Journal of Psychosomatic Research, cilt.204, 2026 (SCI-Expanded, SSCI, Scopus)
Objectives This cross-sectional study aims to explore psychosocial predictors of sexual quality of life in adults aged 20–40 years with ostomies with a focus on stoma self-efficacy and perceived social support. Methods This cross-sectional study (Feb–May 2025) included 96 adults with an ostomy. Data were collected using a characteristics form, the Stoma Self-Efficacy Scale, the Multidimensional Scale of Perceived Social Support, and the Sexual Quality of Life Scales for females and males. Multiple linear regressions were run for sexual satisfaction, female sexual quality of life, and male sexual quality of life. Results Stoma self-efficacy and its subdimensions were correlated with perceived social support and sexual well-being indicators. In regression analyses, the model for sexual satisfaction was significant (R2 = 0.084), although none of the individual predictors independently explained sexual satisfaction. The regression model for female sexual quality of life was not significant. In contrast, among men, the regression model was significant (R2 = 0.213), and social self-efficacy emerged as the only independent positive predictor of sexual quality of life (β = 0.435, p < 0.05). Conclusion Stoma self-efficacy and perceived social support are relevant psychosocial factors associated with sexual satisfaction and sexual quality of life in adults aged 20–40 years living with an ostomy. While their independent predictive value is limited overall, social self-efficacy plays a key role in shaping sexual quality of life among men. These findings underscore the importance of addressing social functioning in sexual health interventions and highlight the need for longitudinal research.