title: Positive and negative aspects of well-being as correlates of breast reconstruction decision.
abstract: OBJECTIVE
  The aim of the study was to explore the role of positive and negative aspects of well-being in a breast reconstruction decision, described in terms of the trans-theoretical model of change (TTM).
  
  
  METHODS
  The study comprised 216 women after total mastectomy in the cross-sectional design. The positive aspects of well-being were measured using the Rosenberg Self-Esteem Scale and Generalised Self-Efficacy Scale; the negative aspects were assessed using the Beck Depression Inventory and State-Trait Anxiety Inventory (T-Anxiety scale).
  
  
  RESULTS
  The multinomial logistic regression analyses were implemented, and the action stage was chosen as a relevant category. McFadden's pseudo R-squared for positive, negative and combined aspects of well-being models equalled 0.28, 0.13 and 0.27, respectively. For the first model, the differential effects were observed for well-being, age and relationship status (54 % correctly classified cases), whereas for the model with negative aspects-only age and well-being (44 % correctly classified cases). For a model combining two aspects of well-being, the pattern was similar to the one observed for positive well-being (53 % correctly classified cases). The likelihood of classifying women in the action stage rather than in the pre-contemplation stage was determined by three variables: being in a relationship, better well-being and younger age. For the contemplation stage, the same relations were obtained for well-being and age. Finally, for the preparation stage, the well-being effect disappeared.
  
  
  CONCLUSIONS
  The results suggest that positive rather than negative aspects of well-being, after control for sociodemographic variables, may be significant correlates of breast reconstruction decision.
authors.affiliation: Faculty in Katowice, University of Social Sciences and Humanities, 9 Technikow Street, 40-326, Katowice, Poland, jzycinska@swps.edu.pl.
authors.forename: Jolanta
authors.initials: J
authors.lastname: Zycinska
authors.forename: Ewa
authors.initials: E
authors.lastname: Gruszczynska
authors.forename: Alina
authors.initials: A
authors.lastname: Choteborska
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000453:epidemiology / Q000523:psychology; D001943:Breast Neoplasms / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D003657:Decision Making; D003863:Depression / Q000453:epidemiology / Q000523:psychology; D005163:Factor Analysis, Statistical; D005260:Female; D006304:Health Status; D006801:Humans; D016015:Logistic Models; D016462:Mammaplasty / Q000523:psychology*; D008408:Mastectomy / Q000523:psychology; D008875:Middle Aged; D009367:Neoplasm Staging; D010549:Personal Satisfaction; D011788:Quality of Life; D012649:Self Concept; D020377:Self Efficacy; D012923:Social Class; D011795:Surveys and Questionnaires