The decision-making process for breast reconstruction after cancer surgery: Representations of heterosexual couples in long-standing relationships

Autor: Bruno Quintard, Anna van Wersch, Aurélie Untas, Christel Vioulac, Léonor Fasse, Cécile Flahault, Kristopher Lamore
Přispěvatelé: Unité de psycho-oncologie ( UPO ), Département Interdisciplinaire de Soins de Support aux Patients en Onco-hématologie [Gustave Roussy] ( DISSPO ), Institut Gustave Roussy ( IGR ) -Institut Gustave Roussy ( IGR ), Laboratoire de psychopathologie et psychologie médicale ( LPPM ), Université de Bourgogne ( UB ), Laboratoire de Psychopathologie et Processus de Santé ( LPPS - EA 4057 ), Université Paris Descartes - Paris 5 ( UPD5 ), Teesside University, Cancer environnement ( EPICENE ), Bordeaux population health ( BPH ), Université de Bordeaux ( UB ) -Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Université de Bordeaux ( UB ) -Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale ( INSERM ), Unité de psycho-oncologie (UPO), Département Interdisciplinaire de Soins de Support aux Patients en Onco-hématologie [Gustave Roussy] (DISSPO), Institut Gustave Roussy (IGR)-Institut Gustave Roussy (IGR), Laboratoire de psychopathologie et psychologie médicale (LPPM), Université de Bourgogne (UB), Laboratoire de Psychopathologie et Processus de Santé (LPPS - EA 4057), Université Paris Descartes - Paris 5 (UPD5), Cancer environnement (EPICENE ), Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM)
Rok vydání: 2017
Předmět:
Mammaplasty
medicine.medical_treatment
[SHS.PSY]Humanities and Social Sciences/Psychology
[ SDV.CAN ] Life Sciences [q-bio]/Cancer
Developmental psychology
0302 clinical medicine
5. Gender equality
Prospective Studies
Survivors
030212 general & internal medicine
Decision-making
Function (engineering)
Mastectomy
Applied Psychology
media_common
couples
Family Characteristics
General Medicine
Middle Aged
Europe
Sexual Partners
Impact
030220 oncology & carcinogenesis
oncology
Female
Psychology
Breast reconstruction
Social psychology
Adult
reconstruction
media_common.quotation_subject
Decision Making
Breast Neoplasms
[SDV.CAN]Life Sciences [q-bio]/Cancer
Context (language use)
Time
[ SHS.PSY ] Humanities and Social Sciences/Psychology
03 medical and health sciences
Breast cancer
medicine
Humans
cancer
Women
Heterosexuality
Spouses
Aged
decision-making process
Stressor
medicine.disease
Adjustment
Body-image
Zdroj: British Journal of Health Psychology
British Journal of Health Psychology, Wiley, 2017, 22 (2), pp.254-269. 〈http://onlinelibrary.wiley.com/doi/10.1111/bjhp.12228/abstract〉. 〈10.1111/bjhp.12228〉
British Journal of Health Psychology, Wiley, 2017, 22 (2), pp.254-269. ⟨10.1111/bjhp.12228⟩
ISSN: 1359-107X
Popis: Objectives Most people deal with intrusive life events such as cancer and the care trajectory together with their intimate partners. To our knowledge, no research has studied the involvement of the partner in the decision-making process regarding breast reconstruction (BR) after cancer. This study aimed to gain a better understanding of the couples’ decision-making process for BR in the cancer context and particularly to investigate the partners’ involvement in this process. Method Eighteen participants (nine women who underwent a mastectomy following a first breast cancer and their intimate partners) took part in this study. We conducted semidirective interviews, and a general inductive approach was chosen to capture the representations of the couples. Results The women in the sample were aged between 33 and 66 years (M = 54, SD = 7.5) and their partner between 40 and 76 years (M = 59, SD = 11.6). The duration of their intimate relationship was on average 18 years (SD = 10.4; minimum = 4; maximum = 33). The analysis revealed 11 major themes. The two most salient ones were ‘external influence’ and ‘implication of the partner’. The exploration of the subthemes revealed that the decision-making process is often reported as an interrelated experience by the couples and as a dyadic stressor. The partner's role is depicted as consultative and mostly supportive. Conclusion These results provide new insights on the involvement of the partner in decision-making. Thus, it now seems crucial to develop a prospective study, which will help understand the progression of the decision-making process over time. Statement of contribution What is already known on this subject? Most people deal with intrusive life events such as cancer and the care trajectory together with their intimate partners. Shared decision-making between patients and physicians is now the ‘gold standard’ in Western Europe and the United States. However, in the context of breast reconstruction (BR) after cancer, factors guiding the decision-making process for BR, especially the potential involvement of the partner, are not very well understood. What does this study add? Provides a qualitative insight on the specific nature of heterosexual couples’ representations regarding the decision-making process for breast reconstruction after cancer. Reveals that the decision-making process is often reported as an interrelated experience by the couples and as a dyadic stressor. Underlines the consultative function of partners with women engaged in breast reconstruction.
Databáze: OpenAIRE
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