Anxiety and Depression Symptoms, Self-Esteem and Body Image Among Patients with Gynecological Cancers: A Cross-Sectional Study

Year 2017, , 214 - 219, 01.12.2017

Mehmet Fatih Üstündağ Halil Özcan Ece Yazla , Yüksel Kıvrak Esat Fahri Aydin Mehmet Yılmaz

https://doi.org/10.5505/kjms.2017.73644

Abstract

Aim: Gynecological cancers are among the most important health problems of women, with high rates of morbidity and mortality.
These patients also have high rates of anxiety and depression symptoms which can affect the quality of life, self-care, self-esteem,
body image, adherence, response to treatment and prognosis of the cancer. This study aimed to investigate the anxiety and depression symptoms, self-esteem and body image among patients with gynecological cancers. 
Material and Method: In this study, anxiety and depression symptoms, self-esteem, body image satisfaction, and the effect of cancer
on these parameters were investigated in eighty-one patients with gynaecological cancer who underwent surgery and have been taking chemotherapy currently. After obtaining the informed consent, a socio-demographic data form, Hospital Anxiety and Depression Scale (HADS), Body Image Scale (BIS) and Coopersmith Self- Esteem Scale (CSES) were applied to all participants.
Results: HADS-anxiety score was positively correlated with HAD depression score (p<0.001) and negatively correlated with CSES
(p≤0.01) score. HADS-depression score was negatively correlated with BIS score (p<0.01). HADS-anxiety score predicted the decrease in self-esteem weakly. HADS-depression score predicted the decrease in self-esteem and deterioration in body image as
close to statistically significant. Increased symptoms of anxiety and depression as well as declined self-esteem and impaired body image were observed in patients treated for gynecological cancers.
Conclusion: In patients with gynecological cancers, the existence of possible anxiety and depression symptoms, impairment in selfesteem and body image should be screened; if detected, the treatment should be performed for the health of the patients.

Keywords

Cancer, gynecology, anxiety, depression

Jinekolojik Kanserli Hastalarda Anksiyete ve Depresyon Semptomları, Benlik Saygısı ve Beden Algısı: Kesitsel Bir Çalışma

Abstract

Amaç: Jinekolojik kanserler yüksek morbidite ve mortalite ile kadınların en önemli sağlık sorunlarından biridir. Bu hastalar aynı zamanda hayat kalitelerini, öz bakımlarını, benlik saygılarını, beden algılarını uyumlarını, tedaviye yanıtlarını ve kanser prognozlarını
etkileyebilen yüksek oranlarda anksiyete ve depresyon semptomlarına sahiptirler. Bu çalışma jinekolojik kanserli hastalarda anksiyete ve depresyon semptomlarını, benlik saygısını ve beden algısını araştırmayı amaçlamıştır.
Materyal ve Metot: Bu çalışmada cerrahi operasyon geçiren ve halen kemoterapi almakta olan 81 jinekolojik kanserli hastada anksiyete ve depresyon semptomları, benlik saygısı, beden algısı memnuniyeti ve kanserin bu parametreler üzerine etkisi araştırıldı. Aydınlatılmış onam formu alındıktan sonra tüm katılanlara birer sosyodemografik bilgi formu, Hastane Anksiyete ve Depresyon Ölçeği (HAD), Beden Algısı Ölçeği (BAÖ) ve Coopersmith Benlik Saygısı Ölçeği uygulandı (CBSÖ).
Bulgular: HAD Anksiyete skoru, HAD Depresyon skoru ile pozitif yönde (p<0,001) ve CBSÖ skoru ile negatif yönde (p≤0,01) ilişkiliydi.
HAD Depresyon skoru BAÖ skoru ile negatif yönde ilişkiliydi. HAD anksiyete skoru ile benlik saygısındaki azalmayı zayıf olarak
öngördü. HAD Depresyon skoru benlik saygısındaki azalmayı ve beden algısındaki bozulmayı istatistiksel olarak anlamlıya yakın olarak öngördü. Jinekolojik kanserler için tedavi edilmiş hastalarda artmış anksiyete ve depresyon semptomları gibi azalmış benlik saygısı ve bozulmuş beden algısı gözlendi.
Sonuç: Jinekolojik kanserli hastalarda olası anksiyete ve depresyon semptomlarının, bozulmuş benlik saygısının ve beden algısının
varlığı takip edilmelidir. Eğer varlıkları tespit edilirse hastaların sağlığı için tedavi uygulanmalıdır.

Keywords

Kanser, jinekoloji, anksiyete, depresyon

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