Dépouillements

Fear of Cancer Recurrence in Women with Gynecological Cancer : A Systematic Review / Şerife Büyükokudan ; Öznur Körükcü in Psycho-Oncologie, Vol. 18, n°3 (Septembre 2024)  

Public ISBD [article]  inPsycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 147-158 Titre : Fear of Cancer Recurrence in Women with Gynecological Cancer : A Systematic Review Type de document : texte imprimé Auteurs : Şerife Büyükokudan, Auteur ; Öznur Körükcü, Auteur Année de publication : 2024 Article en page(s) : p. 147-158 Note générale : https://doi.org/10.32604/po.2024.046627 Langues : Anglais (eng) Mots-clés : Gynecology  cancer  recurrence  systematic review  fear Résumé : Although some types of gynecological cancer have a poor prognosis and high recurrence rate, less is known about the fear of cancer recurrence (FCR) in gynecological cancer patients than in other cancer populations. Psychosocial problems may be experienced more in gender-specific cancers. In order to prevent future health problems related to FCR, it is critical to identify the factors affecting FCR in different subgroups and to develop various interventions. The aim of this study was to review the literature on the factors affecting the FCR in women diagnosed with gynecological cancer and interventions to reduce the FCR. The protocol of this review was registered with PROSPERO (Registration number: CRD42023452570). A total of 18 studies from 10 different countries were included in the systematic review by searching on the PubMed, ScienceDirect, Ovid, Sage, Scopus, Taylor & Francis, Web of Science, CINAHL Complete, and Cochrane databases were searched in English between July-August 2023 without year limitation to identify studies on FCR in women with gynecological cancer. Data from eligible articles were extracted and appraised for quality by two independent reviewers. In addition, bibliometric analysis method was used to visually map the studies on FCR in women with gynecological cancer according to the most frequently repeated keyword, number of citations, most cited author and publication year. The findings of the study are categorized and interpreted under two headings, “Interventions affecting FCR” and “Factors influencing FCR”. Sociodemographic characteristics such as age, economic status, social support, family history of cancer, psychological characteristics, quality of life and symptoms affect FCR. Deterioration in mental health and emotional weakness predict higher FCR, increase in positive emotional expression reduces FCR. The negative effects of cancer on sexuality and relationships, concerns about future treatments and emotional problems, and anxiety about not being able to fulfill their roles at home/work are the underlying reasons for the FCR. Therefore, professional psychosocial support should be provided to cancer survivors. Further studies are needed to identify the factors that trigger FCR and to plan interventions accordingly. This study is expected to encourage health professionals to plan interventions and research for gynecological cancer survivors. En ligne : https://www.techscience.com/PO/v18n3/57928/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56571 [article] Fear of Cancer Recurrence in Women with Gynecological Cancer : A Systematic Review [texte imprimé] / Şerife Büyükokudan, Auteur ; Öznur Körükcü, Auteur . - 2024 . - p. 147-158. https://doi.org/10.32604/po.2024.046627 Langues : Anglais (eng) in Psycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 147-158 Mots-clés : Gynecology  cancer  recurrence  systematic review  fear Résumé : Although some types of gynecological cancer have a poor prognosis and high recurrence rate, less is known about the fear of cancer recurrence (FCR) in gynecological cancer patients than in other cancer populations. Psychosocial problems may be experienced more in gender-specific cancers. In order to prevent future health problems related to FCR, it is critical to identify the factors affecting FCR in different subgroups and to develop various interventions. The aim of this study was to review the literature on the factors affecting the FCR in women diagnosed with gynecological cancer and interventions to reduce the FCR. The protocol of this review was registered with PROSPERO (Registration number: CRD42023452570). A total of 18 studies from 10 different countries were included in the systematic review by searching on the PubMed, ScienceDirect, Ovid, Sage, Scopus, Taylor & Francis, Web of Science, CINAHL Complete, and Cochrane databases were searched in English between July-August 2023 without year limitation to identify studies on FCR in women with gynecological cancer. Data from eligible articles were extracted and appraised for quality by two independent reviewers. In addition, bibliometric analysis method was used to visually map the studies on FCR in women with gynecological cancer according to the most frequently repeated keyword, number of citations, most cited author and publication year. The findings of the study are categorized and interpreted under two headings, “Interventions affecting FCR” and “Factors influencing FCR”. Sociodemographic characteristics such as age, economic status, social support, family history of cancer, psychological characteristics, quality of life and symptoms affect FCR. Deterioration in mental health and emotional weakness predict higher FCR, increase in positive emotional expression reduces FCR. The negative effects of cancer on sexuality and relationships, concerns about future treatments and emotional problems, and anxiety about not being able to fulfill their roles at home/work are the underlying reasons for the FCR. Therefore, professional psychosocial support should be provided to cancer survivors. Further studies are needed to identify the factors that trigger FCR and to plan interventions accordingly. This study is expected to encourage health professionals to plan interventions and research for gynecological cancer survivors. En ligne : https://www.techscience.com/PO/v18n3/57928/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56571

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The Coping Styles and Perception of Illness in Patients with Breast Cancer-Relation to Body Image and Type of Surgery / Nevena Stojadinovi ; Goran Mihajlovi ; Marko Spasi ; Milena Mladenovi ; Darko Hini in Psycho-Oncologie, Vol. 18, n°3 (Septembre 2024)  

