Meyer L, Ringberg A
Department of Psychiatry I, University Hospital, Lund, Sweden.
Scand J Plast Reconstr Surg Hand Surg. 1987;21(2):199-208. doi: 10.3109/02844318709078100.
Thirty-eight women undergoing augmentation mammaplasty, consecutively operated on at the Department of Plastic and Reconstructive Surgery, Malmö, Sweden, were studied preoperatively regarding medical history, personality, psychosocial and psychiatric characteristics. Thirty-six of these patients were interviewed one year postoperatively. Thirty-three age-matched women operated on with minor surgical out-patient procedures were used as a contrast group. The mammaplasty patients generally came from insecure homes with conflicts between parents and unsatisfactory emotional relations to both parents. Their educational as well as income level was significantly lower than the contrast group and they were socially isolated. Their sexual adaptation seemed to have been hampered by their sensitivity reactions towards their breasts but nonetheless most of them lived in stable heterosexual relations. Generally the augmentation mammaplasty patients were not psychiatrically abnormal apart from the negative evaluation of their physical attractiveness. The great majority of the women, 86%, were satisfied with the results of surgery. Postoperatively the patients changed their style of dressing, extended their leisure time activities and social contacts, improved their sexual life and relations to their spouse. Postoperative increase of nervous symptoms was reported by 39% of the patients, but about as many patients, 36%, reported decreased nervous symptoms. Difficulties in accepting the surgical result, sexual dysfunctions and negative mental reactions proved to be associated with specific personality characteristics. Various factors have previously been proposed as being usable in the prediction of adverse reactions after augmentation mammaplasty. None of these factors, however, proved in this study to correlate with postoperative maladaptation. A need for increased methodological stringency in predictor studies is indicated.
对瑞典马尔默整形与重建外科连续进行隆胸手术的38名女性进行了术前研究，涉及病史、性格、心理社会和精神特征。其中36名患者在术后一年接受了访谈。33名接受小型外科门诊手术的年龄匹配女性作为对照组。隆胸患者通常来自不稳定的家庭，父母之间存在冲突，与父母的情感关系也不尽人意。她们的教育水平和收入水平明显低于对照组，且社交孤立。她们对乳房的敏感反应似乎阻碍了她们的性适应，尽管如此，她们中的大多数人都处于稳定的异性恋关系中。一般来说，除了对自身外貌吸引力的负面评价外，隆胸患者在精神上并无异常。绝大多数女性（86%）对手术结果满意。术后，患者改变了着装风格，扩展了休闲活动和社交圈子，改善了性生活以及与配偶的关系。39%的患者报告术后神经症状增加，但也有同样多（36%）的患者报告神经症状减少。难以接受手术结果、性功能障碍和负面心理反应被证明与特定的性格特征有关。此前曾提出各种因素可用于预测隆胸术后的不良反应。然而，在本研究中，这些因素均未被证明与术后适应不良相关。这表明在预测研究中需要提高方法的严谨性。
