Social support and knowledge of the disease have been shown to facilitate adaptation to a chronic disease. However, the adaptation process is not fully understood. We hypothesized that these factors can contribute to better adaptation to the disease through their impact on disease-related cognitive appraisal. To analyze the links between social support and the knowledge of the disease, on one hand, and disease-related appraisals, on the other hand, one hundred fifty-eight women with stress UI, aged 32 to 79, took part in the study. Questionnaire measures of knowledge of UI, social support, and disease-related appraisals were used in the study. The level of knowledge correlated significantly negatively with the appraisal of the disease as Harm. The global level of social support correlated significantly positively with three disease-related appraisals: Profit, Challenge, and Value. Four subgroups of patients with different constellations of social support and knowledge of the disease were identified in cluster analysis and were demonstrated to differ significantly on four disease-related appraisals: Profit, Challenge, Harm, and Value. Different cognitive appraisals of UI may be specifically related to social support and knowledge of the disease, with social support affective positive disease-related appraisals, and the knowledge affecting the appraisal of Harm.
Introduction: Menopause is the last natural menstruation, followed by a period of 12 months during which no bleeding occurs (WHO). This natural process results from the phasing out of the physiological activity of the ovaries and involves numerous psychological and somatic disturbances. Although perimenopausal ailments are experienced by most women, the correlation between their perception of the bodies and biopsychosocial functioning in the climacteric period is not fully understood. The aim of the study was to determine whether women's body image varies depending on the period of their reproductive life. Material and methods: 113 women aged 25-60 were examined (both menopausal and postmenopausal) with the control group comprising 58 women. The following scales were used: the Appearance-Related Picture Self-Appraisal Form and the Appearance Self-Appraisal Scale. Results: The study demonstrated statistically significant differences between the groups on 7 scales and the overall score. It can be said that postmenopausal women, whose ovarian activity has nearly ceased, in comparison with those in the premenopausal and menopausal groups attribute lower importance to the following areas of the body: eyes, nose, mouth, stomach, buttocks, thighs, and calves. The mean values of satisfaction in the three groups under comparison were not statistically different. Conclusions: The subjects of the postmenopausal group attribute lower importance to different body areas, deriving greater satisfaction from their own bodies.
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