title: Association of information satisfaction, psychological distress and monitoring coping style with post-decision regret following breast reconstruction.
abstract: Little is known of the psychosocial factors associated with decision regret in the context of breast reconstruction following mastectomy for breast cancer treatment. Moreover, there is a paucity of theoretically-based research in the area of post-decision regret. Adopting the theoretical framework of the Monitoring Process Model (Cancer 1995;76(1):167-177), the current study assessed the role of information satisfaction, current psychological distress and the moderating effect of monitoring coping style to the experience of regret over the decision to undergo reconstructive surgery. Women (N=123) diagnosed with breast cancer who had undergone immediate or delayed breast reconstruction following mastectomy participated in the study. The majority of participants (52.8%, n=65) experienced no decision regret, 27.6% experienced mild regret and 19.5% moderate to strong regret. Bivariate analyses indicated that decision regret was associated with low satisfaction with preparatory information, depression, anxiety and stress. Multinominal logistic regression analysis showed, controlling for mood state and time since last reconstructive procedure, that lower satisfaction with information and increased depression were associated with increased likelihood of experiencing regret. Monitoring coping style moderated the association between anxiety and regret (beta=-0.10, OR=0.91, p=0.01), whereby low monitors who were highly anxious had a greater likelihood of experiencing regret than highly anxious high monitors.
authors.affiliation: Department of Psychology, Macquarie University, NSW 2109, Australia.
authors.forename: Joanne
authors.initials: J
authors.lastname: Sheehan
authors.forename: Kerry A
authors.initials: KA
authors.lastname: Sherman
authors.forename: Thomas
authors.initials: T
authors.lastname: Lam
authors.forename: John
authors.initials: J
authors.lastname: Boyages
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery*; D003657:Decision Making; D003865:Major Depressive Disorder / Q000209:etiology* / Q000628:therapy*; D030881:Disclosure; D004644:Emotions; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000523:psychology*; D008875:Middle Aged; D017060:Patient Satisfaction; D012944:Social Support; D011795:Surveys and Questionnaires