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乳房手术对女性内感受性觉知的影响。

Effects of Breast Surgery on Interoceptive Awareness in Females.

作者信息

Weis Lauren E, Akhter Haris M, Hon Heidi H, Johnson Perry J, Figy Sean C

出版信息

Aesthet Surg J Open Forum. 2024 Jul 2;6:ojae047. doi: 10.1093/asjof/ojae047. eCollection 2024.

DOI:10.1093/asjof/ojae047
PMID:39006064
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11244638/
Abstract

BACKGROUND

The driving force for many seeking plastic surgery is comfort in one's body. Along with comfort come satisfaction, improved self-awareness, and potential change in interoceptive awareness-a term defined as the conscious perception of one's body. Although conscious perception of bodily signals is influenced by many factors, sense of self and body image play significant roles. Studies show diminished interoceptive awareness in those with negative body image, but no research has assessed the impact of change in body image on interoceptive awareness.

OBJECTIVES

The purpose of this study is to investigate how interoceptive awareness changes following elective breast surgery.

METHODS

The Multidimensional Assessment of Interoceptive Awareness Version 2 (MAIA-2) was administered to females undergoing breast surgery. A baseline survey was administered preoperatively, with follow-up surveys at 1 week, 1 month, and 3 months postoperatively.

RESULTS

Data were collected from 39 females and analyzed using paired -tests to compare MAIA-2 overall and subscores over time. Significance was seen at 1 week for subcategories of "not distracting" and "trust," at 1 month for "trust," and 3 months for "not worrying," "emotional awareness," "self-regulation," and "trust." Overall survey averages were significantly increased at all postoperative intervals.

CONCLUSIONS

From this study, it can be concluded that breast surgery positively impacts interoceptive awareness. These findings are clinically relevant as they offer providers' insight into the psychological effects of breast procedures. A comprehensive understanding of procedure outcomes enables providers to educate patients on both anticipated physical results and changes in sense of self.

摘要

背景

许多人寻求整形手术的驱动力是对自身身体的舒适感。伴随着舒适感而来的是满意度、自我认知的提升以及内感受觉知的潜在变化——内感受觉知被定义为对自身身体的有意识感知。尽管对身体信号的有意识感知受多种因素影响,但自我意识和身体形象起着重要作用。研究表明,身体形象消极的人内感受觉知会降低,但尚无研究评估身体形象变化对内感受觉知的影响。

目的

本研究旨在调查择期乳房手术后内感受觉知如何变化。

方法

对接受乳房手术的女性进行了内感受觉知多维评估量表第二版(MAIA - 2)测试。术前进行了基线调查,并在术后1周、1个月和3个月进行了随访调查。

结果

收集了39名女性的数据,并使用配对t检验分析MAIA - 2的总体得分和子得分随时间的变化。在术后1周,“不分心”和“信任”子类别有显著变化;在术后1个月,“信任”子类别有显著变化;在术后3个月,“不担忧”“情绪觉知”“自我调节”和“信任”子类别有显著变化。术后各时间段的总体调查平均分均显著提高。

结论

从本研究可以得出结论,乳房手术对内感受觉知有积极影响。这些发现具有临床相关性,因为它们为医疗服务提供者提供了对乳房手术心理影响的见解。对手术结果的全面了解使医疗服务提供者能够就预期的身体结果和自我感觉的变化对患者进行教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa5b/11244638/127c8121b4aa/ojae047f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa5b/11244638/55d9ffe6d954/ojae047f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa5b/11244638/7caa6a918da5/ojae047f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa5b/11244638/086458e42230/ojae047f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa5b/11244638/127c8121b4aa/ojae047f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa5b/11244638/55d9ffe6d954/ojae047f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa5b/11244638/7caa6a918da5/ojae047f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa5b/11244638/086458e42230/ojae047f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa5b/11244638/127c8121b4aa/ojae047f4.jpg

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本文引用的文献

1
Interoceptive awareness in anorexia nervosa.神经性厌食症的内感受意识。
J Psychiatr Res. 2022 Apr;148:84-87. doi: 10.1016/j.jpsychires.2022.01.051. Epub 2022 Jan 30.
2
PLASTIC SURGERY ON BODY IMAGE, BODY SATISFACTION AND SELF-ESTEEM.关于身体形象、身体满意度和自尊的整形手术。
Acta Chir Plast. 2020 Winter;61(1-4):3-9.
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The Multidimensional Assessment of Interoceptive Awareness, Version 2 (MAIA-2).多维内感受性意识评估量表 2 版(MAIA-2)。
PLoS One. 2018 Dec 4;13(12):e0208034. doi: 10.1371/journal.pone.0208034. eCollection 2018.
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Interoceptive Awareness Skills for Emotion Regulation: Theory and Approach of Mindful Awareness in Body-Oriented Therapy (MABT).情绪调节的内感受觉知技能:体感导向疗法(MABT)中的正念觉知理论与方法。
Front Psychol. 2018 May 28;9:798. doi: 10.3389/fpsyg.2018.00798. eCollection 2018.
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Interoception and Mental Health: A Roadmap.内感受与心理健康:路线图。
Biol Psychiatry Cogn Neurosci Neuroimaging. 2018 Jun;3(6):501-513. doi: 10.1016/j.bpsc.2017.12.004. Epub 2017 Dec 28.
6
Psychometric Evaluation and Norms for the Multidimensional Assessment of Interoceptive Awareness (MAIA) in a Clinical Eating Disorders Sample.多维内感受性意识评估量表(MAIA)在临床进食障碍样本中的心理计量学评估与常模。
Eur Eat Disord Rev. 2017 Sep;25(5):411-416. doi: 10.1002/erv.2532. Epub 2017 Jul 17.
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From the body's viscera to the body's image: Is there a link between interoception and body image concerns?从身体内脏到身体意象:内感受与身体意象担忧之间存在联系吗?
Neurosci Biobehav Rev. 2017 Jun;77:237-246. doi: 10.1016/j.neubiorev.2017.03.017. Epub 2017 Apr 1.
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Eat Weight Disord. 2015 Mar;20(1):81-9. doi: 10.1007/s40519-014-0141-4. Epub 2014 Aug 2.
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PLoS One. 2013;8(2):e55568. doi: 10.1371/journal.pone.0055568. Epub 2013 Feb 6.
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