Document Type : Original Article
Authors
1 Ph.d Student, Educational Psychology, , Tonekabon ، Islamic Azad University Branch, Tonekabon, Iran
2 استادیار، گروه روانشناسی، دانشگاه آزاد اسلامی، واحد تنکابن، تنکابن، ایران.
Abstract
Introduction: Despite various treatments such as mastectomy and combined therapies for cancer patients, these individuals often experience a wide range of psychological challenges that can adversely affect their quality of life. This study aimed to investigate the mediating roles of self-compassion and perceived social support in the relationship between sexual performance and quality of life in breast cancer patients.
Materials and Methods: This correlational descriptive study involved women diagnosed with breast cancer who underwent a mastectomy and visited hospitals in Sari and Babol. A purposive sample of 480 participants was selected. Data collection utilized the Quality of Life (QLQ-BR2T), Rosen's Sexual Performance, Zimet's Perceived Social Support, and Reiss's Self-Compassion Questionnaire. Data analysis was performed using structural equation modeling with SPSS-22 and AMOS-23 software.
Results: The findings indicated a significant direct relationship between sexual performance and quality of life in breast cancer patients. Structural equation modeling revealed a significant indirect relationship between sexual performance and quality of life, mediated by perceived social support and self-compassion
Conclusion: To enhance the quality of life for women with breast cancer, it is recommended to implement group therapy sessions involving these women, their families, and sexual partners.
Keywords
- Self-Compassion؛ Perceived Social Support؛
- Sexual Performance
- ؛ Quality of Life
- ؛ Breast Cancer Patients
Main Subjects
- Akram, M. Iqbal, M. Daniyal, M. & Khan, A. U. Awareness and current knowledge of breast cancer. Biological research.2020; 50 (1): 33. doi: 10.1186/s40659-017-0140-9.
- Ribnikar, D. Ratoša, I. Perhavec, A. & Amir, E. General overview and treatment recommendations for young women with breast cancer. Revista de Investigación Clínica.2017; 69 (2): 77-93. doi: 24875/ric.17002175.
- İzci, F. İlgün, A. S. Fındıklı, E. & Özmen, V. (2016). Psychiatric symptoms and psychosocial problems in patients with breast cancer. The journal of breast health, 12 (3), 94. doi: 5152/tjbh.2016.3041.
- Ahmadian, Fatima; The facts, Seyyed Abbas. Relational model of sexual dissatisfaction and quality of life in obese people with regard to the mediating role of marital intimacy. Scientific Research Journal of Shahid Sadoughi University of Medical Sciences, Yazd, 2019; 28 (1): 2302-2314. doi: 18502/ssu.v28i1.3133.
- Kim, Y. Carver, C. S. Shaffer, K. M. Gansler, T. & Cannady, R. S. (2015). Cancer caregiving predicts physical impairments: roles of earlier caregiving stress and being a spousal caregiver. Cancer. 2015; 121 (2): 302-310. doi: 1002/cncr.29040
- Yaylali, G. F. Tekekoglu, S. & Akin, F. Sexual dysfunction in obese and overweight women. International journal of impotence research.2017; 22 (4): 220-226. doi:1038/ijir.2010.7.
- Sheikhan, Reyhane; Kadampour, Ezzatoleh; Aghabarergi, Reza. The effect of self-compassion training on body image and quality of life of women with breast cancer without metastasis undergoing chemotherapy. Clinical psychology studies. 2018; 9 (35):145-131. doi: https://doi.org/10.22054/jcps.2019.42476.2137
- Pinto‐Gouveia, J. Duarte, C. Matos, M. & Fráguas, S. The protective role of self‐compassion in relation to psychopathology symptoms and quality of life in chronic and in cancer patients.Clinical psychology & psychotherapy.2014; 21 (4): 311-323. doi: 1002/cpp.1838.
- Raes, F. The effect of self-compassion on the development of depression symptoms in a non-clinical sample. Mindfulness.2011; 2 (1):33-36. doi: 1007/s12671-011-0040-y.
