@article{GS10464,
author = {Christel Aurora Louise de Raaff and Eveline Anne-Jet Derks and Bart Torensma and Adriaan Honig and Bartholomeus Cornelius Vrouenraets},
title = {Breast reconstruction after mastectomy: does it decrease depression at the long-term?},
journal = {Gland Surgery},
volume = {5},
number = {4},
year = {2016},
keywords = {},
abstract = {Background: Depression is associated with breast cancer survivors in 22%. Although breast reconstruction (BR) is intended to provide psychological improvements such as reducing depression, literature is inconclusive and without long-term follow-up. The objective is to evaluate the impact of BR after breast cancer related mastectomy on the long-term depression risk and assess predictive factors for depression.
Methods: Women who underwent a curative mastectomy between 1999 and 2009 were included. After a mean follow-up of more than 6 years after operation, the Beck Depression Inventory-13 (BDI-13) evaluated depressive symptoms. Multivariable regression analysis provided predictors for depression.
Results: A total of 139 patients, 34 (24.5%) with and 105 (75.5%) without BR, were analyzed. Seventy-seven patients (48.2%) were at high risk for mild (n=58), moderate (n=5) or severe (n=4) depression. There was a trend for slightly better BDI-13 outcomes for women who underwent BR (2 vs. 4; P=0.06). Living alone [odds ratio (OR): 2.16; P=0.04], low educational level (OR: 3.70; P},
issn = {2227-8575}, url = {https://gs.amegroups.org/article/view/10464}
}