Quality of Life in Women Following Various Surgeries of Body Manipulation: Organ Transplantation, Mastectomy, and Breast Reconstruction

This study aimed to determine biopsychosocial differences (anxious-depressive symptomatology and quality of life) among three groups of patients who underwent surgical interventions related to body manipulation, as well as to assess the clinical significance of these results versus reference values....

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Veröffentlicht in:Journal of clinical psychology in medical settings 2013-09, Vol.20 (3), p.373-382
Hauptverfasser: Pérez-San-Gregorio, M. Angeles, Fernández-Jiménez, Eduardo, Martín-Rodríguez, Agustín, Borda-Más, Mercedes, Rincón-Fernández, M. Esther
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container_end_page 382
container_issue 3
container_start_page 373
container_title Journal of clinical psychology in medical settings
container_volume 20
creator Pérez-San-Gregorio, M. Angeles
Fernández-Jiménez, Eduardo
Martín-Rodríguez, Agustín
Borda-Más, Mercedes
Rincón-Fernández, M. Esther
description This study aimed to determine biopsychosocial differences (anxious-depressive symptomatology and quality of life) among three groups of patients who underwent surgical interventions related to body manipulation, as well as to assess the clinical significance of these results versus reference values. Four groups were compared: women who underwent organ transplant ( n  = 26), mastectomy for breast cancer ( n  = 36), breast reconstruction ( n  = 36), and general population ( n  = 608). The Hospital Anxiety and Depression Scale and the EORTC QLQ-C30 were used. Women who underwent mastectomy showed the highest anxious-depressive symptomatology and quality-of-life impairment in comparison to the remaining groups, and they also displayed the most clinically significant deterioration in the majority of dimensions (large effect sizes). In contrast, the group with implantation of a healthy organ (transplantation) only showed higher biopsychosocial impairment than the group with reconstruction of an organ (breast reconstruction) in gastrointestinal dysfunctions and in the global self-perception of health.
doi_str_mv 10.1007/s10880-013-9360-5
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subjects Amputation
Anxiety
Anxiety - psychology
Body image
Breast cancer
Cancer therapies
Chemotherapy
Clinical significance
Depression - psychology
Endocrine therapy
Family Medicine
Female
General Practice
Health Psychology
Humans
Intervention
Mammaplasty - psychology
Mastectomy
Mastectomy - psychology
Medical diagnosis
Medicine
Medicine & Public Health
Mental depression
Middle Aged
Organ Transplantation - psychology
Patient Satisfaction - statistics & numerical data
Psychiatric Status Rating Scales - statistics & numerical data
Quality of life
Quality of Life - psychology
Questionnaires
Self Concept
Self image
Sick leave
Sociodemographics
Surgery
Surveys and Questionnaires
Transplants & implants
Womens health
title Quality of Life in Women Following Various Surgeries of Body Manipulation: Organ Transplantation, Mastectomy, and Breast Reconstruction
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