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Quality of Life Research

, Volume 28, Issue 2, pp 379–387 | Cite as

Determinants of satisfaction with life and self-esteem in women with breast cancer

  • Ana Isabel Cobo-CuencaEmail author
  • Noelia María Martín-Espinosa
  • María Aurora Rodríguez-Borrego
  • Juan Manuel Carmona-Torres
Article

Abstract

Purpose

To determine satisfaction with life (LISAT) and self-esteem in women with breast cancer and the relation between sociodemographic and clinical variables with LISAT and self-esteem.

Methods

Cross-sectional study with 514 Spanish women with breast cancer. Data were collected using an online questionnaire that included the Satisfaction with Life Questionnaire (LISAT-8) and the Rosenberg self-esteem scale. Variables are age, education, occupation, marital status, surgical treatment, breast reconstruction, adjuvant treatment, time since diagnosis, the self-esteem scale, and the LISAT. A multinomial logistic regression was performed to identify possible factors associated with the LISAT and self-esteem after breast cancer.

Results

The average age was 46.34 (SD ± 8.28), average age at diagnosis was 42.26 (SD ± 8.56), and average time since diagnosis was 4.05 years (SD ± 5.23). Reports showed the following: good general LISAT (61.7%), economic LISAT (44.7%), and social life LISAT (75.9%) and medium sexual LISAT (41.2%). Of the respondents, 39% had lower self-esteem (p < 0.001). Those who were working (p = 0.002) and those with breast reconstruction (p < 0.037) had a good LISAT. Women with mastectomies had a worse LISAT (p < 0.001). Self-esteem was associated with the general LISAT (Pearson = 0.536, p < 0.001), social LISAT (Pearson = 0.502, p < 0.001), and sexual LISAT (Pearson = 0.329, p < 0.001).

Conclusions

Women with breast cancer had a good LISAT overall; the sexual aspect was evaluated as the lowest in terms of life satisfaction. Marital status, occupation, surgical treatment and self-esteem are associated with the LISAT. Health professionals should know the variables that influence life satisfaction of women with breast cancer to plan and conduct appropriate nursing care.

Keywords

Breast cancer Quality of life Self-esteem Chemotherapy 

Notes

Author contributions

All the authors have contributed intellectually to its production and are thus to be regarded as material authors. Study design: AICC, JMCT, MARB, NME. Data collection: AICC, JMCT. Data analysis: AICC, JMCT, NME. Study supervision: AICC, JMCT, MARB. Manuscript writing: AICC, JMCT, MARB, NME. Critical revisions for important intellectual content: AICC, JMCT, MARB, NME.

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest to disclose.

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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Universidad de Castilla la Mancha (UCLM)Ciudad RealSpain
  2. 2.Escuela Universitaria de Enfermería y Fisioterapia de ToledoToledoSpain
  3. 3.Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC)CórdobaSpain
  4. 4.Departamento de Enfermería, Hospital Universitario Reina Sofia, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC)Universidad de CórdobaCórdobaSpain

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