Psychological response to mastectomy. A prospective comparison study. Psychological aspects of XXXX Study Group.

@entity1 @entity1085 @entity0 @entity146 @entity1109 @entity458 @entity148 @entity2048 @entity954 @entity221 @entity1558 @entity34
This study reports data from 412 @entity1 prospectively studied over a 1-year period from five collaborating centers: one group had modified radical mastectomy for Stages I and II @entity0 , 145; cholecystectomy for @entity1085 , 90; biopsy for @entity1558 , 87; and healthy @entity1 , 90. All were between the ages of 30 and 70 years, without pre-existing @entity146 and @entity2048 of current @entity221 . All @entity1 were seen initially within 3 months of surgery. Data were analyzed from structured interviews, speech samples, and questionnaire responses which measured presence and degree of @entity1109 , mood, physical complaints, self-esteem, and quality of interpersonal relationships. Principal components analysis was used to generate seven identifiable factors which were analyzed by MANOVA (multiple analysis of variance). @entity1 with @entity0 showed @entity458 related to social and interpersonal relationships. More distress was seen in @entity1 with @entity34 , and they also had more negative attitudes toward self and the future, concern with physical symptoms, @entity148 , strain, and interpersonal difficulties. They did not, however, show any greater signs of @entity1109 severe enough to warrant @entity146 intervention than the other groups over the year following surgery. The findings suggest that healthy @entity1 without prior @entity146 or concurrent @entity221 experienced some @entity954 , primarily in psychosocial functioning which was more than that in @entity1 after cholecystectomy or biopsy, but severe @entity1109 over the year following surgery were conspicuously absent. These data do not support the belief that severe @entity146 sequelae follow a mastectomy in psychologically healthy @entity1 .
