Wellisch D K, Schain W S, Noone R B, Little J W
Department of Psychiatry, University of California, Los Angeles.
Plast Reconstr Surg. 1987 Nov;80(5):699-704. doi: 10.1097/00006534-198711000-00007.
Two groups of consecutive patients from two different plastic surgical practice populations were evaluated to determine psychosocial differences between those who underwent nipple-areola reconstruction in addition to breast reconstruction (N = 33) versus those who did not undergo nipple-areola reconstruction in addition to breast reconstruction (N = 26). Psychological assessment consisted of a standardized symptom inventory (Brief Symptom Inventory) and a specially designed self-report questionnaire investigating reactions unique to surgeries for breast cancer and breast reconstruction. Both groups were equivalent sociodemographically, with the exception of age, where the nipple-added group was significantly younger (P = 0.035) than the nipple-not-added group. The nipple-added group reported significantly greater satisfaction with breast reconstruction with regard to overall satisfaction (P = 0.004), satisfaction with size (P = 0.02), satisfaction with softness (P = 0.0004), sexual sensitivity (P = 0.006), and satisfaction with nude appearance (P = 0.02). Of the nine scales of clinical symptomatology on the Brief Symptom Inventory, the nipple-added group showed more increased symptoms on seven of the nine. The nipple-added group was significantly higher on two of these scales, namely, paranoid ideation (P = 0.009) and anxiety (P = 0.03).
对来自两个不同整形外科患者群体的两组连续患者进行了评估，以确定除乳房重建外还接受乳头乳晕重建的患者（N = 33）与除乳房重建外未接受乳头乳晕重建的患者（N = 26）之间的心理社会差异。心理评估包括一份标准化症状清单（简明症状清单）和一份专门设计的自我报告问卷，该问卷调查乳腺癌和乳房重建手术特有的反应。两组在社会人口统计学上相当，但年龄除外，乳头添加组比未添加乳头组明显年轻（P = 0.035）。乳头添加组在乳房重建的总体满意度（P = 0.004）、大小满意度（P = 0.02）、柔软度满意度（P = 0.0004）、性敏感度（P = 0.006）和裸体外观满意度（P = 0.02）方面报告的满意度明显更高。在简明症状清单的九个临床症状量表中，乳头添加组在九个量表中的七个上表现出更多症状增加。乳头添加组在其中两个量表上明显更高，即偏执观念（P = 0.009）和焦虑（P = 0.03）。
