scholarly journals The impact of sexual orientation on body image, self-esteem, urinary and sexual functions in the experience of prostate cancer

2018 ◽  
Vol 27 (2) ◽  
pp. e12827 ◽  
Author(s):  
C. Thomas ◽  
A. C. Wootten ◽  
P. Robinson ◽  
P. C. F. Law ◽  
D. P. McKenzie
Author(s):  
Jessica Bowie ◽  
Oliver Brunckhorst ◽  
Robert Stewart ◽  
Prokar Dasgupta ◽  
Kamran Ahmed

Abstract Purpose Body image, self-esteem, and masculinity are three interconnected constructs in men with prostate cancer, with profound effects on quality of life. This meta-synthesis aimed to evaluate all known qualitative studies published studying the effect of prostate cancer on these constructs. Methods A systematic review utilising PubMed, Embase, MEDLINE, and PsycINFO databases up to May 2020 was conducted in line with PRISMA and ENTREQ guidelines. All qualitative studies of men’s experiences with body image, self-esteem, and masculinity whilst living with prostate cancer were included. A thematic meta-synthesis was conducted to identify emergent descriptive and analytical themes under the main study constructs. Results Of 2188 articles identified, 68 were included. Eight descriptive themes were identified under two analytical themes: ‘Becoming a Prostate Cancer Patient’ and ‘Becoming a Prostate Cancer Survivor’. These described the distress caused by changes to body image, sexual functioning, sense of masculinity, and self-esteem, and the subsequent discourses men engaged with to cope with and manage their disease. A key element was increased flexibility in masculinity definitions, and finding other ways to re-affirm masculinity. Conclusions Prostate cancer has an important effect on men’s health post-diagnosis, and we identified strong relationships between each construct evaluated. The role of hegemonic masculinity is important when considering men’s coping mechanisms and is also a key factor when addressing these constructs in counselling post-treatment. Implications for Cancer Survivors This meta-synthesis provides key topics that uniquely affect prostate cancer survivors, enabling these patients to be effectively counselled, and have their concerns recognised by clinicians.


Author(s):  
Bhawini Vasudeva

The aim to conduct this research is to enlighten the impact of body image dissatisfaction on an individual’s self-esteem and to examine whether there is a gender difference in this case or not. There are a total of 220 numbers of participants, with equal number of males and females in the sample set. The tool that’d be using here is a modified short version of the Body Shape Questionnaire (BSQ) by Cooper et. Al. in the year in 1987 and The Rosenberg self-esteem scale by Morris Rosenberg (RSES) in the year 1965. The current research proved that whenever there’ll be higher body image dissatisfaction, it’ll result in less self-esteem. Other than that, it stated that females (M= 22.69 and SD= 3.64) have a higher mean score in body image dissatisfaction than and males (M=23.28 and SD= 3.6), therefore, the men have a higher mean score of self-esteem than females.


2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 11625-11625 ◽  
Author(s):  
Richard Francis Dunne ◽  
Charles E. Heckler ◽  
Julia Ellen Inglis ◽  
Po-Ju Lin ◽  
Chunkit Fung ◽  
...  

11625 Background: Improving body image and self-esteem are top ASCO priorities in the survivorship care of men with prostate cancer (PCa). Body image and global self-esteem, influenced by physical self-worth, are negatively affected by PCa treatment. We investigate whether exercise can improve physical self-worth in men treated for PCa and if improving self-worth is associated with changes in quality of life (QoL) and mental health. Methods: We performed a secondary analysis of a phase II randomized controlled trial comparing the effects of Exercise for Cancer Patients(EXCAP), a structured, 6-week, home-based exercise intervention, to usual care (UC) in men with non-metastatic PCa receiving radiation or Androgen Deprivation Therapy (ADT). The Physical Self-Perception Profile (PSPP), a valid 30-item questionnaire where higher scores indicate greater physical self-worth, was assessed at pre- and post-intervention. Changes between arms were compared using ANCOVA. Spearman correlations were calculated for pre/post-intervention change scores for PSPP and QoL, depression, and anxiety as measured by the Functional Assessment of Cancer Therapy (FACT), Center of Epidemiologic Studies Depression (CES-D) scale, and State-Trait Anxiety Inventory (STAI), respectively. Results: Fifty-eight men were randomized; average age was 67.1 years. Physical self-worth at baseline moderated the effect of the intervention. Compared to UC, EXCAP improved physical self-worth in those with baseline PSPP scores above the median (p < 0.04). Exercisers with baseline PSPP scores in the top quartile demonstrated a more significant improvement over UC (p < 0.01). Improvements in physical self-worth were associated with improved QoL (r = 0.29, p = 0.04), depression (r = -0.28, p = 0.04) and anxiety (r = -0.30, p = 0.03). Conclusions: Exercise significantly improves physical self-worth in men with PCa on radiation or ADT, and greater physical self-worth is associated with improved QoL, depression and anxiety. Those with higher baseline physical self-worth derived the most benefit from exercise. Exercise should be prescribed to boost self-esteem and body image in men receiving radiation or ADT for PCa. Clinical trial information: NCT00815672.


