Advertisement

European Journal of Plastic Surgery

, Volume 12, Issue 2, pp 214–218 | Cite as

Breast reconstruction: A psychological survey

  • A. Filiberti
  • A. Rimoldi
  • M. Tamburini
  • M. Callegari
  • M. Nava
  • V. Zanini
  • V. Ventafridda
  • A. Grisotti
Preliminary Report

Summary

A survey was conducted on 38 patients who chose to have breast reconstruction after mastectomy. Each patient was interviewed by means of a questionnaire to collect information about psychologic, psychosocial, and aesthetic results of breast reconstruction. Afterwards the patients were asked to draw a human figure. The Kareen Machower projective test was evaluated using the Witkin rating scale. Furthermore each patient received a personality test (MMPI). The personality tests were filled out also by a control group, consisting of 22 mastectomised patients. This study confirmed the positive action of this surgery on a great number of psychosocial variables. No statistical differences were found between the two groups, but a trend towards a significance was present on the Si scale (F=3.32, df=1,p=0.07), and on the Pa scale (F=2.96, df=1,p=0.09).

Key words

Breast reconstruction Psychology 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Clifford E, Clifford M, Georgeade N (1980) Social characteristics of patients seeking the procedure. Ann Plast Surg 5: 341PubMedCrossRefGoogle Scholar
  2. 2.
    Dean C, Chetty U, Forrest A (1983) Effects of immediate breast reconstruction on psychosocial morbidity after mastectomy. Lancet 1: 459PubMedCrossRefGoogle Scholar
  3. 3.
    Filiberti A, Tamburini M, Murru L, Lovo G, Arioli N, Ventafridda V, Grisotti A (1986) Psychologic effects and estetic results of breast reconstruction after mastectomy. Tumori 72: 585PubMedGoogle Scholar
  4. 4.
    Freeman E, Cash T, Winstead B (1984) Perceived changes in physical self-concept and marital and sexual relations in patients who have had mastectomy. Paper presented at The Meeting of The Society of Behavioral Medicine, PhiladelphiaGoogle Scholar
  5. 5.
    Goin M, Goin J (1981) Midlife reactions to mastectomy and subsequent breast reconstruction. Arch Gen Psychiatry 36: 225Google Scholar
  6. 6.
    Goin M, Goin J (1982) Psychosocial reactions to prophylactic mastectomy synchronous with controlateral breast carcinoma. Plast Reconstr Surg 70: 355PubMedCrossRefGoogle Scholar
  7. 7.
    Grisotti A, Callegari M, Nava M, Zanini V, Filiberti A (1987) Valutazione dell’esito ricostruttivo dopo mastectomia: giudizio a confronto paziente-chirurgo. Chirurgia Arch Trim 11: 231Google Scholar
  8. 8.
    Hathaway S, Mc Kinney J (1943) Minnesota Multiphasic Personality Inventory. The Psychological Corporation, New YorkGoogle Scholar
  9. 9.
    Lejour M, De Mey A, Mattheim W (1983) Local recurrence and metastases after 194 reconstructions. Chir Plast 7: 131CrossRefGoogle Scholar
  10. 10.
    Levinson J (1984) Breast reconstruction: a patient’s view. Plast Reconstr Surg 73: 703CrossRefGoogle Scholar
  11. 11.
    Noone B, Frazier T, Hayward C, Skiles M (1982) Patient acceptance of immediate reconstruction following mastectomy. Plast Reconstr Surg 69: 632PubMedGoogle Scholar
  12. 12.
    Rassaby J, Hill D (1983) Patients’ perception of breast reconstruction. Med J Aust 2: 173PubMedGoogle Scholar
  13. 13.
    Rowland J, Holland J (1984) Women with cancer: psychologic and immunologic perspective. Paper presented at The Meeting of The Society of Behavioral Medicine, PhiladelphiaGoogle Scholar
  14. 14.
    Schain W, Wellisch D, Pasnau R, Landsverk J (1985) The sooner and the better: a study of psychological factors in women undergoing immediate versus delayed breast reconstruction. Am J Psychiatry 142: 40PubMedGoogle Scholar
  15. 15.
    Stewens L, Mc Graft M, Druss R, Kister S, Grump F, Forde K (1984) The psychological impact of immediate breast reconstruction for women with early cancer. Plast Reconstr Surg 73: 619CrossRefGoogle Scholar
  16. 16.
    Wellisch D, Schain W, Noone B, Little J (1987) The psychological contribution of nipple addition in breast reconstruction. Plast Reconstr Surg 80: 699PubMedCrossRefGoogle Scholar
  17. 17.
    Wellisch D, Schain W, Noone B, Little J (1985) Psychosocial correlates of immediate versus delayed reconstruction of the breast. Plast Reconstr Surg 76: 713PubMedCrossRefGoogle Scholar
  18. 18.
    Witkin A (1962) Psychological differentiation. Wiley, New YorkGoogle Scholar
  19. 19.
    Zalon J (1981) I am whole again: the case for breast recomstruction after mastectomy. Random House, New YorkGoogle Scholar

Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • A. Filiberti
    • 1
  • A. Rimoldi
    • 1
  • M. Tamburini
    • 1
  • M. Callegari
    • 2
  • M. Nava
    • 2
  • V. Zanini
    • 2
  • V. Ventafridda
    • 1
  • A. Grisotti
    • 2
  1. 1.Pain Therapy and Palliative Care ServiceIstituto Nazionale Per Lo Studio e La Cura Dei TumoriMilanoItaly
  2. 2.Oncologic Reconstructive Surgery DepartmentIstituto Nazionale Per Lo Studio e La Cura Dei TumoriMilanoItaly

Personalised recommendations