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缩乳术、自尊与性欲:一项干预前后研究

Reduction mammoplasty, self-esteem, and sexual desire: A pre-post intervention study.

作者信息

Berenguel-Pérez Ana Isabel, Cortés-Rodríguez Alda Elena

机构信息

Hospital Universitario Torrecárdenas, Almería, Spain.

Department of Nursing, Physiotherapy and Medicine, University of Almería, Almería, Spain.

出版信息

Int J Clin Health Psychol. 2024 Jul-Sep;24(3):100477. doi: 10.1016/j.ijchp.2024.100477. Epub 2024 Jun 21.

Abstract

BACKGROUND/OBJECTIVE: Sexuality plays a significant role in social relationships and overall development. For women, the breasts hold considerable importance in sexual expression. Deviation from societal norms regarding breast size can lead to mental and sexual health issues. This study aimed to examine the impact of breast reduction surgery on self-esteem, body image, and sexual desire in women undergoing the procedure.

METHODS

A descriptive correlational study was conducted, involving 50 women who underwent reduction mammoplasty.

RESULTS

Regarding pre- and post-surgical measurements, breast reduction surgery was associated with improvements in body image perception, as indicated by the BREASTQ reduction module, and both dyadic and solitary sexual desire. However, self-esteem remained unaffected by the intervention. Correlational analysis demonstrated a positive relationship between psychosocial well-being and other dimensions of body image, as well as sexual desire. Sexual well-being also correlated with breast and nipple satisfaction, along with dyadic sexual desire. Notably, age and self-esteem did not exhibit significant correlations with the variables studied.

CONCLUSION

These findings suggest that breast reduction surgery can improve body image and sexual desire in women, but further research is needed to explore the long-term effects and the specific factors that contribute to these outcomes.

摘要

背景/目的:性在社会关系和整体发展中起着重要作用。对女性而言,乳房在性表达中具有相当重要的意义。偏离社会关于乳房大小的规范可能导致心理和性健康问题。本研究旨在探讨乳房缩小手术对接受该手术的女性的自尊、身体形象和性欲的影响。

方法

进行了一项描述性相关性研究,纳入50例行乳房缩小成形术的女性。

结果

关于手术前后的测量,乳房缩小手术与身体形象感知的改善相关,如BREASTQ缩小模块所示,以及与双方和独自的性欲相关。然而,自尊并未受到该干预的影响。相关性分析表明,心理社会幸福感与身体形象的其他维度以及性欲之间存在正相关。性幸福感还与乳房和乳头满意度以及双方性欲相关。值得注意的是,年龄和自尊与所研究的变量未显示出显著相关性。

结论

这些发现表明,乳房缩小手术可以改善女性的身体形象和性欲,但需要进一步研究以探讨长期影响以及促成这些结果的具体因素。

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本文引用的文献

1
The Impact of Reduction Mammaplasty on Breast Sensation: A Systematic Review.
Aesthet Surg J. 2023 Oct 13;43(11):NP847-NP854. doi: 10.1093/asj/sjad234.
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Ann Plast Surg. 2023 Jun 1;90(6S Suppl 5):S667-S673. doi: 10.1097/SAP.0000000000003471. Epub 2023 Feb 15.
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Breast Reduction Surgery in Adolescents.
Pediatr Ann. 2023 Jan;52(1):e31-e35. doi: 10.3928/19382359-20221114-06. Epub 2023 Jan 1.
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American Society of Plastic Surgeons Evidence-Based Clinical Practice Guideline Revision: Reduction Mammaplasty.
Plast Reconstr Surg. 2022 Mar 1;149(3):392e-409e. doi: 10.1097/PRS.0000000000008860.
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Analysis of adolescent patient satisfaction and well-being following reduction mammaplasty using the BREAST-Q survey.
J Pediatr Surg. 2022 Mar;57(3):538-543. doi: 10.1016/j.jpedsurg.2021.06.008. Epub 2021 Jul 6.
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Reduction Mammaplasty for Macromastia in Adolescents: A Systematic Review and Pooled Analysis.
Plast Reconstr Surg. 2021 Jul 1;148(1):31-43. doi: 10.1097/PRS.0000000000008102.
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BREAST-Q Outcomes before and after Bilateral Reduction Mammaplasty.
Plast Reconstr Surg. 2021 Mar 1;147(3):382e-390e. doi: 10.1097/PRS.0000000000007605.

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