Department of Plastic, Reconstructive, and Hand Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands.
Aesthet Surg J. 2023 Feb 3;43(2):245-252. doi: 10.1093/asj/sjac247.
A causal relation between systemic symptoms and breast implants has not been established. Psychological factors, such as personality and psychological distress, are strongly associated with the development of medically unexplained symptoms. It can be hypothesized that psychological factors may be related to the development of breast implant illness (BII).
This study was conducted to evaluate the correlation between self-reported health complaints, health- and breast-related quality of life (QoL), and personality, in women with cosmetic breast implants.
Women who attended the plastic surgery outpatient clinic of Maastricht University Medical Center between October 2020 and October 2021 for reasons related to their implants and women recruited for a BII study at the Center during this period were invited to participate in this study. Only women who underwent cosmetic breast augmentation were eligible. Participants completed a physical complaints score form and the BREAST-Q, SF-36, and EPQ-RSS questionnaires via an online survey.
In total, 201 women completed the questionnaires. Extroversion and social desirability were predominant personality traits in women with breast implants, followed by neuroticism. Relatively high levels of neuroticism were found compared with normative data. Neuroticism correlated significantly with health status and breast-related QoL. Physical and mental health-related QoL had the strongest correlations with neuroticism (β = -3.94, β = -4.86, P < 0.001).
Personality can play a role in the development of complaints. High levels of neuroticism are seen in cosmetic surgery patients and are negatively correlated with subjective health and patient-reported outcomes in women with breast implants. Therefore, neuroticism may be a factor in the development of BII.
系统性症状与乳房植入物之间的因果关系尚未确立。心理因素，如个性和心理困扰，与无法用医学解释的症状的发展密切相关。可以假设心理因素可能与乳房植入病（BII）的发展有关。
本研究旨在评估有美容乳房植入物的女性报告的健康投诉、健康和乳房相关生活质量（QoL）以及个性之间的相关性。
邀请 2020 年 10 月至 2021 年 10 月期间因植入物相关原因前往马斯特里赫特大学医学中心整形外科门诊就诊的女性以及在此期间在该中心参加乳房植入病研究的女性参加本研究。只有接受过美容乳房隆乳术的女性才有资格参加。参与者通过在线调查完成了身体投诉评分表和 BREAST-Q、SF-36 和 EPQ-RSS 问卷。
共有 201 名女性完成了问卷。外向和社交愿望是乳房植入女性的主要人格特征，其次是神经质。与常模数据相比，发现神经质水平相对较高。神经质与健康状况和乳房相关 QoL 显著相关。身心健康相关 QoL 与神经质的相关性最强（β=-3.94，β=-4.86，P<0.001）。
个性可能在投诉的发展中起作用。美容手术患者中存在较高水平的神经质，与乳房植入女性的主观健康和患者报告的结果呈负相关。因此，神经质可能是 BII 发展的一个因素。
