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Updated: Aug 12, 2026
13:35
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Psychological implications of mastectomy
The British Journal of Social and Clinical Psychology
|November 1, 1977
Summary
Mastectomy patients experience higher depression and anxiety levels years after surgery. This adjustment is linked to body image concerns and fear of cancer recurrence, impacting self-esteem and social behavior.
Area of Science:
- Psychological impact of surgery
- Cancer survivorship research
- Patient adjustment studies
Background:
- Mastectomy is a significant surgical intervention for breast cancer.
- Long-term psychological effects of mastectomy require thorough investigation.
- Understanding patient adjustment is crucial for supportive care.
Purpose of the Study:
- To assess the long-term adjustment of mastectomy patients.
- To compare the psychological well-being of mastectomy patients with a control group.
- To identify factors contributing to post-mastectomy adjustment challenges.
Main Methods:
- A cohort of mastectomy patients was assessed 18 months to 5 years post-surgery.
- Psychological assessments included measures of depression, anxiety, self-esteem, and introversion.
- A control group of cholecystectomy patients was used for comparison.
Main Results:
- Mastectomy patients reported significantly higher levels of depression and anxiety compared to controls.
- Lower self-esteem was observed in the mastectomy group.
- Mastectomy patients described themselves as more introverted post-surgery.
Conclusions:
- Long-term psychological distress, including depression and anxiety, is prevalent in mastectomy patients.
- Concerns regarding breast loss and cancer recurrence significantly influence patient adjustment.
- Interventions addressing body image and fear of recurrence may improve long-term outcomes for breast cancer survivors.
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