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Quality of Life Research
Gepubliceerd in:

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.
vorige artikel Reliability and validity of the Iranian version of the QAPACE in adolescents
volgende artikel Understanding the relative importance of preserving functional abilities in Alzheimer’s disease in the United States and Germany
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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