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Quality of Life in Women Following Various Surgeries of Body Manipulation: Organ Transplantation, Mastectomy, and Breast Reconstruction

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Abstract

This study aimed to determine biopsychosocial differences (anxious-depressive symptomatology and quality of life) among three groups of patients who underwent surgical interventions related to body manipulation, as well as to assess the clinical significance of these results versus reference values. Four groups were compared: women who underwent organ transplant (n = 26), mastectomy for breast cancer (n = 36), breast reconstruction (n = 36), and general population (n = 608). The Hospital Anxiety and Depression Scale and the EORTC QLQ-C30 were used. Women who underwent mastectomy showed the highest anxious-depressive symptomatology and quality-of-life impairment in comparison to the remaining groups, and they also displayed the most clinically significant deterioration in the majority of dimensions (large effect sizes). In contrast, the group with implantation of a healthy organ (transplantation) only showed higher biopsychosocial impairment than the group with reconstruction of an organ (breast reconstruction) in gastrointestinal dysfunctions and in the global self-perception of health.

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Acknowledgments

This investigation was financed by the Ministry of Science and Innovation (Register PSI2009-07713) of Spain. Moreover, I would like to thank Dr. Peter Fayers for having advised us about the use of normative data from general population.

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Authors and Affiliations

  1. Department of Personality, Assessment, and Psychological Treatments, School of Psychology, University of Seville, Sevilla, Spain

    M. Angeles Pérez-San-Gregorio, Eduardo Fernández-Jiménez, Agustín Martín-Rodríguez, Mercedes Borda-Más & M. Esther Rincón-Fernández

  2. Departamento de Personalidad, Evaluación y Tratamiento Psicológicos, Facultad de Psicología, University of Seville, C/Camilo José Cela s/n, 41018, Sevilla, Spain

    M. Angeles Pérez-San-Gregorio

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  1. M. Angeles Pérez-San-Gregorio
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  2. Eduardo Fernández-Jiménez
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Correspondence to M. Angeles Pérez-San-Gregorio.

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Pérez-San-Gregorio, M.A., Fernández-Jiménez, E., Martín-Rodríguez, A. et al. Quality of Life in Women Following Various Surgeries of Body Manipulation: Organ Transplantation, Mastectomy, and Breast Reconstruction. J Clin Psychol Med Settings 20, 373–382 (2013). https://doi.org/10.1007/s10880-013-9360-5

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