Regret associated with the decision for breast reconstruction: The association of negative body image, distress and surgery characteristics with decision regret
Regret associated with the decision for breast reconstruction: The association of negative body image, distress and surgery characteristics with decision regret
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DOI：
10.1080/14768320601124899
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发表时间：
2008-01-01
影响因子：
3.3
通讯作者：
Boyages, John
中科院分区：
文献类型：
--
作者：
Sheehan, Joanne;Sherman, Kerry A.;Boyages, John
这项研究调查了 123 名被诊断患有乳腺癌的女性在乳房切除术后立即（58%）或延迟（42%）接受乳房重建的心理社会和手术因素对决定后悔的影响。大多数参与者（52.8%，n = 65）没有经历过决定后悔，27.6% 经历过轻度后悔，19.5% 经历过中度至强烈后悔。双变量分析表明，决策后悔与负面身体形象和心理困扰（侵入和回避）相关。在重建手术的方法或时间模式方面，后悔决定没有差异。多项逻辑回归分析表明，当控制情绪状态和自上次重建手术以来的时间时，负面身体形象的增加与经历决定后悔的可能性增加相关。这些发现强调需要外科医生和治疗师提供最佳投入，以促进对乳房重建结果的现实期望，并减少女性经历决定后悔的可能性。
This study investigated the influence of psychosocial and surgical factors on decision regret among 123 women diagnosed with breast cancer who had undergone immediate (58%) or delayed (42%) breast reconstruction following mastectomy. The majority of participants (52.8%, n = 65) experienced no decision regret, 27.6% experienced mild regret and 19.5% moderate to strong regret. Bivariate analyses indicated that decision regret was associated with negative body image and psychological distress - intrusion and avoidance. There were no differences in decision regret either with respect to methods or timing patterns of reconstructive surgery. Multinominal logistic regression analysis showed that, when controlling for mood state and time since last reconstructive procedure, increases in negative body image were associated with increased likelihood of experiencing decision regret. These findings highlight the need for optimal input from surgeons and therapists in order to promote realistic expectations regarding the outcome of breast reconstruction and to reduce the likelihood of women experiencing decision regret.