The effect of psychoeducation on body image and sexual quality of life in patients undergoing mastectomy: a randomized controlled trial


Saruhan Ç., ÖZKAN M.

European Journal of Oncology Nursing, cilt.79, 2025 (SCI-Expanded, SSCI, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 79
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1016/j.ejon.2025.103001
  • Dergi Adı: European Journal of Oncology Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, ASSIA, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Anahtar Kelimeler: Body image, Breast cancer, Mastectomy, Psychoeducation, Sexual quality of life
  • İnönü Üniversitesi Adresli: Evet

Özet

To evaluate the impact of psychoeducation on body image and sexual quality of life in women after mastectomy due to breast cancer. This randomized controlled trial was conducted from October 2023 to January 2025 in a university hospital's general surgery clinic. A total of 63 mastectomy patients participated: 31 in the psychoeducation group and 32 in the control group. Data were collected using the the Breast Cancer Body Image Scale (BCBIS) and the Sexual Quality of Life-Female (SQoL-F) questionnaire. After the pretest was administered to all patients, those in the psychoeducation group received psychoeducation sessions for 6 weeks, 90 min weekly. Following the six-week training, a 4-week waiting period was observed. The pretests were administered to all patients before the initiation of psychoeducation, and the posttests to all patients 4 weeks after completion of psychoeducation. There were no significant differences between groups in the pretest BCBIS and SQoL-F scores (p > 0.05). However, posttest scores significantly improved in the psychoeducation group compared to the control group across all measures (p < 0.05). Within-group comparisons showed the psychoeducation group experienced significant improvement in posttest scores compared to pretest (p < 0.05). While the control group showed significant change in SQoL-F scores (p < 0.05), no significant change was found in BCBIS scores (p > 0.05). This study highlights the unmet needs of women following breast cancer treatment and underscores the importance of psychosocial support services, including socialization and counseling. It indicates that psychoeducation improves body image and sexual quality of life in mastectomy patients.