Faragó-Magrini Sandra, Aubá Cristina, Camargo Cristina, Laspra Carmen, Hontanilla Bernardo
Department of Plastic and Reconstructive Surgery, Clinic Universidad de Navarra, C/Pío XII 36, 31008, Pamplona, Spain.
School of Medicine, University of Sao Paulo, São Paulo, Brazil.
Aesthetic Plast Surg. 2018 Jun;42(3):702-707. doi: 10.1007/s00266-018-1099-9. Epub 2018 Feb 22.
Breast reconstruction after mastectomy is a part of breast cancer treatment. There is a lack of data regarding the impact of reconstruction over psychological traits and quality of life. The aim of this study is to evaluate personality changes in patients who underwent reconstructive surgery.
Thirty-seven women underwent breast reconstruction. These women took the Crown-Crisp Experiential Index before and after the different procedures. The questionnaire analyzes: (a) the satisfaction level with personal relationships before and after surgery, and the level of satisfaction with surgical results and (b) personality index. Comparisons of preoperative and postoperative personality traits were made by using the Crown-Crisp test and analyzed by Chi-square test. Correlations between preoperative concerns and CCEI traits and correlations between physical aspects and Crown-Crisp, both preoperatively and postoperatively, were performed using the Spearman test.
We found statistically significant differences in the following traits: anxiety anticipating possible technique failures (p = 0.01); cancer recurrence (p = 0.04); dissatisfaction with results (p = 0.02); phobic anxiety for possible technique failure (p = 0.03); obsessionality with possible technique failure (p = 0.01); preoccupations around cancer recurrence (p = 0.01) and dissatisfaction with results (p = 0.03); somatic of technique failure (p = 0.05); and finally, depression and hysteria traits in response to surgical procedures except anesthesia.
This prospective study suggests that personality traits define perceptions of body image, which has an influence over quality of life and satisfaction with results.
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乳房切除术后的乳房重建是乳腺癌治疗的一部分。关于重建对心理特征和生活质量的影响，目前缺乏相关数据。本研究的目的是评估接受重建手术患者的人格变化。
37名女性接受了乳房重建。这些女性在不同手术前后进行了“皇冠-克里斯普体验指数”测试。该问卷分析：（a）手术前后对人际关系的满意度以及对手术结果的满意度，（b）人格指数。术前和术后人格特征的比较采用“皇冠-克里斯普”测试，并通过卡方检验进行分析。术前担忧与“皇冠-克里斯普体验指数”特征之间以及术前和术后身体方面与“皇冠-克里斯普体验指数”之间的相关性，采用斯皮尔曼检验。
我们发现以下特征存在统计学显著差异：对可能的技术失败的预期焦虑（p = 0.01）；癌症复发（p = 0.04）；对结果的不满（p = 0.02）；对可能的技术失败的恐惧焦虑（p = 0.03）；对可能的技术失败的强迫观念（p = 0.01）；对癌症复发的担忧（p = 0.01）和对结果的不满（p = 0.03）；技术失败的躯体症状（p = 0.05）；最后，除麻醉外，对手术过程的抑郁和癔症特征。
这项前瞻性研究表明，人格特征决定了对身体形象的认知，这会影响生活质量和对结果的满意度。
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