Psihosocijalne karakteristike i motivacioni faktori kod žena koje žele estetsko uvećanje grudi

  • Jelena Ratko Nikolić Clinic of Plastic and Reconstructive Surgery, Clinical Center of Vojvodina, Novi Sad, Serbia
  • Zlata Marko Janjić Clinic of Plastic and Reconstructive Surgery, Clinical Center of Vojvodina, Novi Sad, Serbia
  • Marija Marinković Clinic of Plastic and Reconstructive Surgery, Clinical Center of Vojvodina, Novi Sad, Serbia
  • Jelica Dragan Petrović Department of Psychology, Faculty of Phylosophy, University of Novi Sad, Novi Sad, Serbia
  • Teodora Miloš Božić Clinic of Anesthesiology and Intensive Care, Clinical Center of Vojvodina, Novi Sad, Serbia
DOI: https://doi.org/10.2298/1395
Ključne reči: esthetics||, ||estetika, mammaplasty||, ||mamaplastika, psychology||, ||psihologija, personality assessment||, ||ličnost, procena, questionnaires||, ||upitnici,

Sažetak


Uvod/Cilj. Postoje različita mišljenja o činiocima koji motivišu žene da se podvrgnu operaciji uvećanja grudi. Cilj ove studije bio je da se procene motivi za operaciju uvećanja grudi, nivo samopouzdanja kod tih pacijentkinja i lični doživljaj sopstvene slike tela. Metode. Ova prospektivna studija obuhvatila je pacijentkinje kojima je urađena augmentaciona mamoplastika (grupa AM) u Kliničkom centru Vojvodine u toku tri godine. Na paket upitnika koji je osmišljen da se procene motivi za operaciju, nivo samopouzdanja i lični doživljaj slike tela odgovorilo je 45 pacijentkinja. Kontrolnu grupu činile su žene sličnog životnog doba, socijalnog statusa i nivoa obrazovanja koje nisu želele da menjaju veličinu grudi. U istraživanju su korišteni opšti upitnik, Rozenbergov upitnik za procenu samopoštovanja i Photographic Figure Rating Scale (PFRS) test. Rezultati. Nisu utvrđene statistički značajne razlike između dve grupe žena u sociodemografskim varijablama (bračnom statusu, nivou obrazovanja, mestu stanovanja i zaposlenju), ali je utvrđen značajno niži indeks telesne mase (BMI) kod žena koje su želele uvećanje grudi. Najčešće navođeni motivi za operaciju bili su: želja za povećanjem ženstvenosti (82,2%), samopouzdanja (75,5%) i atraktivnosti (73,3%), zatim smanjenje stidljivosti u kontaktu sa muškarcima (64,4%), poboljšanje seksualnih odnosa (46,5%) i smanjeno zadirkivanje zbog izgleda grudi od strane okoline (42,2%), kao i lakše nalaženje partnera (11,1%) i posla (2,2%). Obe grupe pokazale su visok nivo samopouzdanja, ali su dobijene vrednosti testa bile značajno niže u grupi AM. Srednja vrednost dobijena u samoprocenjivanju slike tela po PFRS skali bila je značajno niža u grupi AM nego u kontrolnoj grupi (4,28 ± 1,3 vs 5,12 ± 1,23), što koincidira sa vrednostima BMI. Žene u grupi AM pokazale su statistički značajno niže vrednosti u proceni najmršavije i najdeblje atraktivne figure prema PFRS skali, i imale su uži raspon procene atraktivnosti figura. Zaključak. Preoperativna procena činilaca koji upućuju žene da se odluče za uvećanje grudi treba da pomogne hirurzima da isključe one sa nerealnim očekivanjima i različitim tendencijama ka psihičkim poremećajima.

 

 


Biografija autora

Jelena Ratko Nikolić, Clinic of Plastic and Reconstructive Surgery, Clinical Center of Vojvodina, Novi Sad, Serbia
Department of plastic and reconstructive surgery

Reference

The American Society for Aesthetic Plastic Surgery. !5th an-nual Cosmetic Surgery National Data Bank Statistics 2011. Available from: http/ /www.surgery.org/media/statistics

Sarwer DB, Pertschuk M J, Wadden, TA, Whitaker LA. Psycho-logical investigations in cosmetic surgery: A look back and a look ahead. Plast Reconstr Surg 1998; 101(4): 1136−42.

Cash TF, Melnyk SE, Hrabosky JI. The assessment of body im-age investment: An extensive revision of the Appearance Schemas Inventory. Int J Eat Disord 2004; 35(3): 305–16.

Sarwer DB, LaRossa D, Bartlett SP, Low DW, Bucky LP, Whitaker LA. Body Image Concerns of Breast Augmentation Patients. Plast Reconstr Surg 2003; 112(1): 83−90.

Henderson-King D, Henderson-King E. Acceptance of cosmetic surgery: Scale development and validation. Body Image: An Int J Res 2005; 2(2): 137−49.

Brown A, Furnham A, Glanville L, Swami V. Factors that affect the likelihood of undergoing cosmetic surgery. Aesthet Surg J 2007; 27(5): 501–8.

Rubin LR, Klassen A, Cano SJ, Pusic AL. Motivations for breast surgery: a quantitative comparison study of breast reconstruction, augmentation and reduction patients. Breast J 2009; 15(6) 666−7.

