Jamison K R, Wellisch D K, Pasnau R O
Am J Psychiatry. 1978 Apr;135(4):432-6. doi: 10.1176/ajp.135.4.432.
The authors administered a questionnaire to 41 women who had had mastectomies to investigate aspects of the procedure itself, pre- and postmastectomy adjustment, effects on sexual relationships, and the influence of age. Although most women reported good overall adjustment, there were strong indications of psychological suffering (suicidal ideation, increased use of alcohol and tranquilizers, etc.). Psychological intervention may be called for in many cases, and age, support systems, and premorbid functioning may be indicators of the amount and type of intervention needed. Counseling is particularly important before surgery, since this was viewed as the period of maximum stress by most women. Further research with larger, more random samples and postsurgical control groups is indicated to determine more precisely the factors related to adjustment to mastectomy.
作者向41名接受了乳房切除术的女性发放了一份调查问卷，以调查手术本身的各个方面、乳房切除术前和术后的调整、对性关系的影响以及年龄的影响。尽管大多数女性报告说整体调整良好，但有强烈迹象表明存在心理痛苦（自杀念头、酒精和镇静剂使用增加等）。在许多情况下可能需要进行心理干预，年龄、支持系统和病前功能可能是所需干预的数量和类型的指标。术前咨询尤为重要，因为大多数女性认为这是压力最大的时期。建议进行更大规模、更随机的样本以及术后对照组的进一步研究，以更精确地确定与乳房切除术后调整相关的因素。
