Effects of mastectomy versus lumpectomy on emotional adjustment to breast cancer: A prospective study of the first year postsurgery

Christina Pozo, Charles S Carver, Victoria Noriega, Suzanne D. Harris, David S. Robinson, Alfred S. Ketcham, Adrian Legaspi, Frederick L Moffat, Kimberley C. Clark

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Abstract

Purpose: Procedure (mastectomy v lumpectomy) and choice of procedure were examined as predictors of adjustment to breast cancer in a prospective study of the experiences of the first year after surgery. Patients and Methods: Breast cancer patients were interviewed the day before surgery, 10 days after surgery, and at the 3-month, 6-month, and 12-month follow-ups. Patients included 24 women who received mastectomy on strong recommendation, 24 who chose mastectomy for other reasons, and 15 who chose lumpectomy. Subjective well-being was assessed in terms of mood disturbance, perceived quality of Iife, life satisfaction, marital satisfaction, perceptions of social support, and self-rated adjustment. Results: Surgical groups differed in well-being in only one respect: lumpectomy patients reported a higher-quality sex life at 6 and 12 months postsurgery than mastectomy patients. Choice of surgical procedure predicted higher levels of life satisfaction at 3 months. Conclusion: The lack of difference between surgical groups in areas other than sexual adjustment replicates previous findings, but extends them by (1) using a fully prospective design, (2) providing data on the period surrounding the surgery (as well as later periods), and (3) examining a broader range of indices of well-being than usual.

Original languageEnglish
Pages (from-to)1292-1298
Number of pages7
JournalJournal of Clinical Oncology
Volume10
Issue number8
StatePublished - Dec 1 1992

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ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Pozo, C., Carver, C. S., Noriega, V., Harris, S. D., Robinson, D. S., Ketcham, A. S., Legaspi, A., Moffat, F. L., & Clark, K. C. (1992). Effects of mastectomy versus lumpectomy on emotional adjustment to breast cancer: A prospective study of the first year postsurgery. Journal of Clinical Oncology, 10(8), 1292-1298.