Breast Reconstruction and Body Image: Psychotherapeutic Aspects

1991 ◽  
pp. 48-55
Author(s):  
F. Bogaerts ◽  
W. Boeckx ◽  
P. Nijs
Keyword(s):  
Body Image ◽  
Breast Reconstruction

Supporting patients considering reconstructive surgery

2017 ◽  
Author(s):  
Diana Harcourt ◽  
Alex Clarke
Keyword(s):  
Body Image ◽  
Breast Reconstruction ◽  
Reconstructive Surgery ◽  
Negative Impact ◽  
Sense Of Self ◽  
Decision Aids ◽  
Well Being ◽  
Shared Decision ◽  
Significant Negative Impact

Cancer diagnosis and treatment can have a significant negative impact on patients’ well-being, body image, sexuality, and sense of self. Reconstructive surgery is commonly assumed to offer improved body image and quality of life to patients whose appearance has altered as a result of cancer treatment, but deciding whether or not to undergo reconstructive surgery can be difficult. This chapter uses the example of breast reconstruction to consider the ways in which patients faced with complex decisions about appearance-altering reconstructive surgery might be helped to make the choice that is best for them. It outlines typical options around the type and timing of breast reconstruction, considers patients’ motivation for surgery, and satisfaction with the outcome. It then explores ways of helping them make their decision, highlighting the use of decision aids and interventions focused around patients’ expectations of surgery as a way of facilitating shared decision-making in this context.

Anxiety and Body Satisfaction before and Six Months after Mastectomy and Breast Reconstruction Surgery

2007 ◽  
Vol 101 (1) ◽  
pp. 100-106 ◽  
Author(s):  
Ornella Montebarocci ◽  
Federica Lo Dato ◽  
Bruno Baldaro ◽  
Paolo Morselli ◽  
Nicolino C. F. Rossi
Keyword(s):  
Body Image ◽  
Breast Reconstruction ◽  
Body Satisfaction ◽  
The Body ◽  
Unexpected Finding ◽  
Satisfaction Scale ◽  
Subjective Perceptions ◽  
Psychological Reaction ◽  
History Of ◽  
Reconstruction Period

As breast reconstruction is an important adjunct after mastectomy to regain physical integrity and also to improve affect, the present aim was to evaluate patients' subjective perceptions of body image during the whole breast reconstruction period and to assess the importance of their psychological reaction in terms of negative affectivity. Participants were 62 women, 43 women ( M age = 46.4, SD = 9.8) who had had mastectomies and 19 healthy women ( M age = 39.9, SD= 13.99). Patients were admitted for surgery at the Hospital S. Orsola in Bologna. Healthy subjects were relatives of the women and students, all with no history of breast pathology. The Body Satisfaction Scale and the State Anxiety Inventory-Y were administered to the two groups before, post, and 6 mo. after surgery. Analysis of scores indicated that during the period of the study, the women with mastectomies reported higher anxiety and also greater dissatisfaction with their body image than the healthy group, even when the breast had been reconstructed. This unexpected finding suggests patients' unrealistic expectations of the breast reconstruction and the surgical outcome.

scholarly journals Associations between Reoperations and Psychological Factors after Contralateral Risk-Reducing Mastectomy: A Two-Year Follow-Up Study

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Dmytro Unukovych ◽  
Marie Wickman ◽  
Kerstin Sandelin ◽  
Brita Arver ◽  
Hemming Johansson ◽  
...  
Keyword(s):  
Body Image ◽  
Breast Reconstruction ◽  
Depression Scale ◽  
The Body ◽  
Body Image Scale ◽  
Related Quality ◽  
Health Related ◽  
Risk Reducing ◽  
Image Problems

Introduction. The aim of the study was to investigate associations between reoperations after contralateral risk-reducing mastectomies (CRRM) and emotional problems, body image, sexuality, and health related quality of life (HRQoL) in women with breast cancer and hereditary high risk.Patients and Methods. Patients scheduled for CRRM with breast reconstruction between 1998 and 2010 completed questionnaires, comprised of SF-36, the Hospital Anxiety and Depression Scale, the Body Image Scale, and the Sexual Activity Questionnaire, preoperatively and two years after CRRM. Data on reoperations was collected from medical charts.Results. A total of 80 women participated, with a response rate of 61 (76%) preoperatively and 57 (71%) at the two-year follow-up. At the two-year assessment, 44 (55%) patients had undergone ≥1 reoperation (reoperation group), whereas 36 (45%) had not (no reoperation group). No statistically significant differences between the groups were found for HRQoL, sexuality, anxiety, or depression. A higher proportion of patients in the “reoperation group” reported being dissatisfied with their bodies (81% versus 48%,p=0.01).Conclusion. The results suggest associations between reoperation following CRRM with breast reconstruction and body image problems. Special attention should be paid to body image problems among women who are subject to reoperations after CRRM.

Body image issues after bilateral prophylactic mastectomy with breast reconstruction in healthy women at risk for hereditary breast cancer

2012 ◽  
Vol 12 (3) ◽  
pp. 479-487 ◽  
Author(s):  
Jessica P. Gopie ◽  
Marc A. M. Mureau ◽  
Caroline Seynaeve ◽  
Moniek M. ter Kuile ◽  
Marian B. E. Menke-Pluymers ◽  
...  
Keyword(s):  
Breast Cancer ◽  
At Risk ◽  
Body Image ◽  
Breast Reconstruction ◽  
Hereditary Breast Cancer ◽  
Prophylactic Mastectomy ◽  
Healthy Women ◽  
Bilateral Prophylactic Mastectomy ◽  
Body Image Issues

scholarly journals Partners’ perceptions of women’s body image problems and satisfaction of breast reconstruction long-term after risk-reducing mastectomy

2018 ◽  
Vol 29 ◽  
pp. viii557-viii558 ◽  
Author(s):  
L. Bai ◽  
B. Arver ◽  
H. Johansson ◽  
M. Wickman ◽  
K. Sandelin ◽  
...  
Keyword(s):  
Body Image ◽  
Breast Reconstruction ◽  
Women's Body Image ◽  
Risk Reducing ◽  
Image Problems

Body image and psychological distress after prophylactic mastectomy and breast reconstruction in genetically predisposed women: A prospective long-term follow-up study

2012 ◽  
Vol 48 (9) ◽  
pp. 1263-1268 ◽  
Author(s):  
Mariska den Heijer ◽  
Caroline Seynaeve ◽  
Reinier Timman ◽  
Hugo J. Duivenvoorden ◽  
Kathleen Vanheusden ◽  
...  
Keyword(s):  
Body Image ◽  
Psychological Distress ◽  
Breast Reconstruction ◽  
Prophylactic Mastectomy ◽  
Follow Up Study ◽  
Long Term Follow Up
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