Psychosocial Predictors and Outcomes of Delayed Breast Reconstruction in Mastectomized Women in Mainland China: An Observational Study

Zhang, Yi; Xu, Hua; Wang, Tao; He, Jinguang; Qiao, Ye; Wei, Jiao; Dong, Jie

doi:10.1371/journal.pone.0144410

Cited by 11 publications

(10 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The various parameters associated with HRQoL such as depression, pain, self-esteem, and body image showed a statistically significant improvement in women who underwent breast reconstruction. 12 Thus, the observation of this study correlates with the observations reported in the Middle East that breast reconstruction is one of the effective ways of coping in post-mastectomy patients. However, a multitude of factors could be responsible for lack of coping in women who undergo mastectomy and do not opt for breast reconstruction.…”

Section: Resultssupporting

confidence: 88%

“…33 In the present review, breast reconstruction postmastectomy was observed as a significant coping strategy to improve the overall quality of life post-mastectomy. 12,[18][19][20][21] Although there is no consensus reached on this, it is still widely considered a safer option. A systematic review conducted on the same observed the reconstruction rates are highly variable in women.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Coping in Post-Mastectomy Breast Cancer Survivors and Need for Intervention: Systematic Review

Mishra,

Nair,

Sharan

2023

Breast Cancer�(Auckl)

View full text Add to dashboard Cite

Background: Breast cancer is the most prominent cancer type to affect women. Surgical treatment of invasive breast cancers involves mastectomy. Due to mastectomy, women are subjected to social, emotional, and cultural problems which need to be addressed. Objective: The objective of the study is to understand how women cope with body image–related issues, trauma, anxiety, and depression post-mastectomy. Design: A systematic literature review was conducted for understanding the coping in post-mastectomy patients. The methods for identifying the studies were based on Preferred Reporting Items for Systematic reviews and Meta-analysis (PRISMA) guidelines. Databases: Medline/PubMed, PsycInfo, and Cochrane databases were used for searching relevant articles. A final of 19 studies were analyzed for the work. Methods: Search strings such as “coping strategies and post mastectomy,” “body image coping and post mastectomy” and “anxiety coping and post mastectomy” were used for identification of references from databases. Eligibility criteria were used for finalizing the references. Results: Analysis of the 19 studies has clearly shown that women who undergo mastectomy suffer from anxiety, stress, and trauma. This study has observed that women have problems with their body image post-mastectomy along with bouts of depression. Self-coping has been observed in relatively few studies. Psychological interventions before surgery have been observed to be a better coping strategy. In most of the studies, women opted for breast reconstruction to overcome the trauma associated with mastectomy. Conclusion: Mastectomy has a severe impact on women’s appearance and psychology. Breast reconstruction and acceptance have played an important role in coping among these women. However, breast reconstruction is not accepted by many women due to a multitude of factors. Thus, it is essential to have proper intervention programs in place to ensure women can cope with this situation and can lead healthy lives. Registration: Systematic literature review (SLR) is submitted to PROSPERO. The application confirmation number is 449135. Registration awaited from the database.

show abstract

Section: Resultssupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Coping in Post-Mastectomy Breast Cancer Survivors and Need for Intervention: Systematic Review

Mishra,

Nair,

Sharan

2023

Breast Cancer�(Auckl)

View full text Add to dashboard Cite

show abstract

“…An indication for this explanation was also provided by Yang et al who reported no differences in satisfaction between the various types two years after the reconstruction and noted that complications played a significant role [36]. A finding that was not replicated by Zhang et al who reported a non-significant relation between complications and satisfaction [37]. During the entire BR course DIEP flap BR patients reported lower anxiety distress scores than implant BR patients, this could be caused by the longer time between mastectomy and BR [38].…”

Section: Discussionmentioning

confidence: 99%

Most women recover from psychological distress after postoperative complications following implant or DIEP flap breast reconstruction: A prospective long-term follow-up study

