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Gepubliceerd in: Quality of Life Research 6/2014

01-08-2014

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

Auteurs: Jolanta Zycinska, Ewa Gruszczynska, Alina Choteborska

Gepubliceerd in: Quality of Life Research | Uitgave 6/2014

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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 well-being, 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.
Voetnoten
1
General self-efficacy is conceptualised as a global confidence in one’s coping ability across a wide range of stressful or novel situations [26].
 
2
This study does not cover this TTM stage because of the research aim concerning making a breast reconstruction decision (not the consequences of such a decision).
 
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Metagegevens
Titel
Positive and negative aspects of well-being as correlates of breast reconstruction decision
Auteurs
Jolanta Zycinska
Ewa Gruszczynska
Alina Choteborska
Publicatiedatum
01-08-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 6/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0612-5

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