Author(s):  
Paolo Meneguzzo ◽  
Enrico Collantoni ◽  
Elisa Bonello ◽  
Mariantonietta Vergine ◽  
Simone C. Behrens ◽  
...  

Abstract Purpose Body weight dissatisfaction (BWD) and visual body perception are specific aspects that can influence the own body image, and that can concur with the development or the maintenance of specific psychopathological dimensions of different psychiatric disorders. The sexual orientation is a fundamental but understudied aspect in this field, and, for this reason, the purpose of this study is to improve knowledge about the relationships among BWD, visual body size-perception, and sexual orientation. Methods A total of 1033 individuals participated in an online survey. Physical comparison, depression, and self-esteem was evaluated, as well as sexual orientation and the presence of an eating disorder. A Figure Rating Scale was used to assess different valences of body weight, and mediation analyses were performed to investigated specific relationships between psychological aspects. Results Bisexual women and gay men reported significantly higher BWD than other groups (p < 0.001); instead, higher body misperception was present in gay men (p = 0.001). Physical appearance comparison mediated the effect of sexual orientation in both BWD and perceptual distortion. No difference emerged between women with a history of eating disorders and without, as regards the value of body weight attributed to attractiveness, health, and presence on social media. Conclusion This study contributes to understanding the relationship between sexual orientations and body image representation and evaluation. Physical appearance comparisons should be considered as critical psychological factors that can improve and affect well-being. The impact on subjects with high levels of eating concerns is also discussed. Level of evidence Level III: case–control analytic study.


2020 ◽  
Vol 29 (11) ◽  
pp. 1761-1771
Author(s):  
Jessica Bowie ◽  
Oliver Brunckhorst ◽  
Robert Stewart ◽  
Prokar Dasgupta ◽  
Kamran Ahmed

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e21550-e21550
Author(s):  
Anna Kieszkowska-Grudny ◽  
Monika Rucinska ◽  
Robert Ciesak ◽  
Marta Wisniewska

e21550 Background:Cancers are the second most common cause of death. Treatment of cancers is complex and might be aggressive, takes a long time and is usually difficult to accept for patients. As a result of disease and treatment a body image(BI) is impaired and can reduce quality of life(QoL),which has become a very important factor. The objective of the study was to investigate BI and QoL during oncological treatment of breast cancer(BCa), cervical cancer(CeCa) and prostate cancer(PCa) patients and to compare with healthy groups of men(HM) and women(HW). Methods:The analysis included 280 participants: 31 BCa-pts just after oncological surgery (age26-86 years,M = 63,23,Me = 65), 44 BCa-pts during adjuvant radiotherapy (age37-69years, M = 57,23,Me = 60), 21 CeCa-pts during therapy (age30-68years,M = 54,43,Me = 60), 52 PCa-pts with clinical stage T1-T2N0M0 (age57-86;M = 70,65;Me = 70) after standard three-dimensional conformal radiation treatment (3DCRT), 32 PCa-pts (age59-84;M = 74;Me = 75) after stereotactic hypofractionated radiotherapy (HRT), than without any type of cancer 50HM (age47-92years;M = 62,28;Me = 60) and 50HW (age30-84 years,M = 51,46,Me = 50). The subjects filled out the questionnaire EORTC QLQ-C30 (ver3.0.) and a specially designed questionnaire for a body image assessment. Results:All factors associated with BI between groups differed significantly (p < 0,05): general appearance, self-esteem, physical and sexual attractiveness. The highest assessment in all categories were done by HRT-pts and the lowest by BCa-pts during radiotherapy, than BCa-pts after surgery. HM and HW perceived BI on a similar level, however lower than HRT-pts. Overall QoL was significantly lowest in BCa-pts after surgery (p < 0,05), but physical, role, emotional, and general functioning were the worst in BCa-pts during radiotherapy (p < 0,05). The lowest social QoL was assessed by CeCa-pts (p < 0,05). Conclusions:It seems that oncological treatment influences significantly BI of cancer patients and worsens QoL especially in breast cancer women just after surgery and adjuvant radiotherapy. HTR-pts assesses BI and general QoL even better than healthy groups.


