Asian Oncol Nurs.  2024 Mar;24(1):11-20. 10.5388/aon.2024.24.1.11.

The Effect of Body Image, Self-esteem and Depression on Sexual Function in Young Breast Cancer Survivors

• Kim MJ
• Kim YM
• Kim HK
• Kim HS

• KMID: 2554553
• DOI: http://doi.org/10.5388/aon.2024.24.1.11

Abstract

Purpose
This study aimed to investigate the influence of body image, self-esteem, and depression on sexual function in young breast cancer survivors.
Methods
Data were collected through an online questionnaire from 171 patients under 50 years of age between February and April 2023. The statistical analysis, performed using SPSS/WIN 26.0, included descriptive statistics, independent t-tests, one-way analysis of variance, Pearson’s correlation, and multiple linear regression. The bias-corrected bootstrap method was employed for testing mediation using JASP 0.17.2.
Results
Sexual function correlated with body image (r=-.54, p<.001), selfesteem (r=.50, p<.001), and depression (r=-.60, p<.001). Regression analysis revealed depression, age, and cancer stage influenced sexual function. Body image and self-esteem indirectly influenced sexual function through depression.
Conclusion
A tailored sexual function improvement program for young breast cancer survivors should consider addressing issues related to body image, selfesteem and depression.

Keyword

Body image; Breast neoplasms; Depression; Self concept; Sexual dysfunctions; Psychological