Public ISBD [article]  inPsycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 159-168 Titre : The Coping Styles and Perception of Illness in Patients with Breast Cancer-Relation to Body Image and Type of Surgery Type de document : texte imprimé Auteurs : Nevena Stojadinovi, Auteur ; Goran Mihajlovi, Auteur ; Marko Spasi, Auteur ; Milena Mladenovi, Auteur ; Darko Hini, Auteur Année de publication : 2024 Article en page(s) : p. 159-168 Note générale : https://doi.org/10.32604/po.2024.050122 Langues : Anglais (eng) Mots-clés : Breast cancer  body image  coping styles  illness perception  mastectomy Résumé : Breast cancer is considered one of the most frequent causes of morbidity and death in women. Individuals’ response to information regarding health threats and illness can influence the adjustment of the treatment to existing conditions including the issues of non-completion of treatment or non-attendance at medical appointments. The study aimed to examine the relationship between illness perception, body image dissatisfaction and (mal)adaptive coping styles in breast cancer patients. A sample of 197 patients with diagnosed breast cancer hospitalized at the Center for Oncology and Radiology, Kragujevac, Serbia, was surveyed. The instruments included sociodemographic questionnaire, a Brief Illness Perception Questionnaire (BIPQ), a Body Image Scale (BIS), and a Mini-Mental Adjustment to Cancer Scale (Mini-MAС). Results showed that 52% of the variance of maladaptive coping style in women who underwent mastectomy was explained by the negative illness perception, while body image dissatisfaction reflected through this connection (CFI > .95, GFI > .95, RMSEA = .01, SRMR = .08). Similar results were found in patients with breast-conserving surgery but with lower percentage (36%) of variance explained (CFI > .95, GFI > .95, RMSEA < .02, SRMR < .05). If confirmed by further studies, these results would suggest that patients who underwent mastectomy tend to be more dissatisfied with their body image, have tendency to perceive illness as threatening and resort to maladaptive coping styles. However, any form of appearance modification, including breast-conserving surgery, carries the risk of body image dissatisfaction, and consequently the risk of maladaptive coping behaviors. Our results suggest that health professionals and public policies should put an additional focus on the assessment of the patient’s body image dissatisfaction, to improve the health and wellbeing of the affected women. Note de contenu : En ligne : https://www.techscience.com/PO/v18n3/57932/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56572 [article] The Coping Styles and Perception of Illness in Patients with Breast Cancer-Relation to Body Image and Type of Surgery [texte imprimé] / Nevena Stojadinovi, Auteur ; Goran Mihajlovi, Auteur ; Marko Spasi, Auteur ; Milena Mladenovi, Auteur ; Darko Hini, Auteur . - 2024 . - p. 159-168. https://doi.org/10.32604/po.2024.050122 Langues : Anglais (eng) in Psycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 159-168 Mots-clés : Breast cancer  body image  coping styles  illness perception  mastectomy Résumé : Breast cancer is considered one of the most frequent causes of morbidity and death in women. Individuals’ response to information regarding health threats and illness can influence the adjustment of the treatment to existing conditions including the issues of non-completion of treatment or non-attendance at medical appointments. The study aimed to examine the relationship between illness perception, body image dissatisfaction and (mal)adaptive coping styles in breast cancer patients. A sample of 197 patients with diagnosed breast cancer hospitalized at the Center for Oncology and Radiology, Kragujevac, Serbia, was surveyed. The instruments included sociodemographic questionnaire, a Brief Illness Perception Questionnaire (BIPQ), a Body Image Scale (BIS), and a Mini-Mental Adjustment to Cancer Scale (Mini-MAС). Results showed that 52% of the variance of maladaptive coping style in women who underwent mastectomy was explained by the negative illness perception, while body image dissatisfaction reflected through this connection (CFI > .95, GFI > .95, RMSEA = .01, SRMR = .08). Similar results were found in patients with breast-conserving surgery but with lower percentage (36%) of variance explained (CFI > .95, GFI > .95, RMSEA < .02, SRMR < .05). If confirmed by further studies, these results would suggest that patients who underwent mastectomy tend to be more dissatisfied with their body image, have tendency to perceive illness as threatening and resort to maladaptive coping styles. However, any form of appearance modification, including breast-conserving surgery, carries the risk of body image dissatisfaction, and consequently the risk of maladaptive coping behaviors. Our results suggest that health professionals and public policies should put an additional focus on the assessment of the patient’s body image dissatisfaction, to improve the health and wellbeing of the affected women. Note de contenu : En ligne : https://www.techscience.com/PO/v18n3/57932/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56572

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Research on the Association between Fear of Cancer Recurrence in Young Breast Cancer Patients and Adult Attachment and Self-Disclosure / Huimin Zheng ; Minghui Wang ; Miao Ye in Psycho-Oncologie, Vol. 18, n°3 (Septembre 2024)  

Public ISBD [article]  inPsycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 169-179 Titre : Research on the Association between Fear of Cancer Recurrence in Young Breast Cancer Patients and Adult Attachment and Self-Disclosure Type de document : texte imprimé Auteurs : Huimin Zheng, Auteur ; Minghui Wang, Auteur ; Miao Ye, Auteur Année de publication : 2024 Article en page(s) : p. 169-179 Note générale : https://doi.org/10.32604/po.2024.052703 Langues : Anglais (eng) Mots-clés : Breast cancer  fear of recurrence  adult attachment  self-disclosure Résumé : Although fear of cancer recurrence (FCR) is the most important factor affecting the life quality of young breast cancer patients, and it may be affected by the patient’s personality, marital relationship and communication, there is a lack of research on the relationship between adult attachment, self-disclosure and FCR in patients. This study investigated the current situation of FCR in young breast cancer patients, its correlation with adult attachment and self-disclosure and its influencing factors, in order to predict the impact of adult attachment and self-disclosure of patients to spouse on FCR. Methods: A survey was conducted on 126 breast cancer patients at our hospital using the General Information Questionnaire (GIQ), Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Experiences in Close Relationships inventory (ECR), and Distress Disclosure Index (DDI). The study analyzed the status of FCR among young breast cancer patients and its correlation with adult attachment and self-disclosure, along with its influencing factors. Results: Among the 126 young breast cancer patients, 50 had a FoP-Q-SF score <34 (normal group), while 76 had a FoP-Q-SF score ≥34 (FCR positive group), with an FCR incidence rate of 60.32%. Univariate analysis showed statistically significant differences between the two groups in terms of FoP-Q-SF score, ECR score, attachment anxiety score, attachment avoidance score, DDI score, age, educational level, employment status, per capita monthly income, and treatment method (p < 0.05). Correlation analysis revealed that FoP-Q-SF scores were positively correlated with attachment anxiety score, attachment avoidance score, ECR scores and negatively correlated with DDI scores (p < 0.05). Linear regression analysis indicated that age, per capita monthly income, treatment method, attachment anxiety, attachment avoidance and self-disclosure level were negative predictors of FoP-Q-SF scores in young breast cancer patients (p < 0.05). Conclusion: The incidence rate of FCR among young breast cancer patients is high. There is a positive correlation between adult attachment and the level of FCR, and a negative correlation between the level of self-disclosure and FCR. Patients with lower per capita monthly income, more complex treatment methods, higher level of attachment anxiety, higher level of attachment avoidance and lower DDI scores had higher FoP-Q-SF scores. Note de contenu : En ligne : https://www.techscience.com/PO/v18n3/57934/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56573 [article] Research on the Association between Fear of Cancer Recurrence in Young Breast Cancer Patients and Adult Attachment and Self-Disclosure [texte imprimé] / Huimin Zheng, Auteur ; Minghui Wang, Auteur ; Miao Ye, Auteur . - 2024 . - p. 169-179. https://doi.org/10.32604/po.2024.052703 Langues : Anglais (eng) in Psycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 169-179 Mots-clés : Breast cancer  fear of recurrence  adult attachment  self-disclosure Résumé : Although fear of cancer recurrence (FCR) is the most important factor affecting the life quality of young breast cancer patients, and it may be affected by the patient’s personality, marital relationship and communication, there is a lack of research on the relationship between adult attachment, self-disclosure and FCR in patients. This study investigated the current situation of FCR in young breast cancer patients, its correlation with adult attachment and self-disclosure and its influencing factors, in order to predict the impact of adult attachment and self-disclosure of patients to spouse on FCR. Methods: A survey was conducted on 126 breast cancer patients at our hospital using the General Information Questionnaire (GIQ), Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Experiences in Close Relationships inventory (ECR), and Distress Disclosure Index (DDI). The study analyzed the status of FCR among young breast cancer patients and its correlation with adult attachment and self-disclosure, along with its influencing factors. Results: Among the 126 young breast cancer patients, 50 had a FoP-Q-SF score <34 (normal group), while 76 had a FoP-Q-SF score ≥34 (FCR positive group), with an FCR incidence rate of 60.32%. Univariate analysis showed statistically significant differences between the two groups in terms of FoP-Q-SF score, ECR score, attachment anxiety score, attachment avoidance score, DDI score, age, educational level, employment status, per capita monthly income, and treatment method (p < 0.05). Correlation analysis revealed that FoP-Q-SF scores were positively correlated with attachment anxiety score, attachment avoidance score, ECR scores and negatively correlated with DDI scores (p < 0.05). Linear regression analysis indicated that age, per capita monthly income, treatment method, attachment anxiety, attachment avoidance and self-disclosure level were negative predictors of FoP-Q-SF scores in young breast cancer patients (p < 0.05). Conclusion: The incidence rate of FCR among young breast cancer patients is high. There is a positive correlation between adult attachment and the level of FCR, and a negative correlation between the level of self-disclosure and FCR. Patients with lower per capita monthly income, more complex treatment methods, higher level of attachment anxiety, higher level of attachment avoidance and lower DDI scores had higher FoP-Q-SF scores. Note de contenu : En ligne : https://www.techscience.com/PO/v18n3/57934/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56573