2017 ◽  
Vol 3 (3) ◽  
pp. 171
Author(s):  
Prof.As.Dr. Fatbardha Osmanaga

Diversity is part of our everyday lives. It is present everywhere, so it is present in health care settings also. The medical staff serves all the patients, regardless their gender, their race, their religion, regardless their economic status, sexual orientation, political beliefs, etc. It is very important for the medical staff to accept and respect the diversity. In this way, the quality of offered services will be the same for all the people. Having good attitudes towards homosexual individuals is one of the ways of accepting and respecting human diversity. One of the sources of good attitudes towards homosexuality is the having good self-esteem. The paper aims to analyze the impact of self-esteem on the attitudes toward homosexuality of heterosexual students of Professional Master in Nursing, branch of the Faculty of Natural Sciences. It is used the technique of questionnaire. The measuring instruments are: a)Self-Esteem Scale (Rosenberg, 1965), b)Attitudes Toward Sexual Orientation: An Adaption of Herek’s ATLG Survey (the adaption is made by Benjamin J. Stefonik). The data collected from the questionnaire was analyzed by means of the SPSS program, variant 20. In the study, we had the participation of 77 heterosexual students of Professional Master in Nursing, 40 students frequent the first academic course and 37 students are at the second academic course. The paper concluded that there is positive correlation between heterosexual students’ self-esteem and their attitudes towards homosexuality (Sig.= 0.083). Their self-esteem is not too positive and their attitudes towards homosexuality are not good. The students prejudice the homosexual individuals. It is very important the improvement of self-esteem and the improvement of the attitudes toward homosexuality of heterosexual students of Professional Master in Nursing, branch of the Faculty of Natural Sciences. The improvement of their self-esteem and their attitudes toward homosexuality will influence the quality of their work. There are defined the main strategies in order to improve students’ self-esteem and their attitudes toward homosexuality.


2017 ◽  
Vol 8 (1) ◽  
pp. 171
Author(s):  
Prof.As.Dr. Fatbardha Osmanaga

Diversity is part of our everyday lives. It is present everywhere, so it is present in health care settings also. The medical staff serves all the patients, regardless their gender, their race, their religion, regardless their economic status, sexual orientation, political beliefs, etc. It is very important for the medical staff to accept and respect the diversity. In this way, the quality of offered services will be the same for all the people. Having good attitudes towards homosexual individuals is one of the ways of accepting and respecting human diversity. One of the sources of good attitudes towards homosexuality is the having good self-esteem. The paper aims to analyze the impact of self-esteem on the attitudes toward homosexuality of heterosexual students of Professional Master in Nursing, branch of the Faculty of Natural Sciences. It is used the technique of questionnaire. The measuring instruments are: a)Self-Esteem Scale (Rosenberg, 1965), b)Attitudes Toward Sexual Orientation: An Adaption of Herek’s ATLG Survey (the adaption is made by Benjamin J. Stefonik). The data collected from the questionnaire was analyzed by means of the SPSS program, variant 20. In the study, we had the participation of 77 heterosexual students of Professional Master in Nursing, 40 students frequent the first academic course and 37 students are at the second academic course. The paper concluded that there is positive correlation between heterosexual students’ self-esteem and their attitudes towards homosexuality (Sig.= 0.083). Their self-esteem is not too positive and their attitudes towards homosexuality are not good. The students prejudice the homosexual individuals. It is very important the improvement of self-esteem and the improvement of the attitudes toward homosexuality of heterosexual students of Professional Master in Nursing, branch of the Faculty of Natural Sciences. The improvement of their self-esteem and their attitudes toward homosexuality will influence the quality of their work. There are defined the main strategies in order to improve students’ self-esteem and their attitudes toward homosexuality.


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