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The crisis of divorce and the nature of the experienced life changes

Kołodziej-Zaleska Anna, Brandt-Salmeri Anna, Ilska Michalina

Zeszyty Naukowe. Organizacja i Zarządzanie / Politechnika Śląska

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2019

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z. 141

183--199

EN

In this study, divorce is understood as a complex and multidimensional phenomenon. Furthermore, divorce is one of the most stressful life events - an event which changes almost every aspect of life. It has been assumed that for majority of people, divorce is related to a crisis or is viewed as a turning point in life. The aim of this study is to verify whether the assessment of the impact of divorce on various spheres of life (housing situation, work, friends, children, etc.) is associated with different magnitude of experienced life changes (positive or negative). Positive changes may signify individual's ability to cope with critical life events (such as divorce); negative changes mean that people after divorce experience the negative impact of it on fundamental beliefs about the self as well as the value and meaning of life. In this study, the Life Changes Scale (LCS), demographic data and divorce-related data were used. The difference significance tests were conducted between the groups. A total of 157 divorced individuals participated in the research. Three out of four participants were women (76.40%); a quarter of the group comprised of men (23.60%). The respondents’ average age was 41 years. Analyses have shown differences in the assessment of changes after divorce. The most important results include the occurrence of significant differences in experienced life changes (positive or negative) among divorced individuals, depending on the sphere of life in which the changes occurred.

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Body image in women with breast cancer undergoing surgical treatment - a comparative analysis

Brandt-Salmeri Anna, Ilska Michalina, Kołodziej-Zaleska Anna

Zeszyty Naukowe. Organizacja i Zarządzanie / Politechnika Śląska

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2019

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z. 141

7--24

EN

Surgery is the most basic treatment in case of breast cancer: it involves a complete or partial removal of the mammary gland. The aim of the study was to assess the body image distress and self-esteem in a group of women with breast cancer undergoing various surgical procedures. The material was collected in a group of 229 women with breast cancer who were divided into subgroups based on the surgery criterion (mastectomy, breast-conserving therapy - BCT and mastectomy with breast reconstruction). The study used the Body Image Scale by Hopwood, Fletcher, Lee and Al Ghazal (2001; Polish adaptation by Brandt-Salmeri and Przybyła-Basista), Rosenberg Self-Esteem Scale - SES (Polish adaptation by Łaguna, Lachowicz-Tabaczek and Dzwonkowka, 2007) and an original survey. Analyses showed, among other things, significant differences in the assessment of discomfort associated with a change in body image depending on the type of surgery. The research also revealed that the assessment depended on differences between the women in terms of age and the time elapsed since the onset of treatment. Negative body image was adversely associated with self-esteem in all studied groups. Body image was significantly related to age and time elapsed since the treatment in the post-mastectomy group. At the same time, it was related only to age in the BCT group and with regards to the breast reconstruction group, the relationship concerned only elapsed time.

3

Assessment of obstetrician-patient relationship and stress levels experienced by women in healthy pregnancy and pregnancy complicated by maternal or fetal factors

Ilska Michalina, Kołodziej-Zaleska Anna, Brandt-Salmeri Anna

Zeszyty Naukowe. Organizacja i Zarządzanie / Politechnika Śląska

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2019

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z. 141

115--132

EN

Pregnancy is a special period in the life of a woman and her family, resulting in biological, social and psychological changes. Each pregnancy, even one non-burdened with social and obstetric risk, is a stressful situation (Dulude et al, 2002). For each pregnancy, the obstetrician-patient relationship and the level of the woman's confidence in the obstetrician become important. Patient's trust is one of the components of the satisfaction with medical care, which is a determinant as to adherence to the doctor's recommendations, leading to better clinical effects of the health care itself (Kurpas, Sapilak, Steciwko, 2006). The aim of this study was to assess the obstetrician-patient relationship during pregnancy and the stress levels experienced in four groups of women, selected on the basis of their pregnancy - healthy pregnancy and high-risk pregnancy complicated by: a fetal factor, a maternal factor or both factors. The purpose of this study was to assess the relationship between stress and trust towards the obstetrician in the studied groups. The research was conducted on a total of 242 women applying for follow-up examinations to the obstetrician or staying in the department of pregnancy pathology. The following measurement methods were used in the research: Global Stress Scale PSS-10 and the Trust in Physician Scale. The analyses have shown significant differences among the studied groups regarding the assessment of the magnitude of stress experienced and the assessment of confidence level towards the obstetrician. The magnitude of stress was negatively correlated with the level of trust towards the obstetrician only in the group of women in high-risk pregnancy complicated by a fetal factor.