Efficacy of group therapy for problems with postmastectomy self‐perception, body image, and sexuality

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Abstract
Until very recently, the sexual and body image problems of women treated for breast cancer by surgical removal of the breast were ignored by physicians and therapists. Postmastectomy women (N = 62) and non‐mastectomy women (N = 51) were compared on self‐image and sexuality, positive affect, autonomy, self‐sacrifice, and body touching. Additionally, mastectomees were tested three times over 12 months to evaluate the efficacy of group therapy for postmastectomy women. Prior to group therapy, baseline data indicated that, compared to nonmastec‐tomy women, mastectomees had a significantly different body image and lower sexual adjustment. Specifically there was marked dislike for the amputated breast region and diminished pleasure in self‐touching of the remaining breast. Positive affect and sexual receptivity for both the mastectomee and her partner were perceived to be adversely affected. These effects were not related to age, marital status, or elapsed time since mastectomy. Treatment significantly improved positive affect and sexual adjustment but did not improve attitude toward the amputated breast region or increase the range or frequency of sexual activity and sexual receptivity.

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