Investigation of mental health parameters and their relationship with satisfaction from breast reconstruction using expanders or autologous tissue in women with breast cancer.

Doctoral Dissertation uoadl:3397279 17 Read counter

Unit:
Faculty of Medicine
Library of the School of Health Sciences
Deposit date:
2024-04-25
Year:
2024
Author:
Tsantakis Vlasios
Dissertation committee:
Δημήτριος Α. Δημητρούλης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Νικόλαος Ι. Νικητέας, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Δημήτριος Β. Μαντάς, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Γεώργιος Χ. Σωτηρόπουλος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Κωνσταντίνος Χ. Κόντζογλου, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Γεράσιμος Σπ. Τσουρούφλης, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Στυλιανός Π. Κύκαλος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Διερεύνηση παραμέτρων της ψυχικής υγείας και της σχέσης τους με την ικανοποίηση από την αποκατάσταση με χρήση διατατήρων ή αυτόλογων ιστών σε γυναίκες με καρκίνο του μαστού
Languages:
Greek
Translated title:
Investigation of mental health parameters and their relationship with satisfaction from breast reconstruction using expanders or autologous tissue in women with breast cancer.
Summary:
Background: Breast cancer is the leading female cancer type in terms of incidence worldwide. It is a particularly intense and stressful experience, involving a multitude of negative effects on women's mental health. The long life expectancy of patients and the fact that it significantly affects their sexual identity dictate the need to develop relevant interventions to curb the negative effects. Breast reconstruction is proposed as a predominant strategy in this direction.
Aim: The aim of this study was to investigate the impact of breast reconstruction time on women's quality of life, self-esteem, feelings of guilt and shame.
Methodology: Data collection for the study was conducted from a sample of 150 women with breast cancer who had undergone reconstruction. Breast-Q, Rosenberg Self-Esteem Scale and State Shame and Guilt Scale questionnaires were used to study the above variables. Data analysis was performed using SPSS.
Results: Simultaneous mastectomy and reconstruction were associated with higher psychosocial and sexual well-being scores (p=0.014 & 0.016 respectively). No other quality of life parameters, but neither self-esteem, nor feelings of guilt, shame and pride were associated with having a mastectomy and reconstruction at the same time or not. Furthermore, for women who did not have simultaneous reconstruction, the time elapsed until reconstruction was not associated with quality of life, self-esteem, feelings of guilt, shame and pride.
Conclusions: This study highlights the necessity of simultaneous mastectomy and breast reconstruction as it is associated with higher psychosocial and sexual quality of life. Therefore, simultaneous breast reconstruction is imperative to be provided by insurance funds, thus leading to increased opportunities for women to undergo it.
Main subject category:
Health Sciences
Keywords:
Reconstruction, Breast cancer, Breast, Mental health, Self-esteem
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
161
Number of pages:
133
File:
File access is restricted until 2026-04-24.

Tsantakis-dissertation.pdf
2 MB
File access is restricted until 2026-04-24.