title: Quality of life in women following various surgeries of body manipulation: organ transplantation, mastectomy, and breast reconstruction.
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.
authors.affiliation: Department of Personality, Assessment, and Psychological Treatments, School of Psychology, University of Seville, Sevilla, Spain. anperez@us.es
authors.forename: M Angeles
authors.initials: MA
authors.lastname: Pérez-San-Gregorio
authors.forename: Eduardo
authors.initials: E
authors.lastname: Fernández-Jiménez
authors.forename: Agustín
authors.initials: A
authors.lastname: Martín-Rodríguez
authors.forename: Mercedes
authors.initials: M
authors.lastname: Borda-Más
authors.forename: M Esther
authors.initials: ME
authors.lastname: Rincón-Fernández
mesh_terms: D001007:Anxiety / Q000523:psychology*; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000523:psychology*; D008408:Mastectomy / Q000523:psychology*; D008875:Middle Aged; D016377:Organ Transplantation / Q000523:psychology*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D011788:Quality of Life / Q000523:psychology*; D012649:Self Concept; D011795:Surveys and Questionnaires