Volume 6, Issue 1 ( Summer 2020)                   SJNMP 2020, 6(1): 72-87 | Back to browse issues page

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Sobhani R, Zebardast A, Rezaei S. Cognitive Emotion Regulation Strategies, Body Image, and Sexual Satisfaction in Women with and without a History of Hysterectomy and Mastectomy Surgeries. SJNMP 2020; 6 (1) :72-87
URL: http://sjnmp.muk.ac.ir/article-1-305-en.html
1- University of Guilan
2- University of Guilan , zebardast@guilan.ac.ir
Abstract:   (2886 Views)
Background & Aim: Uterus and breasts are an important part of a woman's sexual self-image. Given the psychological effects of the removal of female organs on body esteem and psychological adjustment and coping of individuals, the present study aimed to compare the cognitive emotion regulation strategies, body image, and sexual satisfaction of women with and without a history of hysterectomy and mastectomy surgeries.
Materials & Methods: This causal-comparative research was performed on 135 women (45 with a history of hysterectomy and 45 with a history of mastectomy, and 45 normal) selected by convenience sampling in Rasht, Iran in 2019. The participants completed the Garnefsky's Cognitive Emotion Regulation Questionnaire (CERQ-P), Littleton's Body Image Concern Inventory (BICI), and Short Form Sexual Functioning Scale (FSFI-6) voluntarily.
Results: In this study, there was a significant difference among the three groups of women in terms of the cognitive emotion regulation strategies; in this regard, the strategies of women with a history of mastectomy (31.13%) were more compromised, compared to women with a history of hysterectomy (28.53%). Regarding body image, women undergoing a mastectomy (68%) were more concerned with their body image, compared to those undergoing a hysterectomy (43.77%). On the other hand, women in the hysterectomy group (18.11%) had a lower sexual satisfaction, compared to the subjects in the mastectomy group (19.49%). In addition, normal women were more balanced in terms of cognitive emotion regulation strategies, body image concerns, and sexual satisfaction.
Conclusion: According to the results of the study, the type of cognitive emotion regulation strategy of women with a history of hysterectomy and mastectomy surgeries affected their sexual satisfaction and performance. Furthermore, mastectomy had a greater negative impact on the body image of individuals.
Full-Text [PDF 870 kb]   (1392 Downloads)    
Type of Study: Research | Subject: Special
Received: 2020/02/17 | Revised: 2020/07/19 | Accepted: 2020/04/15 | Published: 2020/06/30 | ePublished: 2020/06/30

1. Roch JA, Jones HW. Te linde's operative gynecology. 9th ed. Philadelphia: Lippincott: Williams and Wilkins; 2005. 744-50.
2. Banu NS, & Manyonda IT. Alternative medical and surgical options to hysterectomy. Best Pract Res Cl Ob. 2005; 19(3): 431-49. [DOI:10.1016/j.bpobgyn.2005.01.006]
3. Hoogendoorn D. The odds on hysterectomy and estimation of the number of cancer deaths prevented by hysterectomies in their current incidence. Ned Tijdschr Geneeskd 1984; 128(41):1937-40.
4. Jelovsek JE, Barber MD. Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of life. Am J Obstet Gynecol 2006; 194(5):1455-61. [DOI:10.1016/j.ajog.2006.01.060]
5. Sibbering M, Courtney C. Management of breast cancer: basic principles. Surgery. BREAST 2019; 37(3): 157-163. [DOI:10.1016/j.mpsur.2019.01.004]
6. Brunicardi FC, Dana KA, Timothy RB, Dunn L, Hunter G, & Raphael EP. Schwartz' sprinciples of surgery. 8th ed, USA, Mc Graw-. Hill 2005; 453-501.