et al. 2017

View full text Add to dashboard Cite

BackgroundSubstantial complication rates after postmastectomy breast reconstruction (BR) in breast cancer patients have been reported. Few studies have reported on the resulting psychological distress (PD) and satisfaction with the aesthetic result in relation to postoperative complications after completion of implant or DIEP flap BR. The present study investigated whether women were able to recover from complication related distress in the long term.MethodsPD was prospectively measured using questionnaires regarding anxiety, depression and cancer distress. Eligible patients completed questionnaires before BR (T0, n = 144), after one month (T1, n = 139) and after completion of BR, approximately 21 months after initial reconstructive surgery (T2, n = 119). Satisfaction with the aesthetic result was assessed 21 months after BR. Data concerning complications, subsequent additional surgery and total reconstruction failure up to T2 were collected from the medical records. Analyses were performed using multi-level regression analyses correcting for age.ResultsOne or more complications occurred in 61 patients (42%) and 50 women required subsequent surgery (35%). In time, mean PD significantly declined towards baseline scores independent of complications. However, a total reconstruction failure (n = 10) was significantly associated with a large temporary increase in depression scores. After additional surgery due to complications patients were less satisfied with aesthetic outcome, although patient satisfaction was independent of PD.ConclusionsPD outcomes generally declined to normal levels after completion of the entire BR course. Patients experiencing a total reconstruction failure reported more depression after this loss, but in the long term recovered to the same level as women without complications. These findings indicate that women generally can cope efficiently with these serious adverse events, even if they were less satisfied with the aesthetic result.

show abstract

“…Um grupo de apoio a mulheres mastectomizadas tem como objetivos o apoio social e o compartilhamento de informações, oferecendo um local propício ao diálogo reflexivo sobre o câncer de mama e a mastectomia, trocando experiências e dúvidas sobre o enfretamento da situação que cada uma está vivenciando, conseguindo favorecer a confiança e melhor retorno e adaptação ao convívio social (12) . Ademais, melhora a sexualidade e a autoestima (7) , que são muito afetadas após a realização da cirurgia (13) . O grupo de apoio promove, ainda, esperança para as mulheres (14) .…”

Section: Revista Enfermagem Atual In Derme -Especial 2019; 87unclassified

Mastectomia e o sistema de enfrentamento feminino: nuances do apoio social e familiar

Pereira¹,

Silva²,

Galiza³

et al. 2019

Rev. Enferm. Atual In Derme

View full text Add to dashboard Cite

Objetivou-se descrever as percepções de mulheres que realizaram mastectomia acerca do grupo de apoio e do suportefamiliar e social. Trata-se de um estudo qualitativo de natureza descritiva, realizado com participantes de um grupo deapoio localizado em Cajazeiras/PB. Participaram do estudo 10 mulheres, entrevistadas com auxílio de um gravador de voze de um roteiro semiestruturado. Para o tratamento dos dados optou-se pela técnica de Análise de Conteúdo. Constatou-se que o grupo de apoio foi de grande ajuda para uma melhor aceitação da doença, como também auxiliou em umagrande troca de experiências e aprendizado pelas envolvidas. No que diz respeito ao suporte familiar e social, boa partedas mulheres elencou a família como de extrema importância em todo o processo de enfrentamento. Entretanto percebeu-se que ainda há uma influência negativa direta nas relações matrimoniais. Evidencia-se a necessidade da abordagemda mastectomia de forma a refletir sobre os impactos nas dimensões das pacientes, indo de encontro, inclusive, às áreaspsicológica e social.Palavras-chave: Neoplasias da Mama; Mastectomia; Saúde da Mulher.ABSTRACT:The aim of this study was to describe the perceptions of women who underwent mastectomy on the support group andon family and social support. It is a qualitative study of descriptive nature, carried out with participants of a support grouplocated in Cajazeiras/PB. Ten women, interviewed with a voice recorder and a semi-structured script, participated in thestudy. For the treatment of the data we opted for the technique of Content Analysis. It was found that the support groupwas of great help for a better acceptance of the disease, but also aided in a great exchange of experiences and learning bythose involved. Regarding family and social support, many of the women listed the family as extremely important in theentire coping process. However, it has been realized that there is still a direct negative influence on marriage relationships.The need for a mastectomy approach is evident in order to reflect on the impacts on the patients’ dimensions, even tothe psychological and social areas.Keywords: Breast Neoplasms; Mastectomy; Women’s Health.

show abstract

Psychosocial Predictors and Outcomes of Delayed Breast Reconstruction in Mastectomized Women in Mainland China: An Observational Study

Cited by 11 publications

References 51 publications

Coping in Post-Mastectomy Breast Cancer Survivors and Need for Intervention: Systematic Review

Coping in Post-Mastectomy Breast Cancer Survivors and Need for Intervention: Systematic Review

Most women recover from psychological distress after postoperative complications following implant or DIEP flap breast reconstruction: A prospective long-term follow-up study

Mastectomia e o sistema de enfrentamento feminino: nuances do apoio social e familiar

Contact Info

Product

Resources

About