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ÀÌ°æÈ ( Lee Kyung-Hwa ) - Konyang University College of Nursing
±èµÎ¸® ( Kim Doo-Ree ) - Konyang University College of Nursing
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Abstract
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Purpose: This study aimed to examine the level of self-concept and psychosocial well-being among women with BRCA1 or BRCA2 gene mutations and to identify factors affecting their psychosocial well-being.
Methods: A cross-sectional design was used. Data were collected from an online community comprising Korean patients with breast cancer and their families. A total of 98 women with BRCA1 or BRCA2 gene mutations completed the online questionnaire comprising the BRCA self-concept scale, the psychosocial well-being index-short form, demographic characteristics, and disease-related characteristics. Descriptive statistics, frequencies, independent t-tests, one-way ANOVA, Pearson¡¯s correlation, and multiple regression were used for data analysis.
Results: The total self-concept level at 82.13?}15.45 (range: 17~119), and the psychosocial well-being level at 28.81?}9.51 (range: 0~54) indicated a high-risk group of psychosocial well-being among the surveyed women with BRCA gene mutations compared with Korean general office workers. Self-concept (¥â=.57, p<.001) and monthly family income (¡Ã4,500 USD)(¥â=-.24, p=.048) significantly affected the psychosocial well-being of women with BRCA1 or BRCA2 gene mutations.
Conclusion: The level of self-concept and psychosocial well-being of women with BRCA1 or BRCA2 gene mutations should be assessed carefully, and tailored consultation and educational programs should be developed to overcome a negative self-concept. Supportive systems for financially vulnerable women with BRCA1 or BRCA2 gene mutations should be considered.
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KeyWords
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BRCA1/2 mutation, Hereditary breast and ovarian cancer syndrome, Breast neoplasms, Self-concept, Psychosocial well-being
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