Body image dissatisfaction and lower self-esteem as major predictors of poor sleep quality in gynecological cancer patients after surgery: cross-sectional study.
Body image
Gynecological cancer
Self-esteem
Sleep quality
Journal
BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690
Informations de publication
Date de publication:
03 06 2021
03 06 2021
Historique:
received:
01
11
2020
accepted:
19
05
2021
entrez:
4
6
2021
pubmed:
5
6
2021
medline:
22
6
2021
Statut:
epublish
Résumé
Sleep quality is among the indicators associated with the quality of life of patients with cancer. A multitude of factors may affect patient sleep quality and are considered as associated predictive factors. The aim of this study was to examine the predictors of poor sleep quality in Moroccan women with gynecological cancer after radical surgery. A cross-sectional study was carried out at the Oncology Department of the Ibn Rochd University Hospital, Casablanca (Morocco), on women who had undergone radical surgery for gynecological cancer (n = 100; mean age: 50.94 years). To assess sleep quality, symptoms of depression and anxiety, self-esteem and body image, the following translated and validated Arabic versions of the tools were used: Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale, Rosenberg's Self-Esteem Scale and Body Image Scale. To determine predictors of sleep quality, multiple linear and hierarchical regressions were used. 78% of participants were considered poor sleepers, most of them exhibited very poor subjective quality (53%), longer sleep onset latency (55%), short period of sleep (42%) and low rate of usual sleep efficiency (47%). 79% of these patients did not use sleep medication and 28% were in poor shape during the day. Waking up in the middle of the night or early in the morning and getting up to use the bathroom were the main reasons for poor sleep quality. Higher PSQI scores were positively correlated with higher scores of anxiety, depression, body image dissatisfaction and with lower self-esteem (p < 0.001). The medical coverage system, body image dissatisfaction and low self-esteem predicted poor sleep quality. After controlling for the socio-demographic variables (age and medical coverage system), higher body image dissatisfaction and lower self-esteem significantly predicted lower sleep quality. Body image dissatisfaction and lower self-esteem were positively linked to sleep disturbance in women with gynecological cancer after undergone radical surgery. These two predictors require systematic evaluation and adequate management to prevent sleep disorders and mental distress as well as improving the quality of life of these patients.
Sections du résumé
BACKGROUND
Sleep quality is among the indicators associated with the quality of life of patients with cancer. A multitude of factors may affect patient sleep quality and are considered as associated predictive factors. The aim of this study was to examine the predictors of poor sleep quality in Moroccan women with gynecological cancer after radical surgery.
METHODS
A cross-sectional study was carried out at the Oncology Department of the Ibn Rochd University Hospital, Casablanca (Morocco), on women who had undergone radical surgery for gynecological cancer (n = 100; mean age: 50.94 years). To assess sleep quality, symptoms of depression and anxiety, self-esteem and body image, the following translated and validated Arabic versions of the tools were used: Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale, Rosenberg's Self-Esteem Scale and Body Image Scale. To determine predictors of sleep quality, multiple linear and hierarchical regressions were used.
RESULTS
78% of participants were considered poor sleepers, most of them exhibited very poor subjective quality (53%), longer sleep onset latency (55%), short period of sleep (42%) and low rate of usual sleep efficiency (47%). 79% of these patients did not use sleep medication and 28% were in poor shape during the day. Waking up in the middle of the night or early in the morning and getting up to use the bathroom were the main reasons for poor sleep quality. Higher PSQI scores were positively correlated with higher scores of anxiety, depression, body image dissatisfaction and with lower self-esteem (p < 0.001). The medical coverage system, body image dissatisfaction and low self-esteem predicted poor sleep quality. After controlling for the socio-demographic variables (age and medical coverage system), higher body image dissatisfaction and lower self-esteem significantly predicted lower sleep quality.
CONCLUSION
Body image dissatisfaction and lower self-esteem were positively linked to sleep disturbance in women with gynecological cancer after undergone radical surgery. These two predictors require systematic evaluation and adequate management to prevent sleep disorders and mental distress as well as improving the quality of life of these patients.
Identifiants
pubmed: 34082733
doi: 10.1186/s12905-021-01375-5
pii: 10.1186/s12905-021-01375-5
pmc: PMC8173912
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
229Références
Soc Sci Med. 2002 May;54(9):1309-21
pubmed: 12058848
Psychosomatics. 2008 Mar-Apr;49(2):137-42
pubmed: 18354067
Support Care Cancer. 2015 May;23(5):1401-8
pubmed: 25370891
J Pain Symptom Manage. 2011 Nov;42(5):710-20
pubmed: 21620648
Palliat Support Care. 2018 Jun;16(3):325-334
pubmed: 28508735
Support Care Cancer. 2012 Feb;20(2):357-65
pubmed: 21311913
Palliat Support Care. 2015 Jun;13(3):575-81
pubmed: 24524428
Cancer Nurs. 2016 Jan-Feb;39(1):E39-58
pubmed: 25881807
J Pain Symptom Manage. 2015 Apr;49(4):707-15
pubmed: 25461671
Psychooncology. 2014 Apr;23(4):459-66
pubmed: 25485338
Asian Pac J Cancer Prev. 2018 Jun 25;19(6):1661-1669
pubmed: 29938451
Springerplus. 2016 Apr 19;5:486
pubmed: 27218001
Sleep Med. 2020 Jan;65:177-185
pubmed: 32029206
Psychol Rep. 2012 Feb;110(1):297-303
pubmed: 22489395
Support Care Cancer. 2020 Feb;28(2):551-560
pubmed: 31081525
Camb Q Healthc Ethics. 2018 Jul;27(3):397-407
pubmed: 29845908
Appl Nurs Res. 2017 Apr;34:7-11
pubmed: 28342628
Gynecol Oncol. 2011 Nov;123(2):351-5
pubmed: 21855973
Psychiatry Res. 1989 May;28(2):193-213
pubmed: 2748771
Acta Psychiatr Scand. 1991 Oct;84(4):323-6
pubmed: 1746281
Eur J Cancer. 2001 Jan;37(2):189-97
pubmed: 11166145
Psychooncology. 2018 Jan;27(1):69-74
pubmed: 28508411
Support Care Cancer. 2020 Aug;28(8):3935-3944
pubmed: 31858250
Obstet Gynecol. 2018 Aug;132(2):281-290
pubmed: 29995737
West J Nurs Res. 2010 Mar;32(2):250-68
pubmed: 19915205
Curr Probl Cancer. 2020 Feb;44(1):100504
pubmed: 31548046
Rev Lat Am Enfermagem. 2006 Nov-Dec;14(6):872-8
pubmed: 17294020
Acta Psychiatr Scand. 1983 Jun;67(6):361-70
pubmed: 6880820
Nat Sci Sleep. 2012 Dec 17;4:151-162
pubmed: 23486503
Sleep Breath. 2020 Sep;24(3):1027-1034
pubmed: 31630370
Asian Pac J Cancer Prev. 2014;15(20):8607-12
pubmed: 25374176
J Minim Invasive Gynecol. 2021 Feb 11;:
pubmed: 33582379
Am J Obstet Gynecol. 2020 Oct;223(4):543.e1-543.e14
pubmed: 32652064