Id 584 Sexual Dysfunction, Distress And Impaired Body Image In Women After Mastectomy

Aslan Tangurek S, Topsever P, Filiz M
Aim(s) or purpose: To evaluate distress, body image and sexual dysfunction in women after mastectomy in comparison with age matched healthy controls.
Design and method: Among 103 women who had undergone mastectomy between January 2006 and December 2007 at the Department of General Surgery of Kocaeli University Medical Faculty, after informed consent, 42 women were eligible to be included in this cross-sectional study. Seventy healthy age-matched women served as controls. All participants completed a questionnaire investigating socio-demographic data and individual health characteristics. Functional health related quality of life (SF-36), distress (Prime MD), body image (Body Cathexis Scale), sexual function (Arizona sexual experience scale, ASEX) were assessed in all participants. Mastectomy specific body image perception was investigated in operated women with the Turkish version of the body image scale validated by the researchers. Except for descriptive statistics and Chi square test for comparing proportions, a multiple linear regression model with age-adjusted ASEX scores as dependent variable and factors of interest as regressors was used to identify determinants of sexual dysfunction.
Results: Compared to healthy, age-matched controls, women in the mastectomy group were more likely to suffer from major depression (23.8 %), impaired body image perception (64.3 %), and sexual dysfunction (97.6 %) (p Conclusions: Sexual dysfunction and body image disturbance are serious and frequent health conditions among breast cancer patients especially, after mastectomy. The results imply that patients will benefit from a person centred approach where breast-conserving surgery should be advised when indicated.
ID 584 Sexual dysfunction, distress and impaired body image in women after mastectomy