Severe Pelvic Floor Symptoms After Cervical Cancer Treatment Are Predominantly Associated With Mental and Physical Well-Being and Body Image: A Cross-Sectional Study

2012 ◽  
Vol 22 (1) ◽  
pp. 154-160 ◽  
Author(s):  
Menke H. Hazewinkel ◽  
Mirjam A.G. Sprangers ◽  
Jacobus van der Velden ◽  
Matthé P.M. Burger ◽  
Jan-Paul W.R. Roovers

ObjectiveTo identify associations between demographic, disease-related, and psychological variables and severe distress from pelvic floor symptoms (PFSs) after cervical cancer treatment.MethodsThis study was cross-sectional and questionnaire based. We included patients with cervical cancer treated between 1997 and 2007 in the Academic Medical Center, Amsterdam. Pelvic floor symptoms were assessed with urogenital distress inventory and defecatory distress inventory. Scores were dichotomized into severe (>90th percentile) versus nonsevere distress. Disease-related variables were extracted from medical files. Psychological factors included mental and physical well-being, optimism, and body image, which were assessed with standardized questionnaires. Univariate and multivariate logistic regression analyses were performed.ResultsA total of 282 patients were included: 148 were treated with radical hysterectomy and pelvic lymph node dissection, 61 patients were treated with surgery and adjuvant radiotherapy, and 73 patients were treated with primary radiotherapy. Demographic: Multivariate analyses showed no significant relation between demographic variables and symptoms. Disease-related: None of these variables were significantly associated in multivariate analyses. Psychosocial: In all treatment groups, multivariate associations were found. In general, better mental and physical well-being was associated with nonsevere PFSs. Increased body image disturbance was associated with severe defecation symptoms.ConclusionsFew associations were found between demographic and disease-related variables and distress from PFS after cervical cancer treatment. However, better mental and physical well-being is associated with nonsevere distress from urogenital and defecation symptoms and more body image disturbance with severe PFSs. Improving these factors might reduce distress from PFSs and should be a focus of future research.

2010 ◽  
Vol 117 (2) ◽  
pp. 281-286 ◽  
Author(s):  
M.H. Hazewinkel ◽  
M.A.G. Sprangers ◽  
J. van der Velden ◽  
C.H. van der Vaart ◽  
L.J.A. Stalpers ◽  
...  

2021 ◽  
Vol 292 ◽  
pp. 02003
Author(s):  
Weishan Luo ◽  
Ying Jiang ◽  
Huachun Zeng ◽  
He Lin ◽  
Guobin DaiRen

With the rapid rise of social network sites, people’s life and work are influenced to varying degrees. And this paper aims to explore how does social network sites use(SNSU) affect employee well-being(EWB) and the mediating effects of body image disturbance(BID) and self-esteem(SE). Social network sites use, employee well-being, body image disturbance and self-esteem scales were used to obtain data of 435 employees. Results showed that social network sites use positively predicted employee well-being; Self-esteem played a mediating role in the relationship between social network sites use and employee well-being, but the mediation of body image disturbance and the chain mediation of body image disturbance and self-esteem weren’t significant. So social network sites use can lead to body image disturbance to some extent but overall, its impact was positive, which was contributing to employee well-being.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Alzbeta Binkova ◽  
Marion Uebelhart ◽  
Patrick Dällenbach ◽  
Michel Boulvain ◽  
Angèle Gayet-Ageron ◽  
...  

Abstract Background Female Genital Mutilation/Cutting (FGM/C) concerns over 200 million women and girls worldwide and is associated with obstetric trauma and long-term urogynaecological and psychosexual complications that are often under-investigated and undertreated. The aim of this study was to assess the pelvic floor distress and the impact of pelvic floor and psychosexual symptoms among migrant women with different types of FGM/C. Methods This cross-sectional study was conducted between April 2016 and January 2019 at the Division of Gynaecology of the Geneva University Hospitals. The participants were interviewed on socio-demographic and background information, underwent a systematic gynaecological examination to assess the presence and type of FGM/C and eventual Pelvic Organ Prolapse (POP), and completed six validated questionnaires on pelvic floor and psychosexual symptoms (PFDI-20 and PFIQ7 on pelvic floor distress and impact, FISI and WCS on faecal incontinence and constipation, PISQ-IR and FGSIS on sexual function and genital self-image). The participants’ scores were compared with scores of uncut women available from the literature. The association between selected variables and higher scores for distress and impact of pelvic floor symptoms was assessed using univariate and multivariable linear regression models. Results 124 women with a mean age of 31.5 (± 7.5), mostly with a normal BMI, and with no significant POP were included. PFDI-20 and PFIQ-7 mean (± SD) scores were of 49.5 (± 52.0) and 40.7 (± 53.6) respectively. In comparison with the available literature, the participants’ scores were lower than those of uncut women with pelvic floor dysfunction but higher than those of uncut women without such disorders. Past violent events other than FGM/C and forced or arranged marriage, age at FGM/C of more than 10, a period of staying in Switzerland of less than 6 months, and nulliparity were significantly associated with higher scores for distress and impact of pelvic floor symptoms, independently of known risk factors such as age, weight, ongoing pregnancy and history of episiotomy. Conclusions Women with various types of FGM/C, without POP, can suffer from pelvic floor symptoms responsible for distress and impact on their daily life. Trial registration. The study protocol was approved by the Swiss Ethics Committee on research involving humans (protocol n°15-224).


