Impact of delayed implant and DIEP flap breast reconstruction on body image and sexual satisfaction: a prospective follow-up study
Objective Prospective studies regarding the psychosexual impact after different types of breast reconstruction (BR) are scarce. The impact of either implant or deep inferior epigastric artery perforator (DIEP) flap BR on body image and sexual relationship satisfaction was investigated in time. Metho...
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| Veröffentlicht in: | Psycho-oncology (Chichester, England) England), 2014-01, Vol.23 (1), p.100-107 |
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| creator | Gopie, Jessica P. ter Kuile, Moniek M. Timman, Reinier Mureau, Marc A. M. Tibben, Aad |
| description | Objective
Prospective studies regarding the psychosexual impact after different types of breast reconstruction (BR) are scarce. The impact of either implant or deep inferior epigastric artery perforator (DIEP) flap BR on body image and sexual relationship satisfaction was investigated in time.
Methods
At baseline, 98 women opting for delayed implant or DIEP flap BR after mastectomy for breast cancer completed a survey. The majority was followed up at 6 months (96%) and 20 months (86%) postoperatively. Questionnaires included the body image scale, Dutch Relationship Questionnaire, Short Form – 36 Health Survey and the Impact of Event Scale.
Results
Mixed modeling analyses indicated that preoperative body image improved significantly after 20 months (p |
| doi_str_mv | 10.1002/pon.3377 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1520326882</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1490741311</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4867-e93119ad10955376110873c8b4b59e41bb5b190faa0feeafdf746c8a3e763d563</originalsourceid><addsrcrecordid>eNqNkk9rFTEUxYMotraCn0ACbrqZmkz-TdxJre89qG0FRXETMpMbmTpvMk4ybWfrJzfT1gpuLARuQn73ck5yEHpBySElpHw9hP6QMaUeoV1KtC6opPTxsheq0CXXO-hZjBeEZFjLp2inZLpimdxFvzbbwTYJB48ddHYGh9vt0Nk-Yds7_G5zfI59Zwdcj2BjwiM0oY9pnJrUhh7nVQc35x77HW46IlxPtsPRpjZ6e0O9wRYPY4gD5OMlYB-6LlwV04Bjmty8j55420V4flf30Of3x5-O1sXJ2Wpz9PakaHglVQGaUaqty7KFYCo7JJViTVXzWmjgtK5FTTXx1hIPYL3zisumsgyUZE5ItocObudmLT8niMls29hAl81CmKKhoiSslFVVPgAlohQlJ_z_KNdEcZq1Z_TVP-hFmMY-e86UkpUkVC0yX95RU70FZ4YxP-44mz9_loHiFrhqO5jv7ykxSxZMzoJZsmDOz06X-pdvY4Lre96OP4xUTAnz5XRlyPor-7D-9tGs2G-EhrSN</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1476860176</pqid></control><display><type>article</type><title>Impact of delayed implant and DIEP flap breast reconstruction on body image and sexual satisfaction: a prospective follow-up study</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Gopie, Jessica P. ; ter Kuile, Moniek M. ; Timman, Reinier ; Mureau, Marc A. M. ; Tibben, Aad</creator><creatorcontrib>Gopie, Jessica P. ; ter Kuile, Moniek M. ; Timman, Reinier ; Mureau, Marc A. M. ; Tibben, Aad</creatorcontrib><description>Objective
Prospective studies regarding the psychosexual impact after different types of breast reconstruction (BR) are scarce. The impact of either implant or deep inferior epigastric artery perforator (DIEP) flap BR on body image and sexual relationship satisfaction was investigated in time.
Methods
At baseline, 98 women opting for delayed implant or DIEP flap BR after mastectomy for breast cancer completed a survey. The majority was followed up at 6 months (96%) and 20 months (86%) postoperatively. Questionnaires included the body image scale, Dutch Relationship Questionnaire, Short Form – 36 Health Survey and the Impact of Event Scale.
Results
Mixed modeling analyses indicated that preoperative body image improved significantly after 20 months (p < 0.001), and there was no statistically significant difference between the two types of BR. A better body image was related to a better general mental health (p = 0.02), less cancer distress (p < 0.001) and a higher partner relationship satisfaction (p < 0.001). Sexual relationship satisfaction also increased after 20 months (p = 0.01), and it was positively related to higher partner relationship satisfaction but negatively affected by hormonal therapy.
