Psychological, sociodemographic, and clinicopathological predictors of breast cancer patients' decision to undergo breast reconstruction after mastectomy

Autor: Hatan Mortada, Azmi Marouf, Mahmoud G. Fakiha
Rok vydání: 2020
Předmět:
Adult
Counseling
medicine.medical_specialty
Patients
Cross-sectional study
media_common.quotation_subject
medicine.medical_treatment
Mammaplasty
Decision Making
lcsh:Medicine
Breast Neoplasms
030204 cardiovascular system & hematology
Anxiety
Hospital Anxiety and Depression Scale
03 medical and health sciences
0302 clinical medicine
Breast cancer
breast cancer
Internal medicine
Surveys and Questionnaires
medicine
Personality
Humans
breast reconstruction
030212 general & internal medicine
Depression (differential diagnoses)
media_common
Physician-Patient Relations
business.industry
Depression
lcsh:R
Age Factors
mastectomy
General Medicine
Middle Aged
medicine.disease
Cross-Sectional Studies
Socioeconomic Factors
Female
Original Article
medicine.symptom
business
Breast reconstruction
Mastectomy
Zdroj: Saudi Medical Journal
Saudi Medical Journal, Vol 41, Iss 3, Pp 267-274 (2020)
ISSN: 0379-5284
Popis: Objectives: To examine the influence of socioeconomic factors, anxiety, depression, and personality traits on the decision to undergo breast reconstruction (BR) post mastectomy. Methods : In this cross-sectional study, adult female breast cancer (BC) patients who had undergone a mastectomy between January 2017 and 2019 were interviewed using a 46-item questionnaire at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. The questionnaire was divided into 5 sections: demographic data, personality traits, the Narcissism Index (NI), and the Hospital Anxiety and Depression Scale (HADS). Results : The sample (N=196; mean age: 48.44 [± 9.87] years, opted for BR: 60.2%, with chronic diseases: 36.7%, Saudi nationals: 43.9%) obtained means of 4.17 (± 2.81) on NI score, 7.72 (± 4.88) on anxiety score, and 5.78 (± 4.65) on depression score. Group differences in age, depression, lymph node involvement, and 2 personality traits emerged. Conclusion : Age and depression significantly influenced the decision to undergo BR. Women who had opted for BR tended to be younger, be less depressed, and be characterized by lesser nodal involvement. Personality traits also influenced the decision to undergo BR. Diagnosing and treating depressed patients is an important component. A patient’s age should not deter physicians from counselling them about BR. Saudi Med J 2020; Vol. 41 (3): 267-274 doi: 10.15537/smj.2020.3.24946 How to cite this article: Marouf A, Mortada H, Fakiha MG. Psychological, sociodemographic, and clinicopathological predictors of breast cancer patients' decision to undergo breast reconstruction after mastectomy. Saudi Med J . 2020 Mar;41(3):267-274. doi: 10.15537/smj.2020.3.24946.
Databáze: OpenAIRE
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