Stoma Acceptance Mediates Body Image Distress and Mental Health-Related Quality of Life: A Single-Center Study on Radical Cystectomy Patients with Ureterostomy

2024

Stoma Acceptance and Its Impact on Body Image and Mental Health in Bladder Cancer Patients

Sample size: 73 publication 10 minutes Evidence: moderate

Author Information

Author(s): Muzii Benedetta, Di Bello Francesco, Collà Ruvolo Claudia, Morra Simone, Polverino Federico, Pessolano Colomba, Creta Massimiliano, Califano Gianluigi, Pezone Gabriele, Mangiapia Francesco, Alvino Pierluigi, Longo Nicola, Maldonato Nelson Mauro, Van Poppel Hein, Yaqoob Magdi

Primary Institution: University of Naples “Federico II”

Hypothesis

Does stoma acceptance mediate the relationship between body image distress and mental health-related quality of life?

Conclusion

Stoma acceptance plays a significant role in improving mental health outcomes for patients with urostomies by mediating the effects of body image distress.

Supporting Evidence

Statistical analyses revealed significant negative correlations between body image distress and mental health.
Stoma acceptance was significantly and positively associated with mental health.
Regression-based mediation modeling indicated that stoma acceptance significantly mediated the relationship between body image and mental health-related quality of life.

Takeaway

Patients with bladder cancer who accept their stoma tend to feel better about themselves and their mental health, even if they struggle with how their body looks.

Methodology

A single-center cross-sectional survey was conducted with 73 muscle-invasive bladder cancer patients who completed self-report measures on body image distress, stoma acceptance, and mental health-related quality of life.