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

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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.

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Author information

Authors and Affiliations

  1. Universidad de Castilla la Mancha (UCLM), Ciudad Real, Spain

    Ana Isabel Cobo-Cuenca, Noelia María Martín-Espinosa & Juan Manuel Carmona-Torres

  2. Escuela Universitaria de Enfermería y Fisioterapia de Toledo, Toledo, Spain

    Ana Isabel Cobo-Cuenca, Noelia María Martín-Espinosa & Juan Manuel Carmona-Torres

  3. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Avda. Menéndez Pidal s/n, 14004, Córdoba, Spain

    Ana Isabel Cobo-Cuenca & Juan Manuel Carmona-Torres

  4. Departamento de Enfermería, Hospital Universitario Reina Sofia, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Universidad de Córdoba, Córdoba, Spain

    María Aurora Rodríguez-Borrego

Authors
  1. Ana Isabel Cobo-Cuenca
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  2. Noelia María Martín-Espinosa
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  3. María Aurora Rodríguez-Borrego
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  4. Juan Manuel Carmona-Torres
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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.

Corresponding author

Correspondence to Ana Isabel Cobo-Cuenca.

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The authors have no conflicts of interest to disclose.

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Cobo-Cuenca, A.I., Martín-Espinosa, N.M., Rodríguez-Borrego, M.A. et al. Determinants of satisfaction with life and self-esteem in women with breast cancer. Qual Life Res 28, 379–387 (2019). https://doi.org/10.1007/s11136-018-2017-y

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  • DOI: https://doi.org/10.1007/s11136-018-2017-y

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