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Rôles et vécus des pharmaciens d’officine dans les soins palliatifs à domicile en France / Isabelle Cuchet ; Michael Dambrun ; Axelle Van Lander in Psycho-Oncologie, Vol. 18, n°3 (Septembre 2024)  

Public ISBD [article]  inPsycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 181-190 Titre : Rôles et vécus des pharmaciens d’officine dans les soins palliatifs à domicile en France Type de document : texte imprimé Auteurs : Isabelle Cuchet, Auteur ; Michael Dambrun, Auteur ; Axelle Van Lander, Auteur Année de publication : 2024 Article en page(s) : p. 181-190 Note générale : https://doi.org/10.32604/po.2024.047213 Langues : Français (fre) Mots-clés : soins palliatifs  domicile  pharmaciens d’officine  accompagnement de fin de vie Résumé : Les besoins en soins palliatifs à domicile augmentent dans l’ensemble des pays occidentaux. Les pharmaciens d’officine sont des professionnels de proximité dont les rôles dans les soins de fin de vie à domicile restent méconnus. Cette étude vise à comprendre les représentations des pharmaciens d’officine de leurs missions dans les soins de fin de vie à domicile en France et à analyser leurs vécus de ces accompagnements. Un questionnaire en ligne a été diffusé auprès d’officinaux en activité sur le territoire français entre décembre 2022 et mars 2023. Sur 136 répondants au questionnaire, 87% d’entre eux ont accompagné au moins un patient en fin de vie dans les 3 mois précédant l’enquête. L’éducation thérapeutique (88% des répondants), le soutien psychologique aux aidants (85% des répondants), la sécurisation des traitements (82% des répondants) et la surveillance de l’observance thérapeutique (80% des répondants) sont les comportements validés par le plus grand nombre de participants. Ces prises en charge de patients en fin de vie sont vécues de façon globalement positive par la majorité des professionnels interrogés. Ces résultats ouvrent la voie vers un meilleur accompagnement des patients en fin de vie à domicile par les pharmaciens officinaux. En ligne : https://www.techscience.com/PO/v18n3/57929/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56574 [article] Rôles et vécus des pharmaciens d’officine dans les soins palliatifs à domicile en France [texte imprimé] / Isabelle Cuchet, Auteur ; Michael Dambrun, Auteur ; Axelle Van Lander, Auteur . - 2024 . - p. 181-190. https://doi.org/10.32604/po.2024.047213 Langues : Français (fre) in Psycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 181-190 Mots-clés : soins palliatifs  domicile  pharmaciens d’officine  accompagnement de fin de vie Résumé : Les besoins en soins palliatifs à domicile augmentent dans l’ensemble des pays occidentaux. Les pharmaciens d’officine sont des professionnels de proximité dont les rôles dans les soins de fin de vie à domicile restent méconnus. Cette étude vise à comprendre les représentations des pharmaciens d’officine de leurs missions dans les soins de fin de vie à domicile en France et à analyser leurs vécus de ces accompagnements. Un questionnaire en ligne a été diffusé auprès d’officinaux en activité sur le territoire français entre décembre 2022 et mars 2023. Sur 136 répondants au questionnaire, 87% d’entre eux ont accompagné au moins un patient en fin de vie dans les 3 mois précédant l’enquête. L’éducation thérapeutique (88% des répondants), le soutien psychologique aux aidants (85% des répondants), la sécurisation des traitements (82% des répondants) et la surveillance de l’observance thérapeutique (80% des répondants) sont les comportements validés par le plus grand nombre de participants. Ces prises en charge de patients en fin de vie sont vécues de façon globalement positive par la majorité des professionnels interrogés. Ces résultats ouvrent la voie vers un meilleur accompagnement des patients en fin de vie à domicile par les pharmaciens officinaux. En ligne : https://www.techscience.com/PO/v18n3/57929/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56574

