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Psychological factors predict patient satisfaction with postmastectomy breast reconstruction

, : Psychological factors predict patient satisfaction with postmastectomy breast reconstruction. Plastic and Reconstructive Surgery 119(7): 2008-15; Discussion 2016-7

This prospective study examined the contribution of psychological factors to the prediction of patient satisfaction with postmastectomy breast reconstruction surgery. Women presenting for breast reconstruction were administered presurgical psychological inventories. Measures of affective distress, depressive symptoms, anxiety, somatization, and somatic preoccupation were obtained from standardized inventories. At 1-year (n = 295) and 2-year (n = 205) follow-up, subjects completed ratings of their satisfaction with both the general and aesthetic results of surgery. After controlling for sociodemographic variables and both surgical procedure type and timing, multiple linear regression analyses indicated that at 1-year follow-up preoperative measures of affective distress, depression, somatization, and somatic anxiety predicted less general satisfaction with surgical outcome, while presurgical levels of affective distress, depression, anxiety, somatization, and somatic anxiety predicted decreased aesthetic satisfaction. At 2-year follow-up, only preoperative affective distress retained a significant association with lowered general satisfaction with reconstructive surgery. In addition, at 2-year reassessment, aesthetic quality of surgical outcome was inversely related to all the presurgical psychological variables. Affective distress and somatic preoccupation negatively influence patient satisfaction with both aesthetic and general outcomes associated with postmastectomy breast reconstruction. Presurgical psychological screening and counseling of selected women who are being considered for breast reconstruction may be advisable to enhance patient satisfaction with reconstructive surgery.


PMID: 17519692

DOI: 10.1097/01.prs.0000260584.09371.99

Other references

Lavier, G., 1928: Existence de formes naturellement 'ablepharo-plastiques' chez Trypanosoma evansi et Trypanosoma equiperdum. Compte Rendu des Seances de la Societe de Biologie Paris, 98: 1320-1321

Modi, V.K.; Mahendrakar, N.S.; Narasimha Rao, D.; Sachindra, N.M., 2004: Quality of buffalo meat burger containing legume flours as binders. The effect of addition of different decorticated legume flours, viz., soya bean, bengal gram, green gram and black gram, on the quality of buffalo meat burger was studied. The burgers consisted of optimized quantities of roasted or unroasted legum...

Lecoq, R.; Chauchard, P.; Mazoue, H., 1952: Modification of the nervous effects of adrenalin, acetylcholine and histamine under the action of the principle hormones. Comptes Rendus des Seances de la Societe de Biologie et de Ses Filiales 146(9-10): 683-684

Bannister, C.E., 1987: Balloon embolotherapy for varicocele. Nursing 17(2): 68-69

Pass, M.K.; Zarn, J.A.; Zimmermann, S.M.; Sigrist, J.A.; Stahel, R.A., 1997: The 5-flanking region of the human CD24 gene has cell type-specific promoter activity in small cell lung cancer. Proceedings of the American Association for Cancer Research Annual Meeting 38(0): 187

Wildhagen K.; Rahn A.; Buhr Wildhagen S.; Brunner G., 1988: Fulminant liver failure after repeated halothane exposure halothane type ii damage as a model of drug induced autoaggression. Intensivmedizin 25(6): 244-247

Florini, J.R.; Tonelli, G.; Breuer, C.B.; Coppola, J.; Ringler, I.; Bell, P.H., 1966: Characterization and biological effects of purified placental protein (human). Endocrinology 79(4): 692-708

Nguyen, L.; Taylor-Gjevre, R.M., 2014: An emerging role for clarithromycin in adult-onset still disease?. Journal of Clinical Rheumatology 19(7): 420-420

Zuo, L.; Tan, Y.; Wang, Z.; Wang, K-Sheng.; Zhang, X.; Chen, X.; Li, C-Shan.R.; Wang, T.; Luo, X., 2016: Long noncoding RNAs in psychiatric disorders. Long noncoding RNAs (lncRNAs) are nonprotein coding transcripts longer than 200 nucleotides. Many of these lncRNAs have regulatory functions and have recently emerged as major players in governing fundamental biological processes. Here, we review...

Chan, C.C.; Roberge, R.G.; Whitcup, S.M.; Nussenblatt, R.B., 1995: 32 cases of sympathetic ophthalmia. A retrospective study at the National Eye Institute, Bethesda, Md., from 1982 to 1992. Objective: To examine the relationship between visual outcome and the clinical management of patients with sympathetic ophthalmia. Methods: Thirty-two patients with sympathetic ophthalmia who were seen at the National Eye Institute, Bethesda, Md,...