Jones D N, Reznikoff M
Psychology Department, Fordham University, Bronx, New York 10458-5198.
J Nerv Ment Dis. 1989 Oct;177(10):624-31. doi: 10.1097/00005053-198910000-00005.
Increasing attention is being given to treating the psychosocial as well as the physical needs of mastectomy patients. The present study investigated and endeavored to quantify the psychological, sexual, and social adjustment reactions to a mastectomy, the possible interaction of these reactions, and the role of environmental support in mediating these responses. Forty married and 37 unmarried mastectomy patients completed a battery of tests, including the Body-Cathexis/Self-Cathexis Scale, SCL-90, Derogatis Sexual Functioning Inventory, Social Adjustment Scale-Self-Report, Perceived Social Support Scale, and a Support Questionnaire. Overall findings indicated that a mastectomy has the potential for affecting psychological, sexual, and social adjustment for at least a limited time post-operatively. Specifically, significant correlations were found between psychological, sexual, and social adjustment. Significant differences were also demonstrated in the married/nonmarried comparison. Additionally, results emphasized the importance of environmental support for postoperative adjustment.
越来越多的关注集中在满足乳房切除患者的心理社会需求以及身体需求上。本研究对乳房切除术后的心理、性和社会适应反应进行了调查并试图进行量化，研究了这些反应之间可能的相互作用，以及环境支持在调节这些反应中的作用。40名已婚和37名未婚乳房切除患者完成了一系列测试，包括身体贯注/自我贯注量表、症状自评量表（SCL - 90）、德罗加蒂斯性功能问卷、社会适应量表 - 自我报告、领悟社会支持量表和一份支持调查问卷。总体研究结果表明，乳房切除术至少在术后有限的时间内有可能影响心理、性和社会适应。具体而言，心理、性和社会适应之间存在显著相关性。在已婚/未婚比较中也显示出显著差异。此外，结果强调了环境支持对术后适应的重要性。