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The Mediating and Moderating Effects of Family Resilience on the Relationship between Individual Resilience and Depression in Patients with Breast Cancer / Youqi Jiang ; Bing Wu ; Jiahui Chen ; Ruyi Jin ; Guangshan Jin ; Minhao Zhang ; Qin Zhou ; Aiji Jiang in Psycho-Oncologie, Vol. 18, n°3 (Septembre 2024)  

Public ISBD [article]  inPsycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 191-200 Titre : The Mediating and Moderating Effects of Family Resilience on the Relationship between Individual Resilience and Depression in Patients with Breast Cancer Type de document : texte imprimé Auteurs : Youqi Jiang, Auteur ; Bing Wu, Auteur ; Jiahui Chen, Auteur ; Ruyi Jin, Auteur ; Guangshan Jin, Auteur ; Minhao Zhang, Auteur ; Qin Zhou, Auteur ; Aiji Jiang, Auteur Année de publication : 2024 Article en page(s) : p. 191-200 Note générale : https://doi.org/10.32604/po.2024.053942 Langues : Anglais (eng) Mots-clés : Breast cancer  individual resilience  family resilience  depression  moderating effect Résumé : This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience between individual resilience and depression. Methods: A questionnaire survey was conducted among 337 patients with breast cancer who were admitted to the Oncology Department of Jiangsu Province Hospital. The survey included demographic information, the Connor–Davidson Resilience Scale (CD-RISC), the Family Resilience Assessment Scale (FRAS), and the Chinese version of the Patient Health Questionnaire-9 (PHQ-9) for Depression. The relationship among individual resilience, family resilience, and depression was analyzed using hierarchical regression and bootstrap test to assess the mediating and moderating effects of family resilience. Results: The depression scores were (13.50 ± 5.16), the individual resilience scores were (48.62 ± 17.50), and the family resilience scores were (105.98 ± 24.35). Significant differences in depression scores were observed in terms of family monthly income, average weekly exercise before diagnosis, post-diagnosis interpersonal relationship quality, and overall sleep quality in the past month (p < 0.05). Patients with lower individual resilience had significantly higher depression scores than those with higher resilience (F = 24.314, p < 0.001), and similarly, patients with lower family resilience had higher depression scores than those with higher family resilience (F = 41.660, p < 0.001). Individual resilience and family resilience were significantly negatively correlated with depression (r = −0.447 and −0.441, respectively, p < 0.001). Hierarchical regression analysis and bootstrap test showed that family resilience (β = −0.310, p < 0.001) had a partial mediating effect between individual resilience (β = −0.321, p < 0.001) and depression. The indirect effect size was −0.038, the 95% CI was (−0.056, −0.020), and the direct effect ratio was 71.43%. The interaction of family resilience and individual resilience had a moderating effect on depression (B = 0.166, p < 0.001). Family resilience negatively moderated the relationship between individual resilience and depressive symptoms and enhanced the protective effect of individual resilience against depression with increasing family resilience. Conclusion: Family resilience has mediating and moderating effects between individual resilience and depression in patients with breast cancer. Note de contenu : En ligne : https://cdn.techscience.cn/files/po/2024/TSP_PO-18-3/TSP_PO_53942/TSP_PO_53942.p [...] Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56575 [article] The Mediating and Moderating Effects of Family Resilience on the Relationship between Individual Resilience and Depression in Patients with Breast Cancer [texte imprimé] / Youqi Jiang, Auteur ; Bing Wu, Auteur ; Jiahui Chen, Auteur ; Ruyi Jin, Auteur ; Guangshan Jin, Auteur ; Minhao Zhang, Auteur ; Qin Zhou, Auteur ; Aiji Jiang, Auteur . - 2024 . - p. 191-200. https://doi.org/10.32604/po.2024.053942 Langues : Anglais (eng) in Psycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 191-200 Mots-clés : Breast cancer  individual resilience  family resilience  depression  moderating effect Résumé : This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience between individual resilience and depression. Methods: A questionnaire survey was conducted among 337 patients with breast cancer who were admitted to the Oncology Department of Jiangsu Province Hospital. The survey included demographic information, the Connor–Davidson Resilience Scale (CD-RISC), the Family Resilience Assessment Scale (FRAS), and the Chinese version of the Patient Health Questionnaire-9 (PHQ-9) for Depression. The relationship among individual resilience, family resilience, and depression was analyzed using hierarchical regression and bootstrap test to assess the mediating and moderating effects of family resilience. Results: The depression scores were (13.50 ± 5.16), the individual resilience scores were (48.62 ± 17.50), and the family resilience scores were (105.98 ± 24.35). Significant differences in depression scores were observed in terms of family monthly income, average weekly exercise before diagnosis, post-diagnosis interpersonal relationship quality, and overall sleep quality in the past month (p < 0.05). Patients with lower individual resilience had significantly higher depression scores than those with higher resilience (F = 24.314, p < 0.001), and similarly, patients with lower family resilience had higher depression scores than those with higher family resilience (F = 41.660, p < 0.001). Individual resilience and family resilience were significantly negatively correlated with depression (r = −0.447 and −0.441, respectively, p < 0.001). Hierarchical regression analysis and bootstrap test showed that family resilience (β = −0.310, p < 0.001) had a partial mediating effect between individual resilience (β = −0.321, p < 0.001) and depression. The indirect effect size was −0.038, the 95% CI was (−0.056, −0.020), and the direct effect ratio was 71.43%. The interaction of family resilience and individual resilience had a moderating effect on depression (B = 0.166, p < 0.001). Family resilience negatively moderated the relationship between individual resilience and depressive symptoms and enhanced the protective effect of individual resilience against depression with increasing family resilience. Conclusion: Family resilience has mediating and moderating effects between individual resilience and depression in patients with breast cancer. Note de contenu : En ligne : https://cdn.techscience.cn/files/po/2024/TSP_PO-18-3/TSP_PO_53942/TSP_PO_53942.p [...] Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56575

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Pour un accompagnement des familles endeuillées avec un enfant en bas âge / Marthe Ducos ; Voskan Kirakosyan ; Nathalie Duriez in Psycho-Oncologie, Vol. 18, n°3 (Septembre 2024)  

