Well-Being, Depression, and Anxiety following Oncoplastic Breast Conserving Surgery versus Modified Radical Mastectomy Followed by Late Breast Reconstruction

Daciana Grujic, Cătălina Giurgi-Oncu, Cristina Oprean, Zorin Crăiniceanu, Ica Secoșan, Ioana Riviș, Ion Papavă, Corina Vernic and Cristina Bredicean
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Daciana Grujic: Department of Plastic and Reconstructive Surgery, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania
Cătălina Giurgi-Oncu: Discipline of Psychiatry, Department of Neuroscience, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania
Cristina Oprean: Discipline of Morpho-Pathology, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania
Zorin Crăiniceanu: Department of Plastic and Reconstructive Surgery, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania
Ica Secoșan: Department of Plastic and Reconstructive Surgery, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania
Ioana Riviș: Department of Neurosciences, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
Ion Papavă: Discipline of Psychiatry, Department of Neuroscience, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania
Corina Vernic: Discipline of Medical Informatics and Biostatistics, Department of Functional Sciences, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania
Cristina Bredicean: Discipline of Psychiatry, Department of Neuroscience, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania

IJERPH, 2021, vol. 18, issue 17, 1-13

Abstract: Breast cancer requires complex clinical care. Well-being is an intricate concept, encompassing physical, functional, emotional, and social aspects. Background: This study aims to evaluate the relationship between the type of surgery our patients underwent and the timing of the reconstructive surgery with physical, emotional, social, and functional well-being. Furthermore, through our research we tried to identify potential mental health comorbidities in patients with breast cancer, clinical symptoms, and well-being in women with breast cancer, depending on the type of required surgery. Methods: The study included 69 women diagnosed with breast cancer, in stages I to III, divided in two groups: I—patients with oncoplastic breast-conserving surgery and contralateral correction surgery, for symmetry reasons; II—patients who underwent modified radical mastectomy and late breast reconstruction with contralateral symmetrisation. We evaluated socio-demographic aspects, alongside depression, anxiety, stress (DASS 21), and well-being (FACT-B). Data were statistically processed; statistical significance was set at p < 0.05. Results: Clinical elements of depression, anxiety, and stress were noted in both groups, without statistical significance ( p > 0.05). Significant differences were found regarding psycho-emotional ( p = 0.035) and functional well-being ( p = 0.001), with higher scores for group I. The chi-square test indicated statistically significant differences (at p < 0.01) between the groups, regarding the frequency of scores on items B4 and B9 (FACT-B items, related to feminine aesthetics and desirability), with evidently higher scores in group I than in group II. Conclusions: The state of well-being, as well as the items related to femininity and sexuality had higher values in the group of women treated by oncoplastic conservative surgery compared to late reconstruction after modified radical mastectomy.

Keywords: breast cancer; conservative surgery; anxiety; depression; well-being (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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