The Effects of Hysterectomy on Body Image, Self-Esteem, and Marital Adjustment in Turkish Women With Gynecologic Cancer

Gül Pınar, Şeyda Ökdem, Nevin Doğan, Lale Ayşegül Büyükgönenç, Ali̇ Ayhan
In: Clinical Journal of Oncology Nursing · 2012 · vol. 16(3) , pp. E99–E104 · doi:10.1188/12.cjon.e99-e104 · PMID:22641334 · W2048459612
article OA: closed CC0 ⤵ 8 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study found that Turkish women with gynecologic cancer who underwent hysterectomy reported worse body image, self-esteem, and marital adjustment compared to healthy controls, with lower income and education exacerbating these negative effects.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

The paper investigated how hysterectomy affects body image, self-esteem, and marital (dyadic) adjustment in Turkish women with gynecologic cancer, using a cross-sectional design that compared 100 hysterectomy patients with 100 healthy controls and examined independent variables including age, education, employment, having children, and income. It found that women who underwent hysterectomy had worse body image, self-esteem, and dyadic adjustment than healthy women. Within the hysterectomy group, lower income and education were associated with poorer dyadic adjustment and body image. The paper’s main limitation is that it is cross-sectional, preventing determination of causality. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

The purpose of this research was to investigate the differences in the effect of hysterectomy on body image, self-esteem, and marital adjustment in Turkish women with gynecologic cancer based on specific independent variables, including age, education, employment, having or not having children, and income. This cross-sectional study compared a group of women who underwent a hysterectomy (n = 100) with a healthy control group (n = 100). The study findings indicate that women who had a hysterectomy were found in worse conditions in terms of body image, self-esteem, and dyadic adjustment compared to healthy women. In terms of dyadic adjustment and body image among women who had undergone a hysterectomy, those with lower levels of income and education were found in poorer conditions. The study's findings show that hysterectomies have negative effects on body image, self-esteem, and dyadic adjustment in women affected by gynecologic cancer. Nursing assessment of self-esteem and marital adjustment indicators and implementation of strategies to increase self-confidence and self-esteem are needed for high-risk women.

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