RT journal article
T1 Psychosocial and sexual well-being in breast cancer survivors undergoing immediate breast reconstruction: The mediating role of breast satisfaction
A1 Gil-Olarte Márquez, Paloma
A1 Gil-Olarte, M.Angeles
A1 Gómez Molinero, Rocío
A1 Guil Bozal, Rocío
A2 Psicología
K1 breast cancer
K1 immediate breast reconstruction
K1 mediation analysis
K1 psychosocial well-being
K1 quality of life
K1 sexual well-being
AB Objective: This study aimed to explore (1) the levels of quality of life (psychosocial, physical and sexual well-being) and breast satisfaction in breast cancer patients (BCP) after immediate reconstruction (IR), considering surgery reason and surgical technique, and (2) the explanatory and predictive capacity of psychosocial well-being on breast satisfaction, and of both on sexual well-being.Methods: This prospective study included 36 BCP who underwent IR between June 2006 and December 2014.Results: Highest levels of quality of life were found in psychosocial well-being and sexual well-being, with no statistically significant differences by surgery reason or surgical technique in any quality of life indicator or breast satisfaction. Psychosocial, physical well-being and breast satisfaction explained 56.16% of the variance in sexual well-being, where 44.67% was attributed to psychosocial well-being. In addition, breast satisfaction statistically significantly mediated the relationship between psychosocial and sexual well-being, independently of physical well-being.Conclusion: Our findings highlight the importance of IR in reducing psychological morbidity and preserving the quality of life and breast satisfaction. Furthermore, this research indicated that psychosocial well-being should be considered a useful personal resource for improving the sexual well-being of BCP undergoing IR both through its direct effect and the mediated effect of breast satisfaction.
PB WILEY
SN 1365-2354
YR 2022
FD 2022-08
LK http://hdl.handle.net/10498/27470
UL http://hdl.handle.net/10498/27470
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 10-nov-2026