Support needs and acceptability of psychological and peer consultation: attitudes of 108 women who had undergone or were considering prophylactic mastectomy.
Support needs and acceptability of psychological and peer consultation: attitudes of 108 women who had undergone or were considering prophylactic mastectomy.
复制标题
支持需求和心理和同伴咨询的可接受性：108名经历或正在考虑预防性乳房切除术的妇女的态度。
DOI：
10.1002/pon.1279
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发表时间：
2008-08
期刊：
影响因子：
3.6
通讯作者：
Garber, Judy F.
中科院分区：
文献类型：
--
作者：
Patenaude, Andrea F.;Orozco, Sara;Li, Xiaochun;Kaelin, Carolyn M.;Gadd, Michelle;Matory, Yvedt;Mayzel, Kathleen;Roche, Constance A.;Smith, Barbara L.;Farkas, Walden;Garber, Judy F.
预防性乳房切除术(PM)使遗传风险增加的女性患乳腺癌的风险降低了90%或更多。尽管如此，北美的接受度一直很低(0-36%)。大多数女性报告术后癌症担忧减轻，但多达25%-50%选择手术的女性也报告在PM后心理困扰和/或适应困难帮助决策和改善手术后应对能力的心理咨询并不是常规做法。这项回顾性的横断面研究从数量和质量两个方面探讨了108名已经接受手术或正在考虑手术的女性对心理咨询的兴趣和对与PM相关的问题的可接受性。在71名接受过PM的女性中，超过一半的人认为术前心理咨询是可取的，近三分之二的人认为手术后心理咨询会有所帮助。所有正在考虑进行PM的37名女性(100%)都认为心理咨询有助于决策和手术准备。访谈的叙述说明了对心理支持的需要的性质和强度，并描述了对心理学家这一角色的偏好。为女性决定或适应PM提出了整合心理服务的建议
Prophylactic mastectomy (PM) offers 90% or greater reduction in risk of breast cancer to women at increased hereditary risk. Nonetheless, acceptance in North America has been low (0–36%). Most women report reduced cancer worry post-operatively, but up to 25–50% of women electing surgery also report psychological distress and/or difficulty adapting following PM. Psychological consultation to aid decision-making and improve post-surgical coping isn’t routinely offered. This retrospective, cross-sectional study explored, quantitatively and qualitatively, interest in and acceptability of psychological consultation for issues related to PM among 108 women who had undergone or were considering surgery. Of the 71 women who had undergone PM, more than half felt pre-surgical psychological consultation was advisable and nearly 2/3 felt post-surgical psychological consultation would be helpful. All 37 women (100%) currently considering PM believed psychological consultation would aid decision-making and preparation for surgery. Narratives from the interviews illustrate the nature and intensity of the need for psychological support and describe preferences for the role of the psychologist. Suggestions are offered for the integration of psychological services for women deciding about or adapting to PM.
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影响因子：
158.5
作者：
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通讯作者：
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