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ndltd-OhioLink-oai-etd.ohiolink.edu-osu13009914502021-08-03T06:01:58Z Surgical treatment of breast cancer: sexual self schema, stress reactions, and sexuality outcomes Yurek, Debora Lynn <p>The present investigation tests a model for predicting sexual and psychological morbidity among women diagnosed and treated for breast. Data examined here bear on four primary research questions: (1) is the extent of surgical treatment related to factors thought to influence sexuality outcomes, including stress reactions (i.e., intrusive thoughts, avoidant behaviors, and situationally-cued disress) or body satisfaction ratings (i.e., body image) associated with changes in the sexual physique, (2) are stress reactions and body image concerns related to sexually-relevant distress (i.e., feelings of disappointment regarding the sexual life) and/or sexuality outcomes (i.e., sexual behavior frequency, sexual responsiveness), (3) does an individual difference phenomenon (i.e., sexual self schema) contribute significantly to variance in stress reactions, body satisfaction ratings, or feelings of disappointment regarding the sexual life, and (4) does sexual self schema mediate hypothesized relationships between women's reactions to changes in their sexual physique and sexuality outcomes in the months immediately following surgical treatment for breast cancer. One hundred and thirty-three women were interviewed from one to three months following surgical treatment (i.e., lumpectomy; modified radical mastectomy - with and without reconstruction - and bilateral mastectomy) and prior to initiation of adjuvant treatments. Data provide preliminary support for the proposed model, and support consideration of (1) premorbid factors including age, individual differences (sexual selfconcept) and prior level of sexual functioning, (2) treatment-related factors including magnitude of treatment and subsequent functional status, and (3) post-treatment psychological / behavioral factors including stress reactions, women's distress in sexually-relevant situations, and sexually avoidant behaviors as potential risk factors for sexual morbidity in the months immediately following surgical intervention. In addition, time of assessment seems important to furthering our understanding the onset and course of sexual morbidity among women treated for breast cancer.</p><p> These data replicate prior research reports that women undergoing greater extent of surgery may be differentiated from those receiving lumpectomy in their reactions to changes in sexual physique. However, it is argued that differences in women's stress reactions (i.e., avoidant behaviors, intrusive thoughts, situationally-cued distress) related to these changes may have greater predictive and conceptual validity to sexuality outcomes following treatment than popularized notions of body image concerns. Most importantly, an individual difference (i.e., sexual self concept) appears to be mediate these reactions - thereby functioning as a potential risk factor for sexual morbidity. Over and above extent of surgical intervention received, women with a negative sexual self schema reported increased frequency of avoidant behaviors (including avoidance of intercourse) and greater distress in sexually-relevant situations (e.g., undressing in front of their partner) than women with positive sexual self schemas. Sexual self schema also contributed significant incremental variance to a model explaining 55% of the variance in the reported frequency of sexually intimate behaviors following breast cancer surgery.</p> 1997 English text The Ohio State University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=osu1300991450 http://rave.ohiolink.edu/etdc/view?acc_num=osu1300991450 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
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NDLTD
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| language |
English
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| sources |
NDLTD
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| author |
Yurek, Debora Lynn
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| spellingShingle |
Yurek, Debora Lynn
Surgical treatment of breast cancer: sexual self schema, stress reactions, and sexuality outcomes
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| author_facet |
Yurek, Debora Lynn
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| author_sort |
Yurek, Debora Lynn
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| title |
Surgical treatment of breast cancer: sexual self schema, stress reactions, and sexuality outcomes
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| title_short |
Surgical treatment of breast cancer: sexual self schema, stress reactions, and sexuality outcomes
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| title_full |
Surgical treatment of breast cancer: sexual self schema, stress reactions, and sexuality outcomes
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| title_fullStr |
Surgical treatment of breast cancer: sexual self schema, stress reactions, and sexuality outcomes
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| title_full_unstemmed |
Surgical treatment of breast cancer: sexual self schema, stress reactions, and sexuality outcomes
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| title_sort |
surgical treatment of breast cancer: sexual self schema, stress reactions, and sexuality outcomes
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| publisher |
The Ohio State University / OhioLINK
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| publishDate |
1997
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| url |
http://rave.ohiolink.edu/etdc/view?acc_num=osu1300991450
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| work_keys_str_mv |
AT yurekdeboralynn surgicaltreatmentofbreastcancersexualselfschemastressreactionsandsexualityoutcomes
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1719429771442520064
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