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  • Zadovoljstvo životom, tjele...
    Kostov, Tea; Tucak Junaković, Ivana

    Hrvatska revija za rehabilitacijska istraživanja, 01/2019, Letnik: 54, Številka: 2
    Journal Article, Paper

    Istraživanja psihološkog funkcioniranja i kvalitete života žena oboljelih i operiranih zbog raka dojke u svijetu su brojna, a i u Hrvatskoj je sve veći broj takvih istraživanja. No u Hrvatskoj su relativno rijetka ona istraživanja u kojima su posljedice dijagnoze i tretmana raka dojke istražene kroz usporedbu skupine oboljelih žena sa zdravim uzorkom. Važno je usmjeriti se na posljedice raka dojke ne samo na tjelesno već i na mentalno zdravlje i psihološko funkcioniranje oboljelih žena jer je to prvi korak u osmišljavanju i provođenju psihosocijalnih intervencija usmjerenih podizanju kvalitete života oboljelih. Glavni je cilj ovoga istraživanja bio ispitati zadovoljstvo životom, psihološki prosperitet, doživljaj slike tijela i samopercepciju seksualne privlačnosti žena kojima je zbog raka operirana dojka i usporediti ih s onima u kontrolnom uzorku žena bez malignog oboljenja. U istraživanju su sudjelovale dvije skupine sudionica. Prva je uključivala 162 žene u dobi između 28 i 69 godina (M = 47,98) koje su prošle poštednu ili radikalnu operaciju dojke, dok je druga skupinu uključivala 156 sudionica u dobi od 28 do 72 godine (M = 47,60) kojima nije dijagnosticiran rak dojke niti neka druga maligna bolest. Rezultati istraživanja prilično su ohrabrujući u pogledu ispitanih aspekata funkcioniranja i prilagodbe operiranih žena jer su pokazali da se operirane žene ne razlikuju značajno u razinama zadovoljstva životom, psihološkog prosperiteta, kao ni u doživljaju slike tijela i samopercepciji seksualne privlačnosti u odnosu na žene bez malignog oboljenja. U obje skupine žena povoljnija slika tijela i samopercepcija veće seksualne privlačnosti bile su povezane s većim zadovoljstvom životom i psihološkim prosperitetom. Nadalje utvrđeno je da sudionice koje su prošle poštednu, u odnosu na one u kojih je izvršena radikalna operacije dojke, imaju značajno povoljniju sliku tijela i zadovoljnije su svojim grudima što bi mogla biti indikacija za prednost poštedne nad radikalnom vrstom operacije onda kada je to moguće. There are many studies that have dealt with the psychological functioning and quality of life of women who were diagnosed with breast cancer and who underwent breast surgery. There is an increasing number of such studies in Croatia as well. However, Croatian research on the consequences of diagnosis and treatment of breast cancer in comparison with a healthy population of women is scarce. It is important to focus on the impact of cancer not only on women’s physical health, but also on their mental health and psychological functioning, since that is the first step towards creating and conducting psychosocial interventions aimed at improving their quality of life. The main goal of this study was to compare life satisfaction, psychological flourishing, body image, and self-perceived sexual attractiveness between women who had undergone breast surgery due to breast cancer, and a control sample of women without cancer. The first group consisted of 162 women between the ages of 28 and 69 (M=47.98) who underwent radical or breast-conserving breast surgery. The second group consisted of 156 women, 28 to 72 years old (M=47.60), who were not diagnosed with breast cancer or any other malignant disease. In terms of examined aspects of psychological functioning and adaptation of women who had breast cancer, the results of this study are quite encouraging since this group of women did not differ significantly in levels of life satisfaction, psychological flourishing, body image or self-perceived sexual attractiveness from the group of women without malignant disease. In both groups of women, more favorable body image and self-perceived sexual attractiveness correlated significantly with higher life satisfaction and psychological flourishing. Furthermore, it was found that the women who underwent breast-conserving surgery had a more positive body image and were more satisfied with their breasts than those who underwent radical breast surgery. This could be viewed as an indicator of the advantage of breast-conserving surgery over radical surgery of the breast whenever possible.