Partner relationships after mastectomy in women not offered breast reconstruction
Identifieur interne : 007815 ( Istex/Corpus ); précédent : 007814; suivant : 007816Partner relationships after mastectomy in women not offered breast reconstruction
Auteurs : Ewa Andrzejczak ; Krystyna Markocka-M Czka ; Andrzej LewandowskiSource :
- Psycho‐Oncology [ 1057-9249 ] ; 2013-07.
Abstract
The present study assessed the degree to which undergoing a mastectomy without reconstructive surgery negatively impacts the patient's psychological state. We focus on body image and self‐esteem as well as the influence of mastectomy on patient sex lives and partnership relations.
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DOI: 10.1002/pon.3197
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Ltd</publisher><availability><licence>Copyright © 2012 John Wiley & Sons, Ltd.</licence></availability><date type="published" when="2013-07"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Partner relationships after mastectomy in women not offered breast reconstruction</title><title level="a" type="short">Partnerships relations after mastectomy</title><author xml:id="author-0000"><persName><forename type="first">Ewa</forename><surname>Andrzejczak</surname></persName><affiliation><orgName>Silesian Piasts University of Medicine in Wrocław</orgName><orgName>Department of Gastrointestinal and General Surgery</orgName><address><settlement type="city">Wrocław</settlement><country key="PL">Poland</country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Krystyna</forename><surname>Markocka‐Mączka</surname></persName><affiliation><orgName>Silesian Piasts University of Medicine in Wrocław</orgName><orgName>Department of Gastrointestinal and General Surgery</orgName><address><settlement type="city">Wrocław</settlement><country key="PL">Poland</country></address></affiliation></author><author xml:id="author-0002" role="corresp"><persName><forename type="first">Andrzej</forename><surname>Lewandowski</surname></persName><affiliation><orgName>Silesian Piasts University of Medicine in Wrocław</orgName><orgName>Department of Gastrointestinal and General Surgery</orgName><address><settlement type="city">Wrocław</settlement><country key="PL">Poland</country></address></affiliation><affiliation>Correspondence to: Silesian Piasts University of Medicine in Wrocław, Department of Gastrointestinal and General Surgery, ul. Sklodowskiej‐Curie 66, 50‐369 Wrocław, Poland. E‐mail: a_lewandowski@op.pl</affiliation></author><idno type="istex">FFCB6CC05C9D8273F7595CA8801C7CD6B0F5B3E8</idno><idno type="DOI">10.1002/pon.3197</idno><idno type="unit">PON3197</idno><idno type="toTypesetVersion">file:PON.PON3197.pdf</idno></analytic><monogr><title level="j" type="main">Psycho‐Oncology</title><title level="j" type="alt">PSYCHO-ONCOLOGY</title><idno type="pISSN">1057-9249</idno><idno type="eISSN">1099-1611</idno><idno type="book-DOI">10.1002/(ISSN)1099-1611</idno><idno type="book-part-DOI">10.1002/pon.v22.7</idno><idno type="product">PON</idno><imprint><biblScope unit="vol">22</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="1653">1653</biblScope><biblScope unit="page" to="1657">1657</biblScope><biblScope unit="page-count">5</biblScope><date type="published" when="2013-07"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main"><head>Abstract</head>
Backgroud
<p>The present study assessed the degree to which undergoing a mastectomy without reconstructive surgery negatively impacts the patient's psychological state. We focus on body image and self‐esteem as well as the influence of mastectomy on patient sex lives and partnership relations.</p>
Methods
<p>The participants were 60 women, either married or in a relationship, who had had a mastectomy because of breast cancer and no subsequent reconstructive surgery. A marital happiness questionnaire was used to evaluate the research problem.</p>
Results
<p>Surgery negatively impacted partnership relations for 33% of participants. In particular, 31% reported deterioration in attractiveness; 31%, a feeling of malaise; and 30%, that their partners perceived them as less attractive. Moreover, 80% in the youngest group reported that they covered their body during intimate contact, whereas 58% in the oldest age group reported the same behaviour. Deterioration in satisfaction with sex life and in the pleasure of sexual intercourse was indicated by 71% and 77%, respectively. Correspondingly, 71% also noticed a decrease in sexual activity, with 76% of participants aged 50–65 years reporting such a decline. The oldest women were also less satisfied with their sexual intercourse.</p>
Conclusions
