Its a silver lining: A template analysis of satisfaction and quality of life following post-mastectomy breast reconstruction

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dc.cclicenceCC-BY-NC-SAen
dc.contributor.authorMatthews, Hannahen
dc.contributor.authorTurner, Andrewen
dc.contributor.authorWilliamson, I. R.en
dc.contributor.authorClyne, Wendyen
dc.date.acceptance2018-01-24en
dc.date.accessioned2018-02-13T14:41:11Z
dc.date.available2018-02-13T14:41:11Z
dc.date.issued2018-03-02
dc.descriptionThe file attached to this record is the author's final peer reviewed version.en
dc.description.abstractObjective: In the United Kingdom, the number of women electing to undergo post-mastectomy breast reconstruction is increasing. As a consequence exploring patient-reported outcomes in breast surgery has become increasingly important. This study aims to explore satisfaction and quality of life following post-mastectomy breast reconstruction. Design: Qualitative research design. Methods: In-depth, semi-structured telephone interviews were conducted with 25 women, (Age, M= 53.08, SD=8.41) following breast reconstruction in the United Kingdom. Data were analysed using template analysis which produced three first-level, 13 second-level and 19 third-level themes. Results: Following reconstruction women reported improved emotional functioning, although this was often accompanied with deterioration in physical, sexual and/or social functioning. Women positively appraised their breast appearance, although some reported a decline in satisfaction over time and attributed this decline to their chosen reconstructive technique. Many women accepted the inevitability of scarring and most perceived their scars as a representation of their journey, signifying survival. Generally women were satisfied with the outcome of their reconstruction, although on reflection some would not have opted for reconstruction. Following breast reconstruction women were increasingly likely to experience the fear of recurrence, attributed to no longer being able to have a mammogram on the affected breast(s). Conclusions: This study provides new insights into post-mastectomy breast reconstruction and is a novel application of the qualitative data analysis method, template analysis. Template analysis demonstrates only slight variation in some categories of experience among women, despite a heterogeneous sample. The findings allow researchers and clinicians to focus on specific dimensions of satisfaction and quality of life to positively support the needs of women following reconstructionen
dc.funderN/Aen
dc.identifier.citationMatthews, H., Turner, A., Williamson, I. and Clyne, W. (2018) Its a silver lining: A template analysis of satisfaction and quality of life following post-mastectomy breast reconstruction. British Journal of Health Psychology, 23 (2), pp. 455-475en
dc.identifier.doihttps://doi.org/10.1111/bjhp.12299
dc.identifier.issn1359-107X
dc.identifier.urihttp://hdl.handle.net/2086/15204
dc.language.isoenen
dc.peerreviewedYesen
dc.projectidN/Aen
dc.publisherWileyen
dc.researchgroupHealth Psychologyen
dc.researchinstituteInstitute for Psychological Scienceen
dc.subjectBreast canceren
dc.subjectmastectomyen
dc.subjecttemplate analysisen
dc.subjectquality of lifeen
dc.titleIts a silver lining: A template analysis of satisfaction and quality of life following post-mastectomy breast reconstructionen
dc.typeArticleen

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