The influence of partner involvement in the decision-making process on body image and decision regret among women receiving breast reconstruction
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This study examines the influence of partner involvement in decision-making for breast reconstruction (BR) on women’s body image and post-BR decision regret.
A cross-sectional and correlational approach was used in a convenience sample of 105 women in Taiwan who had breast cancer (BC) whose partners were involved in decision-making for BR. A structured questionnaire including the Involvement in the Breast Reconstruction Decision-Making Process Scale, the Body Image Scale, and the Decision Regret Scale was administered. Pearson’s r and path analysis were used to examine the relationships among the dyadic BR decision-making process, women’s body image, and decision regret.
The greater the amount of medical information women had, the better their body image and the less decision regret they experienced. Moreover, partner involvement was not related to women’s body image, though it was inversely related to women’s decision regret. The final path model showed that the amount of medical information women obtained was directly related to body image and decision regret, while body image also directly influenced decision regret. Overall, the amount of medical information women obtained and their body image explained 45% of the variance in decision regret.
Medical teams should provide female BC patients with complete medical information, and through partner involvement, women can be supported to make an appropriate decision regarding BR to achieve optimal levels of body image and lower levels of decision regret.
KeywordsBreast reconstructive surgery Partner involvement Decision-making process Body image Decision regret
This research was partially funded by the National Cheng Kung University of Taiwan, and the authors declare that they have no financial relationship with the organization that funded the research.
Compliance with ethical standards
Conflict of interest
The authors declared that they have no conflict of interest.
Ethical approval was approved by committee of the National Cheng Kung University Hospital (Taiwan) (IRB number B-ER-104-097) and Changhua Christian Hospital (Taiwan) (IRB number 150711). All procedures performed involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The authors have full control of all primary data, and they agree to allow the journal to review their data if requested.
Informed consent was obtained from all individual participants included in the study.
- 1.WHO (2017) Cancer fact sheets: breast cancer cancer. Retrieved from http://gco.iarc.fr/today/fact-sheets-cancers?cancer=15&type=0&sex=2. Accessed May 24, 2018
- 2.NIH (2017) Cancer stat facts: female breast cancer. Retrieved from https://seer.cancer.gov/statfacts/html/breast.html. Accessed May 24, 2018
- 3.Taiwan Cancer Registry. Five-year survival rate of breast cancer: Taiwan Cancer Registry. 2013. https://cris.hpa.gov.tw/pagepub/Home.aspx?item No=cr.a.10. Accessed May 24, 2018
- 5.Huang NS, Liu MY, Chen JJ, Yang BL, Xue JY, Quan CL, Mo M, Liu GY, Shen ZZ, Shao ZM, Wu J (2016) Surgical management of breast cancer in China: a 15-year single-center retrospective study of 18,502 patients. Medicine (Baltimore) 95(45):e4201. https://doi.org/10.1097/MD.0000000000004201 CrossRefGoogle Scholar
- 6.Zhang B, Song Q, Zhang B, Tang Z, Xie X, Yang H, He J, Li H, Li J, Li J, Fan J, Huang R, Zhang H, Qiao Y (2013) A 10-year (1999 ~ 2008) retrospective multi-center study of breast cancer surgical management in various geographic areas of China. Breast 22(5):676–681. https://doi.org/10.1016/j.breast.2013.01.004 CrossRefGoogle Scholar
- 8.Fang SY, Balneaves LG, Shu BC (2010) “A struggle between vanity and life”: the experience of receiving breast reconstruction in women of Taiwan. Cancer Nurs 33(5):E1–E11. https://doi.org/10.1097/NCC.0b013e3181d1c853
- 12.Lillie SE, Janz NK, Friese CR, Graff JJ, Schwartz K, Hamilton AS, Gay BB, Katz SJ, Hawley ST (2014) Racial and ethnic variation in partner perspectives about the breast cancer treatment decision-making experience. Oncol Nurs Forum 41(1):13–20. https://doi.org/10.1188/14.onf.13-20 CrossRefGoogle Scholar
- 22.Gomez-Campelo P, Bragado-Alvarez C, Hernandez-Lloreda MJ, Sanchez-Bernardos ML (2015) The Spanish version of the Body Image Scale (S-BIS): psychometric properties in a sample of breast and gynaecological cancer patients. Supportive Care Cancer: Official J Multinational Assoc Supportive Care Cancer 23(2):473–481. https://doi.org/10.1007/s00520-014-2383-0 CrossRefGoogle Scholar
- 23.McDermott E, Mullen G, Moloney J, Keegan D, Byrne K, Doherty GA, Cullen G, Malone K, Mulcahy HE (2015) Body image dissatisfaction: clinical features, and psychosocial disability in inflammatory bowel disease. Inflamm Bowel Dis 21(2):353–360. https://doi.org/10.1097/mib.0000000000000287 CrossRefGoogle Scholar
- 26.Chinese translation of Decision Regret Scale (2006) http://decisionaid.ohri.ca/docs/develop/Tools/Regret_Scale_Chinese.pdf
- 27.Sheehan J, Sherman KA, Lam T, Boyages J (2008) Regret associated with the decision for breast reconstruction: the association of negative body image, distress and surgery characteristics with decision regret. Psychol Health 23(2):207–219. https://doi.org/10.1080/14768320601124899 CrossRefGoogle Scholar
- 28.Zhong T, Bagher S, Jindal K, Zeng D, O'Neill AC, MacAdam S, Butler K, Hofer SO, Pusic A, Metcalfe KA (2013) The influence of dispositional optimism on decision regret to undergo major breast reconstructive surgery. J Surg Oncol 108(8):526–530. https://doi.org/10.1002/jso.23437 CrossRefGoogle Scholar
- 29.Kline RB (2011) Principles and practice of structural equation modeling. 3rd edn. The Guilford Press, LondonGoogle Scholar
- 32.Ditsch N, Bauerfeind I, Vodermaier A, Tripp C, Lohrs B, Toth B, Himsl I, Graeser M, Harbeck N, Lenhard M (2013) A retrospective investigation of women's experience with breast reconstruction after mastectomy. Arch Gynecol Obstet 287(3):555–561. https://doi.org/10.1007/s00404-012-2590-1 CrossRefGoogle Scholar
- 33.Stanton AL, Ganz PA, Kwan L, Meyerowitz BE, Bower JE, Krupnick JL, Rowland JH, Leedham B, Belin TR (2005) Outcomes from the Moving Beyond Cancer psychoeducational, randomized, controlled trial with breast cancer patients. J Clin Oncol Off J Am Soc Clin Oncol 23(25):6009–6018. https://doi.org/10.1200/jco.2005.09.101 CrossRefGoogle Scholar
- 34.Zhong T, Hu J, Bagher S, O'Neill AC, Beber B, Hofer SO, Metcalfe KA (2013) Decision regret following breast reconstruction: the role of self-efficacy and satisfaction with information in the preoperative period. Plast Reconstr Surg 132(5):724e–734e. https://doi.org/10.1097/PRS.0b013e3182a3bf5d CrossRefGoogle Scholar
- 37.Muhamad M, Afshari M, Kazilan F (2011) Family support in cancer survivorship. Asian Pacific J Cancer Prevention: APJCP 12(6):1389–1397Google Scholar
- 38.Fasse L, Flahault C, Vioulac C, Lamore K, Van Wersch A, Quintard B, Untas A (2017) The decision-making process for breast reconstruction after cancer surgery: representations of heterosexual couples in long-standing relationships. Br J Health Psychol 22(2):254–269. https://doi.org/10.1111/bjhp.12228 CrossRefGoogle Scholar