- Siegel, R. L. Miller, K. D. & Jemal, A. Cancer statistics, 2019. CA: a cancer journal for clinicians.2019; 69 (1):7-34. doi: 10.3322/caac.21551.
- Ribnikar, D. Ratoša, I. Perhavec, A. & Amir, E. General overview and treatment recommendations for young women with breast cancer. Revista de Investigación Clínica. 2017; 69 (2), 77-93. doi: 10.24875/RIC.17002175.
- Moos, R. H. & Schaefer, J. A. The crisis of physical illness. In Coping with physical illness (pp. 3-25). Springer, Boston, MA.2018. doi: 1007/978-1-4684-4772-9_1.
- Pikani, Sana; Dehghani, Mohsen; Malekzadeh, Mona. Comparison of family resilience levels and coping strategies in married women affected and survived from breast cancer with non-affected counterparts. Nursing research. 2016; 12 (6): 10-18. doi: 21859/ijnr-12062.
- Klein, Paul. An easy guide to factor analysis. Translated by Sayyid Jalal Sadr al-Sadat and Asghar Minaei. Tehran: Samit Publications, 2014. doi: https://samt.ac.ir/fa/book/1491/.
- Marashi, Tayyaba; Taherianfar, Zahra; Trust, Cyrus; Rakhsha, Afshin. Investigating the quality of life of women with breast cancer referring to hospitals covered by Shahid Beheshti University of Medical Sciences 2015. Health Quarterly in the Arena. 2017; 6 (1): 1-8. doi: 22037/jhf.v6i1.19127.
- Mohammadi, Khadija; Heydari, Masoumeh; Faqih Zadeh, Socrates. The validity of the Persian version of the Female Sexual Function Index-FSFI scale as an index of women's sexual function. Monitoring. 2017; 7 (3): 278-269. doi: 1001.1.16807626.1387.7.3.11.9.
- Zimet, G. D. Dahlem, N. W. Zimet, S. G. & Farley, G. K. The multidimensional scale of perceived social support. Journal of personality assessment.1988; 52 (1): 30-41. doi: 1207/s15327752jpa5201_2.
- Birami Mansour, Mohadi Masoumeh, Mohadi Yazdan, Azizi Amir, Mohammadzadegan Reza. The role of perceived social support components in predicting nurses' burnout. Nursing Management Quarterly. 2013; 3 (1): 27-34. doi: ir/article-1-217-fa.html.
- Hosni, Jafar; Guard, Katayun. Investigating the confirmatory factor structure, validity and reliability of the Farsi version of self-compassion scale in students of Ferdowsi University of Mashhad in 2013. Journal of Rafsanjan University of Medical Sciences, 2016; 16 (8): 742-727. doi: 32598/JRH.10.1.19.
- Shaerbafchi, Mohammad Reza; Rajabi, Fatima; Six blocks, Forough; Kadri, Suleiman; Fayazi, Maryam; Mousavi, Seyyed Zainab. Investigating the effect of couple training sessions on the quality of life of breast cancer patients with mastectomy. Isfahan Medical School, 2018; 37 (513): 1-8. doi: 22122/JIMS.V37I513.9771.
- Rajiyan, Mohammad; Guderzi, Nasser. The relationship between "social support" and "resilience" among cancer patients. Research Journal of Social Work. 2014; 1 (3): 74-37. doi: 22054/rjsw.2015.4742.
- Abadi Bavil D, Dolatian M. A Survey on Social Support for Breast Cancer in Iran: A Review Study. Clin Exc. 2018; 7 (4):48-56. doi: mazums.ac.ir/article-1-377-en.html.
- Masoud Sadeghi, Sayed Sina Safari-Mousavi, Marefat Farhadi, Meysam Amiri. The Role of Psychological Flexibility and Self-Compassion in Predicting Depression, Anxiety and Stress in Patients with Type 2 Diabetes, Journal Of Isfahan Medical School. 2017; 35(452): 1468-1475. doi: jims.mui.ac.ir/article_15394.html.
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