Public ISBD [article]  inPsycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 201-211 Titre : Pour un accompagnement des familles endeuillées avec un enfant en bas âge Type de document : texte imprimé Auteurs : Marthe Ducos, Auteur ; Voskan Kirakosyan, Auteur ; Nathalie Duriez, Auteur Année de publication : 2024 Article en page(s) : p. 201-211 Note générale : https://doi.org/10.32604/po.2023.043390 Langues : Français (fre) Mots-clés : https://doi.org/10.32604/po.2023.043390 Résumé : Le décès brutal d’un jeune parent malade du cancer affecte profondément le conjoint et les enfants. La famille doit alors s’adapter à l’absence du défunt et se réorganiser pour élever au mieux les enfants. Les très jeunes enfants sont particulièrement vulnérables car ils n’ont généralement pas la possibilité d’exprimer leur souffrance. Pour leur donner la parole, nous avons conçu un dispositif innovant, La Petite Fille aux Allumettes, qui s’inscrit dans une démarche de démocratie en santé. Méthode : Nous avons évalué les effets de leur participation au groupe pour une population de huit enfants et leur parent. Les six parents ont évalué la régulation émotionnelle de leur(s) enfant(s) avant et après la thérapie avec l’échelle ERC-vf. Le FACES IV nous a permis d’évaluer la cohésion et l’adaptabilité de chaque famille. Résultats : Nous observons une meilleure régulation émotionnelle pour les huit enfants. Le dispositif favorise la résilience familiale. Cependant des difficultés persistent dans les familles rigides ou désengagées. Conclusion : Nous espérons que d’autres centres en cancérologie suivent notre modèle pour donner une place aux très jeunes enfants confrontés à la mort d’un parent à la suite d’un cancer et favoriser l’autonomisation des familles. Note de contenu : En ligne : https://www.techscience.com/PO/v18n3/57926/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56576 [article] Pour un accompagnement des familles endeuillées avec un enfant en bas âge [texte imprimé] / Marthe Ducos, Auteur ; Voskan Kirakosyan, Auteur ; Nathalie Duriez, Auteur . - 2024 . - p. 201-211. https://doi.org/10.32604/po.2023.043390 Langues : Français (fre) in Psycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 201-211 Mots-clés : https://doi.org/10.32604/po.2023.043390 Résumé : Le décès brutal d’un jeune parent malade du cancer affecte profondément le conjoint et les enfants. La famille doit alors s’adapter à l’absence du défunt et se réorganiser pour élever au mieux les enfants. Les très jeunes enfants sont particulièrement vulnérables car ils n’ont généralement pas la possibilité d’exprimer leur souffrance. Pour leur donner la parole, nous avons conçu un dispositif innovant, La Petite Fille aux Allumettes, qui s’inscrit dans une démarche de démocratie en santé. Méthode : Nous avons évalué les effets de leur participation au groupe pour une population de huit enfants et leur parent. Les six parents ont évalué la régulation émotionnelle de leur(s) enfant(s) avant et après la thérapie avec l’échelle ERC-vf. Le FACES IV nous a permis d’évaluer la cohésion et l’adaptabilité de chaque famille. Résultats : Nous observons une meilleure régulation émotionnelle pour les huit enfants. Le dispositif favorise la résilience familiale. Cependant des difficultés persistent dans les familles rigides ou désengagées. Conclusion : Nous espérons que d’autres centres en cancérologie suivent notre modèle pour donner une place aux très jeunes enfants confrontés à la mort d’un parent à la suite d’un cancer et favoriser l’autonomisation des familles. Note de contenu : En ligne : https://www.techscience.com/PO/v18n3/57926/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56576

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Associated Factors of Anxiety Symptoms in Patients with Keratinocyte Carcinoma: A Cross-Sectional Study / Qian Liu ; Hui Zhang ; Juan Gao ; Meiping Sha ; Lijun Shen ; Xianfeng Cheng ; Hao Chen in Psycho-Oncologie, Vol. 18, n°3 (Septembre 2024)  

