DOI: 10.1097/ncc.0000000000001502 ISSN: 1538-9804

Self-efficacy, Self-esteem, Cancer Coping, and Psychosocial Adjustment in Women With Gynecological Cancer in Turkey

Seda Purtul, Fatma Uslu-Sahan

Background:

Women diagnosed with gynecological cancer face significant psychosocial challenges that impact their self-efficacy, self-esteem, and coping abilities. Understanding these factors is essential for developing effective psychosocial interventions.

Objective:

To examine the relationships between self-efficacy, self-esteem, cancer coping strategies, and psychosocial adjustment in women with gynecological cancer in Turkey.

Methods:

This correlational cross-sectional study involved 105 women with gynecological cancer from 2 university hospitals in Turkey. Data were collected using the General Self-efficacy Scale, Rosenberg’s Self-esteem Scale, Cancer Coping Questionnaire, and Psychosocial Adjustment to Illness Scale. Statistical analyses included independent t tests, 1-way analysis of variance, Pearson correlation, and hierarchical regression.

Results:

The mean psychosocial adjustment score was 70.22 ± 4.60. Significant negative correlations were found between psychosocial adjustment and self-efficacy ( r  = −0.572, P  = .001), self-esteem ( r  = −0.277, P  = .004), and cancer coping ( r  = −0.581, P  = .001). Hierarchical regression revealed that self-efficacy ( β  = −0.462, P  = .001), cancer coping ( β  = −0.280, P  = .001), and treatment type ( β  = −0.332, P  = .001) collectively explained 55% of the variance in psychosocial adjustment.

Conclusions:

Self-efficacy and coping strategies significantly influence psychosocial adjustment in women with gynecological cancer, whereas self-esteem showed no significant effect. These findings highlight the need for targeted interventions to strengthen self-efficacy and coping mechanisms in women with gynecological cancer.

Implications for Practice:

Healthcare professionals should implement structured interventions to enhance self-efficacy and coping strategies, as these factors are key to improving psychosocial adjustment and overall well-being in women undergoing gynecological cancer treatment.

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