乳腺癌手术：比较手术组并确定术后性功能和身体变化应激方面的个体差异。
Breast cancer surgery: comparing surgical groups and determining individual differences in postoperative sexuality and body change stress.
作者信息
Yurek D, Farrar W, Andersen B L
机构信息
Department of Psychology, Ohio State University, Columbus 43210-1222, USA.
出版信息
J Consult Clin Psychol. 2000 Aug;68(4):697-709. doi: 10.1037//0022-006x.68.4.697.
Abstract
Women diagnosed and surgically treated for regional breast cancer (N = 190) were studied to determine the sexual and body change sequelae for women receiving modified radical mastectomy (MRM) with breast reconstruction in comparison with the sequelae for women receiving breast-conserving therapy (BCT) or MRM without breast reconstruction. The sexuality pattern for women receiving reconstructive surgery was one that was significantly different--with lower rates of activity and fewer signs of sexual responsiveness--than that for women in either of the other groups. Significantly higher levels of traumatic stress and situational distress regarding the breast changes were reported by the women receiving an MRM in contrast to the women treated with BCT. Using a model to predict sexual morbidity, regression analyses revealed that individual differences in sexual self-schema were related to both sexual and body change stress outcomes.
摘要
对190例被诊断为局部乳腺癌并接受手术治疗的女性进行了研究，以确定接受保乳手术（BCT）或未进行乳房重建的改良根治术（MRM）的女性与接受乳房重建的改良根治术（MRM）的女性相比，其性和身体变化后遗症。接受重建手术的女性的性行为模式与其他两组女性显著不同——活动率较低，性反应迹象较少。与接受保乳手术治疗的女性相比，接受改良根治术的女性报告的乳房变化导致的创伤应激和情境困扰水平显著更高。使用一个预测性发病率的模型，回归分析显示，性自我图式的个体差异与性和身体变化应激结果均相关。
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