 years after diagnosis. Psychosomatic medicine. 2003;65(4):636-43.
• 48. Park J-H, Bae SH, Jung YS, Kim KS. Quality of life and symptom experience in breast cancer survivors after participating in a psychoeducational support program: a pilot study. Cancer Nursing. 2012;35(1):E34-E41.
• 49. Ferreira DB, Koifman R, Bergmann A. P2-78 quality of life in Brazilian women with breast cancer: association with the social environment. Journal of Epidemiology & Community Health. 2011;65(Suppl 1):A241-A.