Taylor S E, Lichtman R R, Wood J V, Bluming A Z, Dosik G M, Leibowitz R L
Cancer. 1985 May 15;55(10):2506-13. doi: 10.1002/1097-0142(19850515)55:10<2506::aid-cncr2820551033>3.0.co;2-0.
Seventy-eight breast cancer outpatients were interviewed and their medical records were reviewed to document illness-related and treatment-related factors associated with psychosocial adjustment. Poor prognosis and more radical surgery both independently predicted poor psychological adjustment. The effect of type of surgery appeared to be mediated by the patient's sense of disfigurement and by changes in the sexual and affectional patterns in the marriage, rather than by prognosis or disability. Degree of dysfunction and whether or not the patient had radiation therapy or chemotherapy had no independent effects on psychological adjustment. Results point to the problematic psychosocial outcomes associated with mastectomy and, more generally, to the illness- and treatment-related factors that may place a breast cancer patient at risk for psychosocial adjustment problems.
对78名乳腺癌门诊患者进行了访谈，并查阅了他们的病历，以记录与心理社会适应相关的疾病因素和治疗因素。预后不良和更激进的手术均独立预示着心理适应不良。手术类型的影响似乎是由患者的毁容感以及婚姻中性和情感模式的变化介导的，而不是由预后或残疾介导的。功能障碍程度以及患者是否接受放疗或化疗对心理适应没有独立影响。结果表明乳房切除术存在心理社会问题，更普遍地说，指出了可能使乳腺癌患者面临心理社会适应问题风险的疾病和治疗相关因素。
