Medical School, The University of Western Australia, Perth, Australia.
Health Psychology and Behavioural Medicine Research Group, School of Psychology, Curtin University, Perth, Australia.
Psychooncology. 2018 Feb;27(2):633-639. doi: 10.1002/pon.4558. Epub 2017 Oct 16.
This study explored whether psychological consultation offered to women prior to bilateral prophylactic mastectomy (BPM) appeared to provide psychosocial benefit to younger women (<35 years) at high risk of developing breast cancer due to a mutation or family history.
Qualitative interviews guided by interpretative phenomenological analysis were conducted retrospectively with 26 women who had undergone BPM. Participants were recruited from New Zealand and Australia, via a genetics clinic, registry, research cohort, and online.
Three themes were identified: psychological well-being and adjustment, satisfaction with intimacy, and body image. Participants that had seen a psychologist reported being more prepared for BPM and appeared to adjust positively post-surgery. They appeared to have improved psychological well-being, reported satisfaction with intimacy, and a more positive body image, compared with those who had no support.
Women who undergo psychological consultation prior to BPM appear to adjust positively after surgery. Implications for practice include standard psychological consultation for younger women (>35 years) considering BPM.
本研究探讨了在双侧预防性乳房切除术（BPM）前为患有乳腺癌突变或家族病史风险较高的年轻女性（<35 岁）提供心理辅导是否能带来心理社会获益。
采用解释性现象学分析方法对 26 名已接受 BPM 的女性进行了回顾性定性访谈。参与者是通过遗传诊所、登记处、研究队列和在线招募自新西兰和澳大利亚的。
确定了三个主题：心理健康和调整、亲密关系满意度和身体形象。接受过心理医生咨询的参与者报告说对 BPM 有更好的准备，并且手术后似乎调整得很好。与没有支持的女性相比，她们的心理健康状况似乎有所改善，对亲密关系的满意度更高，身体形象也更积极。
在 BPM 前接受心理辅导的女性术后似乎调整得很好。对实践的启示包括为考虑 BPM 的年轻女性（>35 岁）提供标准的心理辅导。
