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Thesis (M.S.)--Medical College of Ohio, 2004. / "In partial fulfillment of the requirements for the degree of Master of Science in Nursing." Major advisor: Dianne Smolen. Includes abstract. Document formatted into pages: vii, 75 p. Title from title page of PDF document. Bibliography: pages 54-56.

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As breast cancer survival rates increase, quality of life issues should be addressed, specifically regarding sexual health. Breast cancer treatment can lead to sexual dysfunction, alterations in sexual self-concept, body image, self-esteem, and relationship issues which can cause a depressed quality of life. These sexual health issues can also uniquely affect the intimate partner. It appears that a strong relationship and supportive intimate partner can protect against the stressors due to these sexual problems. Addressing sexual concerns, whether physical, psychological, or relational are a clear necessity in managing the care of patients with breast cancer, regardless of partner status, age, or disease stage. Clinicians and medical professionals should address these issues in patient care plans, examinations, and patient education, focusing not only on the patient but also on the couple as a unit. However, there are barriers to communication in regards to sexuality on both the part of the physician and the patient that cause a discrepancy between available resources and patients actually receiving them. Developing effective treatment plans and interventions are essential in improving the quality of life in women suffering from physical, psychological, and relational sexual issues due to the management of breast cancer.

Religious identity, self-concept, and resilience are considered the three main components that contribute to adolescents' life developmental tasks. The purpose of the current study is to examine the effect of psycho-educational group intervention on religious identity, self-concept, and resilience among 94 Malaysian female orphan adolescents. Participants, aged between 14 and 17 years (early adolescence), were selected from four different orphanages in Malaysia. Using a quasi-experimental design, these participants completed two sets of pretests and post-tests on demographic information, the Muslim Religious Personality Inventory (MRPI), the Tennessee Self-Concept Scale-2 (TSCS-2), and the Singaporean Youth Resilience Scale (SYRESS). The data was analyzed using both Pearson Correlation and Multivariate Analysis of Covariance (MANCOVA). Findings found a positive relationship among three constructs--religious identity, self-concept, and resilience. Given the types of orphans in this study, there was no significant difference between true and social orphans on their religious identity, self-concept, and resilience scores. The results also showed that the psycho-educational group intervention did have a significant effect on the treatment group's score of religious identity, self-concept, and resilience tasks over a four-week session. The change of religious identity, self-concept, and resilience suggests that this intervention group is sufficient to be effective in female orphans who are participating in this study while providing new perspectives for group worker practitioners, caregivers, institutional principals, and Pertubuhan Kebajikan Anak Yatim Malaysia (PEYATIM).