Public ISBD [article]  inPsycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 213-221 Titre : Associated Factors of Anxiety Symptoms in Patients with Keratinocyte Carcinoma: A Cross-Sectional Study Type de document : texte imprimé Auteurs : Qian Liu, Auteur ; Hui Zhang, Auteur ; Juan Gao, Auteur ; Meiping Sha, Auteur ; Lijun Shen, Auteur ; Xianfeng Cheng, Auteur ; Hao Chen, Auteur Année de publication : 2024 Article en page(s) : p. 213-221 Note générale : https://doi.org/10.32604/po.2024.052607 Langues : Anglais (eng) Mots-clés : Anxiety  skin neoplasms  risk factors Résumé : Keratinocyte carcinoma (KC) is a common malignancy characterized by a high recurrence rate and considerable psychological distress. The incidence of KC is increasing in China, raising concerns about its psychological consequences and adverse effects on quality of life. Demographic and clinical factors are thought to influence mental health outcomes in these patients. Nonetheless, data on the prevalence of anxiety in Chinese patients with KC and the factors associated with this anxiety are notably lacking. Therefore, a comprehensive investigation into the anxiety of patients with KC is imperative. Objective: This study aimed to investigate the prevalence of anxiety in patients with KC, a disease that can significantly affect a patient’s appearance and overall quality of life. Understanding the level of anxiety in this population is critical to developing targeted interventions, improving treatment outcomes, supporting mental health, and improving patient care practices. Methods: This cross-sectional study was conducted at China’s largest dermatology hospital from November 2017 to September 2022. A consecutive sampling method was used to recruit participants. Anxiety status was surveyed by the Self-rating Anxiety Scale (SAS). Explanatory variables were surveyed by demographic data questionnaires. Non-parametric test and Chi-square test analyses were used to compare the differences between groups. Multiple linear regression analysis was performed to identify factors associated with anxiety. Results: A total of 192 patients with KC were included. The median score of SAS was 35 (IQR 16.25). The prevalence of anxiety in patients with KC was 20.8%. Females (p = 0.008), under 60 years old (p = 0.011), living in rural (p = 0.010) or urban areas (p = 0.029), having fewer than three children (p = 0.016), with a history of skin diseases (p < 0.001), with a history of long-term oral medication (p = 0.001), and experiencing pain or itching (p = 0.001) had SAS scores that were significantly higher than their counterparts. Conclusion: This study showed that the prevalence of anxiety was very high among Chinese patients with KC, especially among women, young patients, rural residents, patients with fewer than three children, and individuals with a history of skin disease, long-term oral medications, or symptoms of pain or itching. Targeted psychological interventions for these specific populations should be implemented to effectively alleviate anxiety and improve quality of life in these at-risk groups. Note de contenu : En ligne : https://www.techscience.com/PO/v18n3/57933/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56591 [article] Associated Factors of Anxiety Symptoms in Patients with Keratinocyte Carcinoma: A Cross-Sectional Study [texte imprimé] / Qian Liu, Auteur ; Hui Zhang, Auteur ; Juan Gao, Auteur ; Meiping Sha, Auteur ; Lijun Shen, Auteur ; Xianfeng Cheng, Auteur ; Hao Chen, Auteur . - 2024 . - p. 213-221. https://doi.org/10.32604/po.2024.052607 Langues : Anglais (eng) in Psycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 213-221 Mots-clés : Anxiety  skin neoplasms  risk factors Résumé : Keratinocyte carcinoma (KC) is a common malignancy characterized by a high recurrence rate and considerable psychological distress. The incidence of KC is increasing in China, raising concerns about its psychological consequences and adverse effects on quality of life. Demographic and clinical factors are thought to influence mental health outcomes in these patients. Nonetheless, data on the prevalence of anxiety in Chinese patients with KC and the factors associated with this anxiety are notably lacking. Therefore, a comprehensive investigation into the anxiety of patients with KC is imperative. Objective: This study aimed to investigate the prevalence of anxiety in patients with KC, a disease that can significantly affect a patient’s appearance and overall quality of life. Understanding the level of anxiety in this population is critical to developing targeted interventions, improving treatment outcomes, supporting mental health, and improving patient care practices. Methods: This cross-sectional study was conducted at China’s largest dermatology hospital from November 2017 to September 2022. A consecutive sampling method was used to recruit participants. Anxiety status was surveyed by the Self-rating Anxiety Scale (SAS). Explanatory variables were surveyed by demographic data questionnaires. Non-parametric test and Chi-square test analyses were used to compare the differences between groups. Multiple linear regression analysis was performed to identify factors associated with anxiety. Results: A total of 192 patients with KC were included. The median score of SAS was 35 (IQR 16.25). The prevalence of anxiety in patients with KC was 20.8%. Females (p = 0.008), under 60 years old (p = 0.011), living in rural (p = 0.010) or urban areas (p = 0.029), having fewer than three children (p = 0.016), with a history of skin diseases (p < 0.001), with a history of long-term oral medication (p = 0.001), and experiencing pain or itching (p = 0.001) had SAS scores that were significantly higher than their counterparts. Conclusion: This study showed that the prevalence of anxiety was very high among Chinese patients with KC, especially among women, young patients, rural residents, patients with fewer than three children, and individuals with a history of skin disease, long-term oral medications, or symptoms of pain or itching. Targeted psychological interventions for these specific populations should be implemented to effectively alleviate anxiety and improve quality of life in these at-risk groups. Note de contenu : En ligne : https://www.techscience.com/PO/v18n3/57933/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56591

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The Level of Psychosocial Skills of Nurses Caring for Cancer Patients and Affecting Factors: Results of a Multicenter Study / Nazmiye Yildirim ; Perihan Güner ; Figen Inci in Psycho-Oncologie, Vol. 18, n°3 (Septembre 2024)  

Public ISBD [article]  inPsycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 223-231 Titre : The Level of Psychosocial Skills of Nurses Caring for Cancer Patients and Affecting Factors: Results of a Multicenter Study Type de document : texte imprimé Auteurs : Nazmiye Yildirim, Auteur ; Perihan Güner, Auteur ; Figen Inci, Auteur Année de publication : 2024 Article en page(s) : p. 223-231 Note générale : https://doi.org/10.32604/po.2023.045294 Langues : Anglais (eng) Mots-clés : Cancer  nurses  communication skills  psychosocial skills  burnout  compassion satisfaction Résumé : Caring for cancer patients requires both technical and psychosocial nursing skills. The aim of this study was to determine the psychosocial care skill levels of nurses and affecting factors. This multicenter, cross-sectional study was conducted with 1,189 nurses providing direct care to adult cancer patients in 32 hospitals in 12 geographical regions of Turkey. A questionnaire, the Psychosocial Skills Form, and the Professional Quality of Life Scale were used to collect the data. Nurses’ psychosocial skill level was in the range of 2.72 ± 0.98 and 2.47 ± 0.89 out of four points. Communication skills such as empathic response, active listening, and the ability to provide information were found to be at a higher level than skills such as the activation of social support systems, therapeutic touch, and development of coping methods. Approximately 40% of nurses had received psychosocial care training, and 87% were interested in receiving additional psychosocial training. Gender, educational status, previous training in psychosocial care, and work experience with cancer patients were shown to affect psychosocial skill levels. There was a positive relationship between the level of psychosocial skills and the level of compassion satisfaction, and a negative relationship between the level of psychosocial skills and the level of burnout and compassion fatigue (p < 0.05). Nurses perceive themselves as having a medium to high level of psychosocial skills yet desire additional training. The results of this study may contribute to the development of training programs according to the needs of nurses who care for cancer patients. Note de contenu : En ligne : https://www.techscience.com/PO/v18n3/57927/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56593 [article] The Level of Psychosocial Skills of Nurses Caring for Cancer Patients and Affecting Factors: Results of a Multicenter Study [texte imprimé] / Nazmiye Yildirim, Auteur ; Perihan Güner, Auteur ; Figen Inci, Auteur . - 2024 . - p. 223-231. https://doi.org/10.32604/po.2023.045294 Langues : Anglais (eng) in Psycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 223-231 Mots-clés : Cancer  nurses  communication skills  psychosocial skills  burnout  compassion satisfaction Résumé : Caring for cancer patients requires both technical and psychosocial nursing skills. The aim of this study was to determine the psychosocial care skill levels of nurses and affecting factors. This multicenter, cross-sectional study was conducted with 1,189 nurses providing direct care to adult cancer patients in 32 hospitals in 12 geographical regions of Turkey. A questionnaire, the Psychosocial Skills Form, and the Professional Quality of Life Scale were used to collect the data. Nurses’ psychosocial skill level was in the range of 2.72 ± 0.98 and 2.47 ± 0.89 out of four points. Communication skills such as empathic response, active listening, and the ability to provide information were found to be at a higher level than skills such as the activation of social support systems, therapeutic touch, and development of coping methods. Approximately 40% of nurses had received psychosocial care training, and 87% were interested in receiving additional psychosocial training. Gender, educational status, previous training in psychosocial care, and work experience with cancer patients were shown to affect psychosocial skill levels. There was a positive relationship between the level of psychosocial skills and the level of compassion satisfaction, and a negative relationship between the level of psychosocial skills and the level of burnout and compassion fatigue (p < 0.05). Nurses perceive themselves as having a medium to high level of psychosocial skills yet desire additional training. The results of this study may contribute to the development of training programs according to the needs of nurses who care for cancer patients. Note de contenu : En ligne : https://www.techscience.com/PO/v18n3/57927/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56593