7. Rottmann N, Dalton S, Christensen J, Frederiksen K, & Johansen C. Self-efficacy, adjustment style and well-being in breast cancer patients: a longitudinal study. Qual Life Res 2010; 19, 827-836. [DOI:10.1007/s11136-010-9653-1]
8. Garnefski N, Baan S, Kraaij V. Relationship between cognitive start gies of adolescents and depressive symptomatology across type of life evdnt. J Youth Adolesc 2003; 32: 411-418. [DOI:10.1023/A:1025994200559]
9. Berridge V, Mars S. History of addictions. J Epidemiol Community Health 2004; 58(9), 747-750. [DOI:10.1136/jech.2003.015370]
10. Ehring T, Welboren R, Morina N, Wicherts JM, Freitag J, Emmelkamp PM. Meta-analysis of psychological treatments for post-traumatic stress disorder in adult survivors of childhood abuse. Clin Psychol Rev 2014; 34(8), 645-657. [DOI:10.1016/j.cpr.2014.10.004]
11. Gross JJ, & John OP. The relationship between cognitive emotion regulation strategies and emotional problems: comparison between a clinical and a non-clinical sample. Eur J Pers 2003; 16(5): 4.3-420. [DOI:10.1002/per.458]
12. Manganiello A, Hoga LA, Reberte LM, Miranda CM, Rocha CA. Sexuality and quality of life of breast cancer patients post mastectomy. Eur J Oncol Nurs 2011; 15(2):167-72. [DOI:10.1016/j.ejon.2010.07.008]
13. Arndt V, Stegmaier C, Ziegler H & Brenner H. Quality of life over 5 years in women with breast cancer after breast-conserving therapy versus mastectomy: a population-based study. Division of Clinical Epidemiology and Aging Research, German Cancer Research Center 2008. [DOI:10.1007/s00432-008-0418-y]
14. Kilic E, Taycan O, Belli AK, Ozmen M. The effect of permanent ostomy on body image, self-esteem, marital adjustment, and sexual functioning. Turkish J Psychiatry 2007;18(4):302-10.
15. Karakoyun-Celik O, Gorken I, Sahin S, Orcin E, Alanyali H, KinayM. Depression and anxiety levels in woman under follow-up forbreast cancer: relationship to coping with cancer and quality of life. Med Oncol 2010; 27(1):108-13. [DOI:10.1007/s12032-009-9181-4]
16. Forgione A, Leroy J, Cahill RA, Bailey C, Simone M& Mutter D. Prospective evaluation of functional outcome after laparoscopicsigmoid colectomy. Ann Surg 2009; 249(2):218-24. [DOI:10.1097/SLA.0b013e318195c5fc]
17. Maas CP, Weijenborg PT, Ter Kuile MM. The effect of hysterectomy on sexual functioning. Annu Rev Sex Res 2003; 14:83-113.
18. Zafarghandi N, Torkestani F, Hadavand Sh, Zaeri F, Jalilnejad H. Evaluation of libido in post hysterectomy patients. Tehran Univ Med J. 2006; 64 (11) :77-80. [Persian]
19. Mokate T, Wright C& Mander T. Hysterectomy and sexual function. J Br Menopause Soc 2006; 12(4):153-7. [DOI:10.1258/136218006779160607]
20. Kedde H, van de Wiel HB, Weijmar Schultz WC& Wijsen C. Subjective sexual well-being and sexual behavior in young women with breast cancer. Support Care Cancer 2013; 21(7):1993-2005. [DOI:10.1007/s00520-013-1750-6]
21. Faul, F, Erdfelder, E, Lang AG, Buchner A. G Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007; 39(2), 175-191. [DOI:10.3758/BF03193146]
22. Garnefski N, Kraaij V. Relationship between cognitive emotion regulation strategies and depressive symptoms: a comparative study of five specific samples. Pers Individ Dif 2007; 4161659- 1669. [DOI:10.1016/j.paid.2005.12.009]
23. Mashhadi A, Hasani J, Mirdoraghi F. Factor structure, reliability and validity of Persian version of the cognitive emotion regulation questionnaire-children form (CERQ-K-P). Journal of Fundamentals of Mental Health 2012; 14(55): 59-246. [Persian]
24. Littleton HL, Axsom D& Pury CLS. Development of the body image concern inventory. Behav Res Ther 2005; 43:229-241. [DOI:10.1016/j.brat.2003.12.006]
25. Mohammadi N, Sajadinejad M. The Evaluation of psychometric properties of Body Image Concern Inventory and examination of a model about the relationship between body mass index, body image dissatisfaction and self-esteem in adolescent girls. Journal of Psychological Studies 2007; 3(1), 85-101. [Persian]
26. Takahashi M, Inokuchi T, Watanabe C, Saito T, Kai I. The female sexual function index (FSFI): development of a Japanese version. J Sex Med 2011; 8(8): 2246-54. [DOI:10.1111/j.1743-6109.2011.02267.x]
27. Isidori AM, Pozza C, Esposito K, Giugliano D, Morano S, Vignozzi L. Development and validation of a 6-item version of the female sexual function index (FSFI) as a diagnostic tool for female sexual dysfunction. J Sex Med 2010; 7(3):1139-46. [DOI:10.1111/j.1743-6109.2009.01635.x]
28. Ghassami M, Shairi MR, Asghari Moghadam MA, Rahmati N. The study of the psychometric properties of the 6-item version of the female sexual function index (FSFI-6) amongst Iranian woman. J Urmia Nurs Midwifery Fac 2014; 12 (7): 532-543. [Persian]
