Fries A, Reinhard G
Lehrstuhl Sonderpädagogik II, Universität Würzburg.
Rehabilitation (Stuttg). 1996 Feb;35(1):54-64.
The present study deals with the issue of how mastectomy will impact selected dimensions of psychological and psychosocial experience and behaviour in the women concerned. The study had comprised 21 women, mean age 55. 73 years, with a breast cancer diagnosis given between 1 and 21 years ago. Data collection was carried out using a 17-item questionnaire standardized for this purpose. Factor analyses produced four clearly interpretable factors. Study findings suggest that breast cancer surgery will not inevitably result in impaired sexual behaviour and experience in the affected women, whereas it is sure to impact, to varying degrees, on the factors and dimensions of "body image and self-image", "psychological and psychosomatic complaints" as well as anticipated "performance capacity and social relationships". Intercorrelations among questionnaire items are set out. It has further been found that the variables "time of breast removal" and "life age" had exercised only negligible influence on the women's questionnaire response, and that the psychosocial support experienced post-surgery was reported to have primarily come from the circle of family and friends, and less so been extended by self-help groups or medial staff. Concluding, the need for integrated rehabilitative measures is pointed out.
本研究探讨了乳房切除术对相关女性心理、心理社会体验及行为特定维度的影响问题。该研究纳入了21名女性,平均年龄55.73岁,她们在1至21年前被诊断出患有乳腺癌。数据收集使用了为此目的标准化的17项问卷。因子分析产生了四个清晰可解释的因子。研究结果表明,乳腺癌手术不一定会导致受影响女性的性行为和体验受损,而肯定会在不同程度上影响“身体形象和自我形象”、“心理和身心不适”以及预期的“表现能力和社会关系”等因子和维度。列出了问卷项目之间的相互关系。还进一步发现,“乳房切除时间”和“生活年龄”变量对女性问卷回答的影响微乎其微,并且据报告,术后获得的心理社会支持主要来自家人和朋友圈子,自助团体或医务人员提供的支持较少。最后指出了采取综合康复措施的必要性。