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Promoting Post-Traumatic Growth in Colorectal Cancer Patients: Exploring the Role of Social Support through a Chain Mediation Model / Xia Sun ; Qin Li ; Yang Li ; Wenjun Yan ; Shuai Gong ; Wenjing Yan in Psycho-Oncologie, Vol. 18, n°3 (Septembre 2024)  

Public ISBD [article]  inPsycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 233-240 Titre : Promoting Post-Traumatic Growth in Colorectal Cancer Patients: Exploring the Role of Social Support through a Chain Mediation Model Type de document : texte imprimé Auteurs : Xia Sun, Auteur ; Qin Li, Auteur ; Yang Li, Auteur ; Wenjun Yan, Auteur ; Shuai Gong, Auteur ; Wenjing Yan, Auteur Année de publication : 2024 Article en page(s) : p. 233-240 Note générale : https://doi.org/10.32604/po.2024.048087 Langues : Anglais (eng) Mots-clés : Social support  positive psychological capital  perceived stress  mediating effect  post-traumatic growth Résumé : Colorectal cancer (CRC) poses significant physical and psychological challenges that necessitate an exploration of factors influencing post-traumatic growth (PTG) for patient well-being. This study aims to investigate the effects of positive psychological capital (PsyCap) and perceived stress on mediating the social support-PTG relation among 673 CRC patients. Social support, positive PsyCap, perceived stress, and PTG were assessed through questionnaires. The results indicated a direct prediction effect of social support on PTG (LICI = 0.481, ULCI = 0.644), with the direct effect being 59.5%. Both positive PsyCap and perceived stress exerted a mediating role in the correlation between social support and PTG, with the mediating effects occupying 29.4% (LICI = 0.217, ULCI = 0.343) and 5.7% (LICI = 0.030, ULCI = 0.082), respectively. Positive PsyCap further had a chain mediating effect on perceived stress (LICI = 0.031, ULCI = 0.074)), with the chain effect accounting for 5.4%. The total impact of social support on PTG was 100% (LICI = 0.882, ULCI = 1.008). This model underscores the pivotal role of social support in promoting PTG in CRC patients. Positive PsyCap serves as a crucial mediator in the social support-PTG link, with perceived stress playing a sequential mediating role. These findings suggest that strengthening social support networks and cultivating positive PsyCap may reduce perceived stress and promote the development of PTG in CRC patients. Consequently, intervention programs are recommended to improve the psychosocial well-being of CRC patients. Note de contenu : En ligne : https://www.techscience.com/PO/v18n3/57930/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56594 [article] Promoting Post-Traumatic Growth in Colorectal Cancer Patients: Exploring the Role of Social Support through a Chain Mediation Model [texte imprimé] / Xia Sun, Auteur ; Qin Li, Auteur ; Yang Li, Auteur ; Wenjun Yan, Auteur ; Shuai Gong, Auteur ; Wenjing Yan, Auteur . - 2024 . - p. 233-240. https://doi.org/10.32604/po.2024.048087 Langues : Anglais (eng) in Psycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 233-240 Mots-clés : Social support  positive psychological capital  perceived stress  mediating effect  post-traumatic growth Résumé : Colorectal cancer (CRC) poses significant physical and psychological challenges that necessitate an exploration of factors influencing post-traumatic growth (PTG) for patient well-being. This study aims to investigate the effects of positive psychological capital (PsyCap) and perceived stress on mediating the social support-PTG relation among 673 CRC patients. Social support, positive PsyCap, perceived stress, and PTG were assessed through questionnaires. The results indicated a direct prediction effect of social support on PTG (LICI = 0.481, ULCI = 0.644), with the direct effect being 59.5%. Both positive PsyCap and perceived stress exerted a mediating role in the correlation between social support and PTG, with the mediating effects occupying 29.4% (LICI = 0.217, ULCI = 0.343) and 5.7% (LICI = 0.030, ULCI = 0.082), respectively. Positive PsyCap further had a chain mediating effect on perceived stress (LICI = 0.031, ULCI = 0.074)), with the chain effect accounting for 5.4%. The total impact of social support on PTG was 100% (LICI = 0.882, ULCI = 1.008). This model underscores the pivotal role of social support in promoting PTG in CRC patients. Positive PsyCap serves as a crucial mediator in the social support-PTG link, with perceived stress playing a sequential mediating role. These findings suggest that strengthening social support networks and cultivating positive PsyCap may reduce perceived stress and promote the development of PTG in CRC patients. Consequently, intervention programs are recommended to improve the psychosocial well-being of CRC patients. Note de contenu : En ligne : https://www.techscience.com/PO/v18n3/57930/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56594

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Impact du traitement carcinologique sur le fonctionnement sexuel et l’image du corps des patientes tunisiennes en rémission d’un cancer du sein localisé / Nada Charfi ; Nour Regaieg ; Ines Ayadi ; Najeh Smaoui ; Rim Feki ; Imen Gassara ; Sana Omri ; Lobna Zouari ; Jihène Ben Thabet ; Manel Maâlej Bouali ; Afef Khanfir in Psycho-Oncologie, Vol. 18, n°3 (Septembre 2024)  

