Prophylactic Mastectomy: Impact and Intervention

Abstract

Prophylactic mastectomy (PM). the surgical removal of a healthy breast is a risk reduction option offered to women at increased genetic risk of breast cancer. There is limited data on the psychological effects of PM on body image self-esteem marital and family relationships etc. A psychological consultation offered to women making this irreversible decision would likely improve decision-making and subsequent coping. The design of this consultation is best informed by data about physical and emotional effects of surgery from women who have had this procedure. This project aims to gather such data through taped telephone interviews with women who had both breasts removed prophylactically (N-25) women with cancer in one breast who had both breasts removed (N-5O) and women considering PM (N-5O). We aim to determine (1) emotional and interpersonal effects of PM. (2) what women at increased risk of breast cancer anticipate the effects of PM surgery to be. and (3) if women in both groups believe psychological consultation about PM is useful. To date. interview schedules have been completed, pilot interviews conducted and analyzed. surgeons successfully involved in patient review and permission. and IRB approval finalized. Subjects are now being enrolled and interviews scheduled.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2000
Accession Number
ADA388864

Entities

People

  • Andrea Patenaude

Organizations

  • Dana–Farber Cancer Institute

Tags

DTIC Thesaurus Topics

  • Biomedical Research
  • Breast Cancer
  • Diseases And Disorders
  • Education
  • Electronic Mail
  • Families (Human)
  • Genetic Testing
  • Health Care
  • Health Services
  • Institutional Review Board
  • Intervention
  • Mastectomy
  • Medical Personnel
  • Neoplasms
  • Physicians
  • Psychology
  • Surgery

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Oncology (Cancer Research).
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.

Technology Areas

  • Biotechnology