Positive and negative aspects of well-being as correlates of breast reconstruction decision

Jolanta Życińska , Ewa Gruszczyńska , Alina Choteborska

Abstract

Purpose The aim of the study was to explore the role of positive and negative aspects of well-being in a breast reconstruction decision, described in terms of the transtheoretical model of change (TTM). Methods The study comprised 216 women after total mastectomy in the cross-sectional design. The positive aspects of well-being were measured using the Rosenberg Self-Esteem Scale and Generalised Self-Efficacy Scale; the negative aspects were assessed using the Beck Depression Inventory and State-Trait Anxiety Inventory (T-Anxiety scale). Results The multinomial logistic regression analyses were implemented, and the action stage was chosen as a relevant category. McFadden’s pseudo R-squared for positive, negative and combined aspects of well-being models equalled 0.28, 0.13 and 0.27, respectively. For the first model, the differential effects were observed for wellbeing, age and relationship status (54 % correctly classified cases), whereas for the model with negative aspects—only age and well-being (44 % correctly classified cases). For a model combining two aspects of well-being, the pattern was similar to the one observed for positive well-being (53 % correctly classified cases). The likelihood of classifying women in the action stage rather than in the precontemplation stage was determined by three variables: being in a relationship, better well-being and younger age. For the contemplation stage, the same relations were obtained for well-being and age. Finally, for the preparation stage, the well-being effect disappeared. Conclusion The results suggest that positive rather than negative aspects of well-being, after control for sociodemographic variables, may be significant correlates of breast reconstruction decision.
Author Jolanta Życińska (Wydział Zamiejscowy w Katowicach)
Jolanta Życińska,,
- Wydział Zamiejscowy w Katowicach
, Ewa Gruszczyńska (Wydział Psychologii)
Ewa Gruszczyńska,,
- Wydział Psychologii
, Alina Choteborska
Alina Choteborska,,
-
Journal seriesQuality of Life Research, ISSN 0962-9343, e-ISSN 1573-2649, (A 35 pkt)
Issue year2014
Vol23
No6
Pages1803-1812
Publication size in sheets0.5
Keywords in EnglishBreast cancer, Delayed breast reconstruction, Positive well-being, Quality of life, Psycho-oncology, Decision-making
ASJC Classification2739 Public Health, Environmental and Occupational Health
DOIDOI:10.1007/s11136-013-0612-5
URL http://link.springer.com/article/10.1007%2Fs11136-013-0612-5#/page-1
Languageen angielski
File
QoLR-Nadbitka-2014-2.pdf 270.66 KB
Score (nominal)40
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2014 = 1.398; WoS Impact Factor: 2014 = 2.486 (2) - 2014=3.102 (5)
Citation count*6 (2020-07-09)
Additional fields
Dorobek Naukowy - Preview URLhttp://dn.swps.edu.pl/Podglad.aspx?WpisID=15156
Dorobek Naukowy - Approve URLhttp://dn.swps.edu.pl/Biuro/ZatwierdzanieWpisu.aspx?WpisID=15156
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* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.
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