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Original Article 완전절제 유방암 생존여성의 신체변화스트레스와 심리사회적 적응: 자존감의 중재 및 매개효과
장경문
Body Change Stress and Psycho-Social Adjustment of the Survivors of Post-Mastectomy Breast Cancer Patients: The Moderating & Mediating Effects of Self-Esteem
Kyung-Moon Chang
STRESS 2009;17(2):121-130
DOI: https://doi.org/
Published online: July 1, 2009

숙명여자대학교 교육대학원



Graduate School of Education, Sookmyung Women's University, Seoul, Korea

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The purpose of this study is two-folds: One is to investigate how the factors of socio-demographic, disease related, and the self-esteem of the survivors of breast cancer patients with mastectomy treatment were related to their perceptions of body change stress and the selected areas of psycho-social adjustment (i.e., depression, social function/relationship, and sex life). The other is to investigate if the patients' self-esteem either moderates or mediates between their perceived body change stress and psycho-social adjustment. Total of 95 breast cancer patients received mastectomy treatment participated in this study. Results of the study are following: First, patients' self-esteem was more closely related to the level of body change stress as well as psycho-social adjustment than their socio-demographic and disease related factors. Second, significant moderating effects of self-esteem in the relations were found between body change stress and each of the three areas of psycho-social adjustments studied in this study. It indicates that high self-esteem may buffer the negative effect of body change stress whereas low self-esteem worsens it. Finally, self-esteem showed significant (partial) mediating effects in both of relations between body change stress and depression as well as social function/relationship. However, mediating effect of self-esteem in the relation between body change stress and sex life adjustment was not significant. The results found this study suggest that for the better understanding and help toward the survivors of breast cancer more internal variables and their executive functioning need to be investigated in future research. (Korean J Str Res 2009;17:121∼130)

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