<p>Breast excision due to cancer negatively impacted the quality of sexual life for 71% of participants. Partnership relations after surgery remained unchanged for 67% of them. There was significant impact of surgery on the perception of one's own body. Copyright © 2012 John Wiley & Sons, Ltd.</p></abstract><textClass><keywords><term xml:id="pon3197-kwd-0001">cancer</term><term xml:id="pon3197-kwd-0002">oncology</term><term xml:id="pon3197-kwd-0003">mastectomy</term><term xml:id="pon3197-kwd-0004">partner relationships</term><term xml:id="pon3197-kwd-0005">sexual activity</term></keywords><classCode scheme="articleCategory">Paper</classCode><classCode scheme="tocHeading1">Papers</classCode></textClass><langUsage><language ident="EN"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/FFCB6CC05C9D8273F7595CA8801C7CD6B0F5B3E8/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:lang="en" xml:id="pon3197"><header><publicationMeta level="product"><doi>10.1002/(ISSN)1099-1611</doi><issn type="print">1057-9249</issn><issn type="electronic">1099-1611</issn><idGroup><id type="product" value="PON"></id></idGroup><titleGroup><title type="main" sort="PSYCHO-ONCOLOGY">Psycho‐Oncology</title><title type="short">Psycho‐Oncology</title></titleGroup></publicationMeta><publicationMeta level="part" position="07107"><doi>10.1002/pon.v22.7</doi><copyright ownership="publisher">Copyright © 2013 John Wiley & Sons, Ltd.</copyright><numberingGroup><numbering type="journalVolume" number="22">22</numbering><numbering type="journalIssue">7</numbering></numberingGroup><coverDate startDate="2013-07">July 2013</coverDate></publicationMeta><publicationMeta level="unit" position="280" type="article" status="forIssue"><doi>10.1002/pon.3197</doi><idGroup><id type="unit" value="PON3197"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="articleCategory">Paper</title><title type="tocHeading1">Papers</title></titleGroup><copyright ownership="publisher">Copyright © 2012 John Wiley & Sons, Ltd.</copyright><eventGroup><event type="manuscriptReceived" date="2012-03-26"></event><event type="manuscriptRevised" date="2012-09-05"></event><event type="manuscriptAccepted" date="2012-09-06"></event><event type="xmlCreated" agent="SPi Global" date="2012-09-19"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-10-09"></event><event type="publishedOnlineFinalForm" date="2013-07-05"></event><event type="firstOnline" date="2012-10-09"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-07"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-03"></event></eventGroup><numberingGroup><numbering type="pageFirst">1653</numbering><numbering type="pageLast">1657</numbering></numberingGroup><correspondenceTo>Correspondence to: Silesian Piasts University of Medicine in Wrocław, Department of Gastrointestinal and General Surgery, ul. Sklodowskiej‐Curie 66, 50‐369 Wrocław, Poland. E‐mail: <email>a_lewandowski@op.pl</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:PON.PON3197.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Partner relationships after mastectomy in women not offered breast reconstruction</title><title type="short">Partnerships relations after mastectomy</title><title type="shortAuthors">E. Andrzejczak <i>et al.</i></title></titleGroup><creators><creator creatorRole="author" xml:id="pon3197-cr-0001" affiliationRef="#pon3197-aff-0001"><personName><givenNames>Ewa</givenNames><familyName>Andrzejczak</familyName></personName></creator><creator creatorRole="author" xml:id="pon3197-cr-0002" affiliationRef="#pon3197-aff-0001"><personName><givenNames>Krystyna</givenNames><familyName>Markocka‐Mączka</familyName></personName></creator><creator creatorRole="author" xml:id="pon3197-cr-0003" affiliationRef="#pon3197-aff-0001" corresponding="yes"><personName><givenNames>Andrzej</givenNames><familyName>Lewandowski</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="PL" type="organization" xml:id="pon3197-aff-0001"><orgDiv>Silesian Piasts University of Medicine in Wrocław</orgDiv><orgName>Department of Gastrointestinal and General Surgery</orgName><address><city>Wrocław</city><country>Poland</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="pon3197-kwd-0001">cancer</keyword><keyword xml:id="pon3197-kwd-0002">oncology</keyword><keyword xml:id="pon3197-kwd-0003">mastectomy</keyword><keyword xml:id="pon3197-kwd-0004">partner relationships</keyword><keyword xml:id="pon3197-kwd-0005">sexual activity</keyword></keywordGroup><abstractGroup><abstract type="main"><title type="main">Abstract</title><section xml:id="pon3197-sec-0001"><title type="main">Backgroud</title><p>The present study assessed the degree to which undergoing a mastectomy without reconstructive surgery negatively impacts the patient's psychological state. We focus on body image and self‐esteem as well as the influence of mastectomy on patient sex lives and partnership relations.</p></section><section xml:id="pon3197-sec-0002"><title type="main">Methods</title><p>The participants were 60 women, either married or in a relationship, who had had a mastectomy because of breast cancer and no subsequent reconstructive surgery. A marital happiness questionnaire was used to evaluate the research problem.