Conclusions
Body image and sexual relationship satisfaction significantly improved after BR, and this was not related to the BR type. Psychosexual consequences from previous cancer treatment may interfere. Lower general mental health, higher cancer distress, less partner relationship satisfaction or receiving hormonal therapy can negatively affect body image or sexual relationship satisfaction. Copyright © 2013 John Wiley & Sons, Ltd.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.3377</identifier><identifier>PMID: 23983109</identifier><identifier>CODEN: POJCEE</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Body image ; Body Image - psychology ; Breast cancer ; Breast Implants - psychology ; Breast reconstruction ; Cancer ; Female ; Follow-Up Studies ; Hormone replacement therapy ; Human body ; Humans ; Implants ; Mammaplasty - psychology ; Mastectomy ; Mastectomy - psychology ; Mental health ; Middle Aged ; oncology ; partner relationship ; Personal relationships ; Personal Satisfaction ; Plastic surgery ; Prospective Studies ; Sexual behavior ; Sexual Behavior - psychology ; Sexual relationships ; sexual satisfaction ; Surveys and Questionnaires ; Time Factors</subject><ispartof>Psycho-oncology (Chichester, England), 2014-01, Vol.23 (1), p.100-107</ispartof><rights>Copyright © 2013 John Wiley & Sons, Ltd.</rights><rights>Copyright Wiley Subscription Services, Inc. Jan 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4867-e93119ad10955376110873c8b4b59e41bb5b190faa0feeafdf746c8a3e763d563</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.3377$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.3377$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,30977,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23983109$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gopie, Jessica P.</creatorcontrib><creatorcontrib>ter Kuile, Moniek M.</creatorcontrib><creatorcontrib>Timman, Reinier</creatorcontrib><creatorcontrib>Mureau, Marc A. M.</creatorcontrib><creatorcontrib>Tibben, Aad</creatorcontrib><title>Impact of delayed implant and DIEP flap breast reconstruction on body image and sexual satisfaction: a prospective follow-up study</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psycho-Oncology</addtitle><description>Objective
Prospective studies regarding the psychosexual impact after different types of breast reconstruction (BR) are scarce. The impact of either implant or deep inferior epigastric artery perforator (DIEP) flap BR on body image and sexual relationship satisfaction was investigated in time.
Methods
At baseline, 98 women opting for delayed implant or DIEP flap BR after mastectomy for breast cancer completed a survey. The majority was followed up at 6 months (96%) and 20 months (86%) postoperatively. Questionnaires included the body image scale, Dutch Relationship Questionnaire, Short Form – 36 Health Survey and the Impact of Event Scale.
Results
Mixed modeling analyses indicated that preoperative body image improved significantly after 20 months (p < 0.001), and there was no statistically significant difference between the two types of BR. A better body image was related to a better general mental health (p = 0.02), less cancer distress (p < 0.001) and a higher partner relationship satisfaction (p < 0.001). Sexual relationship satisfaction also increased after 20 months (p = 0.01), and it was positively related to higher partner relationship satisfaction but negatively affected by hormonal therapy.
Conclusions
Body image and sexual relationship satisfaction significantly improved after BR, and this was not related to the BR type. Psychosexual consequences from previous cancer treatment may interfere. Lower general mental health, higher cancer distress, less partner relationship satisfaction or receiving hormonal therapy can negatively affect body image or sexual relationship satisfaction. Copyright © 2013 John Wiley & Sons, Ltd.</description><subject>Body image</subject><subject>Body Image - psychology</subject><subject>Breast cancer</subject><subject>Breast Implants - psychology</subject><subject>Breast reconstruction</subject><subject>Cancer</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hormone replacement therapy</subject><subject>Human body</subject><subject>Humans</subject><subject>Implants</subject><subject>Mammaplasty - psychology</subject><subject>Mastectomy</subject><subject>Mastectomy - psychology</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>oncology</subject><subject>partner relationship</subject><subject>Personal relationships</subject><subject>Personal Satisfaction</subject><subject>Plastic surgery</subject><subject>Prospective Studies</subject><subject>Sexual behavior</subject><subject>Sexual Behavior - psychology</subject><subject>Sexual relationships</subject><subject>sexual satisfaction</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><issn>1057-9249</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkk9rFTEUxYMotraCn0ACbrqZmkz-TdxJre89qG0FRXETMpMbmTpvMk4ybWfrJzfT1gpuLARuQn73ck5yEHpBySElpHw9hP6QMaUeoV1KtC6opPTxsheq0CXXO-hZjBeEZFjLp2inZLpimdxFvzbbwTYJB48ddHYGh9vt0Nk-Yds7_G5zfI59Zwdcj2BjwiM0oY9pnJrUhh7nVQc35x77HW46IlxPtsPRpjZ6e0O9wRYPY4gD5OMlYB-6LlwV04Bjmty8j55420V4flf30Of3x5-O1sXJ2Wpz9PakaHglVQGaUaqty7KFYCo7JJViTVXzWmjgtK5FTTXx1hIPYL3zisumsgyUZE5ItocObudmLT8niMls29hAl81CmKKhoiSslFVVPgAlohQlJ_z_KNdEcZq1Z_TVP-hFmMY-e86UkpUkVC0yX95RU70FZ4YxP-44mz9_loHiFrhqO5jv7ykxSxZMzoJZsmDOz06X-pdvY4Lre96OP4xUTAnz5XRlyPor-7D-9tGs2G-EhrSN</recordid><startdate>201401</startdate><enddate>201401</enddate><creator>Gopie, Jessica P.