2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Helen M. Conaglen ◽  
Dennis de Jong ◽  
Veronica Crawford ◽  
Marianne S. Elston ◽  
John V. Conaglen

Purpose. Excess growth hormone secretion in adults results in acromegaly, a condition in which multiple physical changes occur including bony and soft tissue overgrowth. Over time these changes can markedly alter a person’s appearance. The aim of this study was to compare body image disturbance in patients with acromegaly to those with nonfunctioning pituitary adenomas (NFAs) and controls and assess the impact of obesity in these groups.Methods. A cross-sectional survey including quality of life, body image disturbance, anxiety and depression measures, growth hormone, and BMI measurement was carried out.Results. The groups did not differ with respect to body image disturbance. However separate analysis of obese participants demonstrated relationships between mood scales, body image disturbance, and pain issues, particularly for acromegaly patients.Conclusions. While the primary hypothesis that acromegaly might be associated with body image disturbance was not borne out, we have shown that obesity together with acromegaly and NFA can be associated with body image issues, suggesting that BMI rather than primary diagnosis might better indicate whether patients might experience body image disturbance problems.


Author(s):  
Kerry A. Sherman ◽  
Laura-Kate E. Shaw

Abstract: The chapter “Body Image and the Cancer Treatment Trajectory” provides an overview of body image–related concerns and challenges that can arise throughout the cancer journey, from cancer detection and diagnosis through to active treatment and cancer survivorship. The chapter examines how body image concerns can serve as a significant barrier to cancer detection, including self- and physician examination, routine screening, and diagnostic tests. It then reviews the impact of cancer surgery and treatment-related side effects (such as physical disfigurement, hair loss, skin irritations, weight loss or gain, changes to bodily functions, premature menopause, and lymphedema) on an individual’s body image, self-concept, and overall psychosocial well-being in both the short and longer term. Finally, the chapter discusses body image concerns arising from risk-reducing or prophylactic surgery to minimize hereditary risk of cancer occurrence.


2010 ◽  
Vol 119 (2) ◽  
pp. 399 ◽  
Author(s):  
Francesco Plotti ◽  
Marco Calcagno ◽  
Milena Sansone ◽  
Roberto Angioli ◽  
Pierluigi Benedetti Panici

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Tendy Ar Riqi ◽  
Sutejo Sutejo ◽  
Erika Nurwidayanti

Hemodialysis would affect body image and have an impact on the spiritual wellbeing of patients due to the variety of changes in the patient’s body. The purpose of this study was to determine the relationship between body image and the spiritual wellbeing of patients undergoing hemodialysis. The research method is descriptive correlative with a cross-sectional approach. The study was conducted in PKU Muhammadiyah Hospital Gamping with a sample of 60 respondents. The sampling method is purposive sampling. Data collection tool in this study is a questionnaire with 22 statements. Data were analyzed using univariate and bivariate analysis using chi square tests. The results showed that there is a relationship between body image and the spiritual wellbeing of patients with chronic renal failure undergoing hemodialysis with p-value (0,027) < α (0,05). This study recommends hemodialysis unit to improve further performance in providing comprehensive care nursing practice both physical and psychosocial in patients with chronic renal failure undergoing hemodialysis especially on the subject of body image disturbance that will affect the spiritual wellbeing of patients.


2017 ◽  
Vol 10 (2) ◽  
pp. 115-130 ◽  
Author(s):  
Joanne M. Crossman

Fitspiration has been positioned as an online interchange featuring images and text designed to inspire fitness and healthy eating. Given its ubiquity as an emerging social media trend, and its unintended impact on body image disturbance mediated by social comparison, Fitspiration has been understudied. This review draws on theoretical perspectives associated with traditional and new media impact on young women’s body image concerns, and overviews strategies to engage students in adopting a healthier body image. The manuscript also provides educational implications and directions for practice, particularly guided by media literacy models that may serve to intervene with body comparisons, inspire deeper learning and a renewed vision of fitness, health, and well-being.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mariene Wiwin Dolang ◽  
Christina - Leasa

Reproductive Health is a state of complete physical, mental and social well-being that is not solely free from diseases related to the reproductive system. Cervical cancer is cancer that grows from cervical cells, cervical cancer can originate from cells in the cervix but can also grow from cervical cells. This situation is usually accompanied by bleeding and abnormal vaginal discharge. The purpose of this study was to analyze the factors associated with early detection of cervical cancer in fertile age women at Puskesmas Benteng. The design of this study was an observational analytic study with a cross sectional approach. The sample in this study was WUS aged 15-49 years old who were in the Puskesmas Benteng area as many as 135 respondents. The results showed there was a relationship between knowledge (p = 0.004), first age of marriage (p = 0.014), husband's support (p = 0.005), and the role of health workers (p = 0.005) with early detection of cervical cancer in fertile age women at Puskesmas Benteng.DETERMINAN DETEKSI DINI KANKER SERVIKS PADA WANITA USIA SUBUR


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