</p></section><section xml:id="pon3197-sec-0003"><title type="main">Results</title><p>Surgery negatively impacted partnership relations for 33% of participants. In particular, 31% reported deterioration in attractiveness; 31%, a feeling of malaise; and 30%, that their partners perceived them as less attractive. Moreover, 80% in the youngest group reported that they covered their body during intimate contact, whereas 58% in the oldest age group reported the same behaviour. Deterioration in satisfaction with sex life and in the pleasure of sexual intercourse was indicated by 71% and 77%, respectively. Correspondingly, 71% also noticed a decrease in sexual activity, with 76% of participants aged 50–65 years reporting such a decline. The oldest women were also less satisfied with their sexual intercourse.</p></section><section xml:id="pon3197-sec-0004"><title type="main">Conclusions</title><p>Breast excision due to cancer negatively impacted the quality of sexual life for 71% of participants. Partnership relations after surgery remained unchanged for 67% of them. There was significant impact of surgery on the perception of one's own body. Copyright © 2012 John Wiley & Sons, Ltd.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Partner relationships after mastectomy in women not offered breast reconstruction</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Partnerships relations after mastectomy</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Partner relationships after mastectomy in women not offered breast reconstruction</title></titleInfo><name type="personal"><namePart type="given">Ewa</namePart><namePart type="family">Andrzejczak</namePart><affiliation>Silesian Piasts University of Medicine in Wrocław, Department of Gastrointestinal and General Surgery, Wrocław, Poland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Krystyna</namePart><namePart type="family">Markocka‐Mączka</namePart><affiliation>Silesian Piasts University of Medicine in Wrocław, Department of Gastrointestinal and General Surgery, Wrocław, Poland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Andrzej</namePart><namePart type="family">Lewandowski</namePart><affiliation>Silesian Piasts University of Medicine in Wrocław, Department of Gastrointestinal and General Surgery, Wrocław, Poland</affiliation><affiliation>E-mail: a_lewandowski@op.pl</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2013-07</dateIssued><dateCreated encoding="w3cdtf">2012-09-19</dateCreated><dateCaptured encoding="w3cdtf">2012-03-26</dateCaptured><dateValid encoding="w3cdtf">2012-09-06</dateValid><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>The present study assessed the degree to which undergoing a mastectomy without reconstructive surgery negatively impacts the patient's psychological state. We focus on body image and self‐esteem as well as the influence of mastectomy on patient sex lives and partnership relations.</abstract><abstract>The participants were 60 women, either married or in a relationship, who had had a mastectomy because of breast cancer and no subsequent reconstructive surgery. A marital happiness questionnaire was used to evaluate the research problem.</abstract><abstract>Surgery negatively impacted partnership relations for 33% of participants. In particular, 31% reported deterioration in attractiveness; 31%, a feeling of malaise; and 30%, that their partners perceived them as less attractive. Moreover, 80% in the youngest group reported that they covered their body during intimate contact, whereas 58% in the oldest age group reported the same behaviour. Deterioration in satisfaction with sex life and in the pleasure of sexual intercourse was indicated by 71% and 77%, respectively. Correspondingly, 71% also noticed a decrease in sexual activity, with 76% of participants aged 50–65 years reporting such a decline. The oldest women were also less satisfied with their sexual intercourse.</abstract><abstract>Breast excision due to cancer negatively impacted the quality of sexual life for 71% of participants. Partnership relations after surgery remained unchanged for 67% of them. There was significant impact of surgery on the perception of one's own body. Copyright © 2012 John Wiley & Sons, Ltd.</abstract><subject><genre>keywords</genre><topic>cancer</topic><topic>oncology</topic><topic>mastectomy</topic><topic>partner relationships</topic><topic>sexual activity</topic></subject><relatedItem type="host"><titleInfo><title>Psycho‐Oncology</title></titleInfo><titleInfo type="abbreviated"><title>Psycho‐Oncology</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Paper</topic></subject><identifier type="ISSN">1057-9249</identifier><identifier type="eISSN">1099-1611</identifier><identifier type="DOI">10.1002/(ISSN)1099-1611</identifier><identifier type="PublisherID">PON</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>22</number></detail><detail type="issue"><caption>no.</caption><number>7</number></detail><extent unit="pages"><start>1653</start><end>1657</end><total>5</total></extent></part></relatedItem><identifier type="istex">FFCB6CC05C9D8273F7595CA8801C7CD6B0F5B3E8</identifier><identifier type="DOI">10.1002/pon.3197</identifier><identifier type="ArticleID">PON3197</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 John Wiley & Sons, Ltd.Copyright © 2012 John Wiley & Sons, Ltd.</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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