Public ISBD [article]  inPsycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 241-248 Titre : Impact du traitement carcinologique sur le fonctionnement sexuel et l’image du corps des patientes tunisiennes en rémission d’un cancer du sein localisé Type de document : texte imprimé Auteurs : Nada Charfi, Auteur ; Nour Regaieg, Auteur ; Ines Ayadi, Auteur ; Najeh Smaoui, Auteur ; Rim Feki, Auteur ; Imen Gassara, Auteur ; Sana Omri, Auteur ; Lobna Zouari, Auteur ; Jihène Ben Thabet, Auteur ; Manel Maâlej Bouali, Auteur ; Afef Khanfir, Auteur Année de publication : 2024 Article en page(s) : p. 241-248 Note générale : https://doi.org/10.32604/po.2024.049038 Langues : Français (fre) Mots-clés : Cancer du sein  dysfonction sexuelle  image du corps Résumé : Le diagnostic et la prise en charge du cancer du sein (CS) affectent d’une manière complexe la vie sexuelle des femmes et touchent au symbole de la féminité, qui est très important dans la constitution de l’image du corps. Nos objectifs ont été d’évaluer le fonctionnement sexuel et l’image du corps des patientes en rémission d’un CS localisé, de déterminer les liens entre ces deux paramètres et d’étudier leur rapport avec les modalités thérapeutiques du CS. Nous avons mené une étude transversale, descriptive et analytique au sein des services d’oncologie médicale et de radiothérapie du centre hospitalo-universitaire Habib Bourguiba de Sfax, de février à août 2022. Pour chaque patiente, une fiche de renseignements cliniques a été remplie ainsi que deux échelles psychométriques : Female Sexual Function Index (FSFI) pour évaluer le fonctionnement sexuel, et Body Image Scale (BIS) pour explorer l’image du corps. La série étudiée comprenait 74 patientes dont l’âge moyen était de 51,55 ans. Elles ont été traitées par chirurgie conservatrice (44,6%) ou radicale (55,4%), chimiothérapie (87,8%), hormonothérapie (79,7%), thérapies ciblées (36,5%) et radiothérapie (97,3%). Elles présentaient une dysfonction sexuelle (DS) dans 51,4% des cas et un désir sexuel hypoactif dans 87,8% des cas. Un trouble de l’image du corps a été trouvé dans 36,5% des cas, et était significativement associé à la présence de DS (p = 0,001). Le score total du FSFI (p = 0,001) ainsi que les sous-scores du désir (p = 0,005), de l’excitation (p = 0,003), de l’orgasme (p = 0,002), de la satisfaction (p < 0,001) et de la douleur (p = 0,03) ont été significativement plus bas chez les patientes ayant un trouble de l’image du corps. La présence de DS n’était associée à aucune modalité thérapeutique. Par contre, la présence d’un trouble de l’image du corps était significativement associée au type radical de la chirurgie (p = 0,003) et à la chimiothérapie (p = 0,001). Notre étude a montré des prévalences relativement élevées des DS et du trouble de l’image du corps chez les femmes en rémission d’un CS. Ces deux paramètres semblent être étroitement liés, et ce lien serait entretenu par la mastectomie et la chimiothérapie qui ressortent comme des modalités thérapeutiques associées à la perturbation de l’image du corps. D’où l’importance du soutien psychologique dans le suivi médical des patientes opérées afin de les aider à surmonter toutes les difficultés physiques, psychologiques et sexuelles auxquelles elles sont sujettes. En ligne : https://www.techscience.com/PO/v18n3/57931/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56596 [article] Impact du traitement carcinologique sur le fonctionnement sexuel et l’image du corps des patientes tunisiennes en rémission d’un cancer du sein localisé [texte imprimé] / Nada Charfi, Auteur ; Nour Regaieg, Auteur ; Ines Ayadi, Auteur ; Najeh Smaoui, Auteur ; Rim Feki, Auteur ; Imen Gassara, Auteur ; Sana Omri, Auteur ; Lobna Zouari, Auteur ; Jihène Ben Thabet, Auteur ; Manel Maâlej Bouali, Auteur ; Afef Khanfir, Auteur . - 2024 . - p. 241-248. https://doi.org/10.32604/po.2024.049038 Langues : Français (fre) in Psycho-Oncologie > Vol. 18, n°3 (Septembre 2024) . - p. 241-248 Mots-clés : Cancer du sein  dysfonction sexuelle  image du corps Résumé : Le diagnostic et la prise en charge du cancer du sein (CS) affectent d’une manière complexe la vie sexuelle des femmes et touchent au symbole de la féminité, qui est très important dans la constitution de l’image du corps. Nos objectifs ont été d’évaluer le fonctionnement sexuel et l’image du corps des patientes en rémission d’un CS localisé, de déterminer les liens entre ces deux paramètres et d’étudier leur rapport avec les modalités thérapeutiques du CS. Nous avons mené une étude transversale, descriptive et analytique au sein des services d’oncologie médicale et de radiothérapie du centre hospitalo-universitaire Habib Bourguiba de Sfax, de février à août 2022. Pour chaque patiente, une fiche de renseignements cliniques a été remplie ainsi que deux échelles psychométriques : Female Sexual Function Index (FSFI) pour évaluer le fonctionnement sexuel, et Body Image Scale (BIS) pour explorer l’image du corps. La série étudiée comprenait 74 patientes dont l’âge moyen était de 51,55 ans. Elles ont été traitées par chirurgie conservatrice (44,6%) ou radicale (55,4%), chimiothérapie (87,8%), hormonothérapie (79,7%), thérapies ciblées (36,5%) et radiothérapie (97,3%). Elles présentaient une dysfonction sexuelle (DS) dans 51,4% des cas et un désir sexuel hypoactif dans 87,8% des cas. Un trouble de l’image du corps a été trouvé dans 36,5% des cas, et était significativement associé à la présence de DS (p = 0,001). Le score total du FSFI (p = 0,001) ainsi que les sous-scores du désir (p = 0,005), de l’excitation (p = 0,003), de l’orgasme (p = 0,002), de la satisfaction (p < 0,001) et de la douleur (p = 0,03) ont été significativement plus bas chez les patientes ayant un trouble de l’image du corps. La présence de DS n’était associée à aucune modalité thérapeutique. Par contre, la présence d’un trouble de l’image du corps était significativement associée au type radical de la chirurgie (p = 0,003) et à la chimiothérapie (p = 0,001). Notre étude a montré des prévalences relativement élevées des DS et du trouble de l’image du corps chez les femmes en rémission d’un CS. Ces deux paramètres semblent être étroitement liés, et ce lien serait entretenu par la mastectomie et la chimiothérapie qui ressortent comme des modalités thérapeutiques associées à la perturbation de l’image du corps. D’où l’importance du soutien psychologique dans le suivi médical des patientes opérées afin de les aider à surmonter toutes les difficultés physiques, psychologiques et sexuelles auxquelles elles sont sujettes. En ligne : https://www.techscience.com/PO/v18n3/57931/pdf Permalink : http://cdocs.helha.be/pmbtournai/opac_css/index.php?lvl=notice_display&id=56596

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