Nikolić Jelena, Janjić Zlata, Marinković Marija, Petrović Jelica, Bozić Teodora
Clinic of Plastic and Reconstructive Surgery, Clinical Center of Vojvodina, Novi Sad, Serbia.
Vojnosanit Pregl. 2013 Oct;70(10):940-6. doi: 10.2298/vsp1310940n.
BACKGROUND/AIM: There are various opinions regarding the factors motivating women to undergo breast augmentation. The aim of this study was to estimate motivation for augmentation mammaplasty (AM), self-esteem and body image perception in breast augmentation patients.
This prospective study involved AM patients operated in the Clinical Center of Vojvodina during a 3-year period. A total of 45 patients responded to our package of questionnaires designed to assess motivation for surgery, self-esteem level and body image perception. Those patients were compared to the control group of women who did not want to change their breast size, and who were similar in their age, social status and education level. Our package of questionnaires included a general questionnaire, Photographic Figure Rating Scale (PFRS) and Rosenberg's Self-Esteem Scale.
Differences in marital status, educational level, habitation and employment status were statistically insignificant, but there was a significantly lower body mass index (BMI) in the operated women. Considering motives for surgery, a few factors were distinguished: desire to feel more feminine (82.2%), confident (75.5%) and attractive (73.3%), to feel less shy with men (64.4%), to improve their sex life (46.5%), teasing history (42.2%) and easier to find a partner (11.1%) and job (2.2%). Both groups demonstrated a high self-esteem level, but in the the AM group results were lower than in the control group. The mean current self-rating by the PFRS in the group AM was lower than in the control group (4.28 +/- 1.3 vs 5.12 +/- 1.23, respectively) and this coincided with lower BMI in the AM group. The women in the AM group had chosen significantly smaller body size as maximally attractive, and had chosen a narrower attractive body size range than the women in the control group. CONCLUSION. Preoperative evaluation of patients' motives for surgery can help surgeons to exclude woman with unrealistic expectations and different psychological problems.
背景/目的：关于促使女性接受隆胸手术的因素存在各种观点。本研究的目的是评估隆胸患者进行隆乳术（AM）的动机、自尊和身体形象认知。
这项前瞻性研究纳入了在伏伊伏丁那临床中心接受手术的AM患者，为期3年。共有45名患者回复了我们设计的一套问卷，旨在评估手术动机、自尊水平和身体形象认知。将这些患者与不想改变乳房大小、年龄、社会地位和教育水平相似的女性对照组进行比较。我们的问卷包括一份一般问卷、摄影体型评定量表（PFRS）和罗森伯格自尊量表。
婚姻状况、教育水平、居住情况和就业状况的差异无统计学意义，但手术女性的体重指数（BMI）显著较低。考虑手术动机时，区分出了一些因素：渴望感觉更有女人味（82.2%）、自信（75.5%）和有吸引力（73.3%），与男性相处时不那么害羞（64.4%），改善性生活（46.5%），有被取笑的经历（42.2%），更容易找到伴侣（11.1%）和工作（2.2%）。两组的自尊水平都很高，但AM组的结果低于对照组。AM组中PFRS的当前平均自评低于对照组（分别为4.28±1.3和5.12±1.23），这与AM组较低的BMI一致。AM组的女性选择的最大吸引力体型明显较小，且选择的有吸引力体型范围比对照组的女性更窄。结论：术前评估患者的手术动机有助于外科医生排除期望不切实际和有不同心理问题的女性。