</creator><creator>ter Kuile, Moniek M.</creator><creator>Timman, Reinier</creator><creator>Mureau, Marc A. M.</creator><creator>Tibben, Aad</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201401</creationdate><title>Impact of delayed implant and DIEP flap breast reconstruction on body image and sexual satisfaction: a prospective follow-up study</title><author>Gopie, Jessica P. ; ter Kuile, Moniek M. ; Timman, Reinier ; Mureau, Marc A. M. ; Tibben, Aad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4867-e93119ad10955376110873c8b4b59e41bb5b190faa0feeafdf746c8a3e763d563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Body image</topic><topic>Body Image - psychology</topic><topic>Breast cancer</topic><topic>Breast Implants - psychology</topic><topic>Breast reconstruction</topic><topic>Cancer</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hormone replacement therapy</topic><topic>Human body</topic><topic>Humans</topic><topic>Implants</topic><topic>Mammaplasty - psychology</topic><topic>Mastectomy</topic><topic>Mastectomy - psychology</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>oncology</topic><topic>partner relationship</topic><topic>Personal relationships</topic><topic>Personal Satisfaction</topic><topic>Plastic surgery</topic><topic>Prospective Studies</topic><topic>Sexual behavior</topic><topic>Sexual Behavior - psychology</topic><topic>Sexual relationships</topic><topic>sexual satisfaction</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gopie, Jessica P.</creatorcontrib><creatorcontrib>ter Kuile, Moniek M.</creatorcontrib><creatorcontrib>Timman, Reinier</creatorcontrib><creatorcontrib>Mureau, Marc A. M.</creatorcontrib><creatorcontrib>Tibben, Aad</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gopie, Jessica P.</au><au>ter Kuile, Moniek M.</au><au>Timman, Reinier</au><au>Mureau, Marc A. M.</au><au>Tibben, Aad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of delayed implant and DIEP flap breast reconstruction on body image and sexual satisfaction: a prospective follow-up study</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psycho-Oncology</addtitle><date>2014-01</date><risdate>2014</risdate><volume>23</volume><issue>1</issue><spage>100</spage><epage>107</epage><pages>100-107</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><coden>POJCEE</coden><abstract>Objective
Prospective studies regarding the psychosexual impact after different types of breast reconstruction (BR) are scarce. The impact of either implant or deep inferior epigastric artery perforator (DIEP) flap BR on body image and sexual relationship satisfaction was investigated in time.
Methods
At baseline, 98 women opting for delayed implant or DIEP flap BR after mastectomy for breast cancer completed a survey. The majority was followed up at 6 months (96%) and 20 months (86%) postoperatively. Questionnaires included the body image scale, Dutch Relationship Questionnaire, Short Form – 36 Health Survey and the Impact of Event Scale.
Results
Mixed modeling analyses indicated that preoperative body image improved significantly after 20 months (p < 0.001), and there was no statistically significant difference between the two types of BR. A better body image was related to a better general mental health (p = 0.02), less cancer distress (p < 0.001) and a higher partner relationship satisfaction (p < 0.001). Sexual relationship satisfaction also increased after 20 months (p = 0.01), and it was positively related to higher partner relationship satisfaction but negatively affected by hormonal therapy.
Conclusions
Body image and sexual relationship satisfaction significantly improved after BR, and this was not related to the BR type. Psychosexual consequences from previous cancer treatment may interfere. Lower general mental health, higher cancer distress, less partner relationship satisfaction or receiving hormonal therapy can negatively affect body image or sexual relationship satisfaction. Copyright © 2013 John Wiley & Sons, Ltd.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>23983109</pmid><doi>10.1002/pon.3377</doi><tpages>8</tpages></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Body image Body Image - psychology Breast cancer Breast Implants - psychology Breast reconstruction Cancer Female Follow-Up Studies Hormone replacement therapy Human body Humans Implants Mammaplasty - psychology Mastectomy Mastectomy - psychology Mental health Middle Aged oncology partner relationship Personal relationships Personal Satisfaction Plastic surgery Prospective Studies Sexual behavior Sexual Behavior - psychology Sexual relationships sexual satisfaction Surveys and Questionnaires Time Factors |
| title | Impact of delayed implant and DIEP flap breast reconstruction on body image and sexual satisfaction: a prospective follow-up study |
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