29. Allen PJ, Bennett K. SPSS for the health and behavioral sciences, Thomson learning; 2008.
30. Sheppard LA, Ely S. Breast cancer and sexuality. The breast J 2008; 14: 176-81. [DOI:10.1111/j.1524-4741.2007.00550.x]
31. Dizon DS, Suzin D, Mcllvenna S. Sexual health as a survivorship issue for female cancer survivors. The Oncologist 2014; 19, (2): 202 - 210. [DOI:10.1634/theoncologist.2013-0302]
32. Chen H, Komaromy C, Valentine C. From hope to hope: The experience of older Chinese people with advanced cancer. J Health 2015; 19(2):154-71. [DOI:10.1177/1363459314555238]
33. Utne I, Miaskowski C, Bjordal K, Paul SM, Jakobsen G, Rustøen T, The relationship between hope and pain in a sample of hospitalized oncology patients. Palliat Support Care 2008; 6(4):327-34. [DOI:10.1017/S1478951508000527]
34. Pinar G, Okdem S, Dogan N, Buyukgonenc L, Ayhan A. The effects of hysterectomy on body image, self-esteem, and marital adjustment in Turkish women with gynecologic cancer. Department of Nursing in the Faculty of Health Sciences, Yildirim Beyazit University, Ankara, Turkey; Clin J Oncol Nurs 2012; 16(3):E99-104. [DOI:10.1188/12.CJON.E99-E104]
35. Yaman Ş, Ayaz S. The effect of education given before surgery on self-esteem and body image in women undergoing hysterectomy. Turk J Obstet and Gynecol 2015; 12(4):211-214. [DOI:10.4274/tjod.95770]
36. Fallbjork U, Rasmussen BH, Karlsson, S, Salander P. Aspects of body image after mastectomy due to breast cancer - a two-year follow- up study". Eur J Oncol Nurs 2013; 17: 340- 345. [DOI:10.1016/j.ejon.2012.09.002]
37. Fardouly J, Diedrichs PC, Vartanian LR, Halliwell E. Social comparisons on social media: The impact of Facebook on young women's body image concerns and mood. Body Image 2015; 13. [DOI:10.1016/j.bodyim.2014.12.002]
38. Pollock ED. The relationship between mental health, physical health, phydical appearance and marital dissatisfaction. [Master thesis of science] marriage and family therapy. University of Maryland, College Park; 2006.
39. Shirinkam F, Jannat-Alipoor Z, Shirinkam Chavari R, Ghaffari R. Sexuality after hysterectomy: a qualitative study on women's sexual experience after hysterectomy. International Journal of Women's Health and Reproduction Sciences 2018; 27-35. [Persian] [DOI:10.15296/ijwhr.2018.06]
40. Ketabchi M, Ghaderi Z, Gholtash A. Comparing marital satisfaction and life expectancy between hysterectomies and normal women. Quarterly Journal of Women and Society 2019; 9(36): 235-252. [Persian]
41. Kowalczyk R, Nowosielski K, Cedrych I, Krzystanek M, Glogowska Streb J, Kucharz J, et al. Factors affecting sexual function and body image of early-stage breast cancer survivors in Poland: A short-term observation. Clin Breast Cancer 2019; 19 (1): 30-9. [DOI:10.1016/j.clbc.2018.09.006]
42. Hong Jing-Fang. Psychological distress in elderly cancer patients. Int J Nurs Sci 2015; 2(1): 23-27. [DOI:10.1016/j.ijnss.2015.02.006]
43. Kedde H, van de Wiel HB, Weijmar Schultz WC, Wijsen C. Subjective sexual well-being and sexual behavior in young women with breast cancer. Support Care Cancer 2013; 21(7):1993-2005. [DOI:10.1007/s00520-013-1750-6]
44. Tangjitgamol S, Manusirivithaya S, Hanprasertpong J, Kasemsarn P, Soonthornthum T, Leelahakorn S, et al. Sexual dysfunction in Thai women with early-stage cervical cancer after radical hysterectomy. Int J Gynecol Cancer. 2007; 17(5):1104-12. [DOI:10.1111/j.1525-1438.2007.00907.x]
45. Maas CP, Weijenborg PT, Kuile MM. The effect of hysterectomy on sexual functioning. Annu Rev Sex Res 2003; 14:83-113.
46. Krychman M, Kellogg Spadt S, Finestone S. 100 question & answers about breast cancer sensuality, sexuality, and intimacy, Massachusetts: Jones & Bartlett learning; 2010.

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