To Explore the Relationship of Depressive Disposition, Intimacy Relation, and Postmastectomy Breast Cancer Women’s Body Image

• Main Authors: Chih-Chia Hu, 胡至家
• Other Authors: none
• Format: Others
• Language: zh-TW
• Published: 2005
• Online Access: http://ndltd.ncl.edu.tw/handle/28008399355501956510

碩士 === 高雄醫學大學 === 行為科學研究所碩士班 === 93 === The purpose of this paper was to explore the condition of the postmastectomy breast cancer women’s body image, depressive disposition, and intimacy relation, and the relationship among each variable, and the live experience after return to their live world. The research of this paper was constituted by three parts. Participants of this research were the postmastectomy breast cancer women of one hospital center in Southern Taiwan. In order to evaluate the depressive emotion, marital intimacy, and the body image that postmastectomy breast cancer women presently perceived. “Body Image Scale(BIS)” which build by researcher, the American “Center of Epidemiology Study- Depression Scale(CES-D)” Chinese edition, and “Marital Intimacy Inventory(MII)” were been used. Descriptive statistics, Independence t Test, One-Way ANOVA, Scheffe Post Hoc Tests, Chi-Square Test, Logistic Regression, and path analysis were utilized to analysis quantitative data. The third study used the method of qualitative research to explore the live experience of the postmastectomy breast cancer women. The conclusions of this paper revealed that (1)There were 214 valid questionnaires been collected in the first study. In BIS, the reliability of “No Reconstruction Item” is .9331; the cut-off point of scale is 58.35. The reliability of “Reconstruction Item” is .9594; the cut-off point of scale is 72.60. The score over cut-off point means “poor body image”. (2)The BIS could be extracted four factors: whole body, sexualize body, privacy body, and social body. The qualitative interview data let the concept of “body image” from “symptom body” to “self body”, then to “others body”, at lastly to “live world body”. (3)There were 88 valid questionnaires been collected in the second study. Participants of no reconstruction group had 39.00% (16 persons) were “poor body image”, and of reconstruction group were 31.90% (15 persons). (4)Subjective extent of severity and the fear of recurrence show significantly difference in the performance of the postmastectomy breast cancer women. But it would be less relation about the variables as the patient’s age, the time after the mastectomy, and they accepted the breast reconstruction or not. (5) In the second study, there had 37.50% (33 persons) participants were "high depressive disposition", they had the more poor body image. Besides the depressive emotion, the qualitative interview data revealed much more complicated emotions. (6)The MII could be extracted five factors: spiritual intimacy, physical intimacy, sexual intimacy, social intimacy, and affection intimacy. There had 47.73% (42 persons) participants were “low marital intimacy”, and they had the more poor body image. The postmastectomy breast cancer women experienced the change of intimacy relation in the live. There were some interviewees narrated the directly impact of the illness to sexuality. (7)By the Logistic Regression analysis, high depressive disposition, low marital intimacy, and low social intimacy are the most important variables to predict poor body image in postmastectomy breast cancer women. (8)The result of path analysis indicated that whether through directly or indirectly effect, “depressive disposition” have important impact to body image in postmastectomy breast cancer women.