Crerand CE, Infield AL, Sarwer DB. Psychological considera-tions in cosmetic breast augmentation. Plast Surg Nurs 2007; 27(3): 146−54.

Solvi AS, Foss K, von Soest T, Roald HE, Skolleborg KC, Holte A. Motivational factors and psychological processes in cosmetic breast augmentation surgery. J Plast Reconstr Aesthet Surg 2010; 63(4): 673−80.

Bazner J. Attitudes About Cosmetic Surgery: Gender and Body Experience. GVSU McNair Scholars J 2002; 6(1): 11−6.

Alagoz MS, Basrerzi AD, Uysal AC, Tüzer V, Unlü RE, Sensöz O, et al. The Psychiatric View of Patients of Aesthetic Surgery: Self-Esteem, Body Image and Eating Attitude. Aesth Plast Surg 2003; 27(5): 345−8.

Sarwer DB. Psychological consideration in cosmetic surgery. In: Glodwyn RM, Cohen MN, editors. The Unfavorable Result in Plastic Surgery. 3rd ed. Philadelphia. Lippincott Wiliams & Wilkins; 2001. p. 14−23.

Crerand CE, Franklin ME, Sarwer DB. Body dysmorphic dis-order and cosmetic surgery. Plast Reconstr Surg 2006; 118(7): 167e−80e.

Kellett S, Clarke S, McGill P. Outcome from psychological as-sessment regarding recommendation for cosmetic surgery. J Plast Reconstr Aesthet Surg 2008; 61(5): 512−7.

Borah G, Rankin M, Wey P. Psychological complication in 281 plastic surgery practices. Plast Reconstr Surg 1999; 104(5): 1241−9.

Swami V, Salem N, Furnham A, Tovee MJ. Initial examination of the validity and reliability of the female photographic figure rating scale for body image assessment. Personal Individ Dif-feren 2008; 44: 1752−61.

Rosenberg M. Society and the Adolescent Self-Image. Revised ed. Middletown, CT: Wesleyan University Press, 1989.

Bruck JC, Klenschmidt A, Ottomann C. Invreased self-confidence and decreased sexual discomfort after subpectoral mammap-lasty. Handchir Mikrochir Plast Chir 2011; 43(2): 112−8. (German)

Mazzocchi M, Dessi LA, Iodice P, Saggini R, Scuderi N. A study of postural changes after breast augmentation. Aesthetic Plast Surg 2012; 36(3): 570−7.

McGregor FC. Social, psychological and cultural dimensions of cosmetic and reconstructive plastic surgery. Aesth Plast Surg 1989; 13(1): 1−8.

Simis KJ, Verhulst FC, Koot HM. Body image, psychosocial functional, and personality: How different are adolescents and young adults applying for plastic surgery? J Child Psychol Psy-chiatry 2001; 42(5): 669−78.

Sarwer DB, Crerand CE. Body image and cosmetic medical treatments. Body Image 2004; 1(1): 99−111.

Didie ER, Sarwer DB. Factors that influence the decision to undergo cosmetic breast augmentation surgery. J Womens Health (Larchmt) 2003; 12(3): 241−53.

Javo IM, Sorlie T. Psychosocial predictors of an interest in cos-metic surgery:a population-based study. Plast Reconstr Surg 2009; 124(6): 2142−8.

von Soest T, Kvalem IL, Skolleborg KC, Roald HE. Psycholosocial factors predicting the motivation to undergo cosmetic surgery. Plast Reconstr Surg 2006; 117(1): 51−62; discussion 63−4.

Honigman R, Phillips KA, Castle DJ. A review of psychosocial outcomes for patients seeking cosmetic surgery. Plast Reconstr Surg 2004; 113(4): 1229−37.

Birtchnell S, Whitfield P, Lacey JH. Motivation factors in women requesting augmentation and reduction mammaplasty. J Psy-chosom Res 1990; 34(5): 509−14.

Javo IM, Sorlie T. Psychosocial characteristics of young norwe-gian women interested in liposuction, breast augmentation, rhinoplasty, and abdominoplasty:a population –based study. Plast Reconstr Surg 2010; 125(5): 1536−43.

Levine JC, Anderson RC. Preoperative assessment of eating dis-orders in plastic surgery patients. Plast Surg Nurs 2009; 29(1): 60−3.

Burk J, Zelen SL, Terino EO. More than skin deep: a self-consistency approach to the psychology of cosmetic surgery. Plast Reconstr Surg 1985; 76(2): 270−80.

Ozgur F, Tuncali D Gursu G. Life satisfaction, self-esteem and body image:a psychosocial evaluation of aesthetic an recon-structive surgery candidates. Aesthetic Plast Surg 1998; 22(6): 412−9.

Shim C, Thoma A, McCahe RE, Antony M. Measuring Outcomes in Aesthetic Surgery: A Comprehensive Review of the Literature. Plast Reconstr Surg 2003; 111(1): 469−80.

Crerand CE, Cash TF, Whitaker LA. Cosmetic surgery of the face. In: Sarwer DB, Pruzinsky T, Cash TF, Goldwyn RM, Persing JA, Whitaker LA, editors. Psychological Aspects of Recon-structive and Cosmetic Plastic Surgery: Empirical, Clinical, and Ethical Issues. Philadelphia, Pennsylvania: Lippincott Williams & Wilkins; 2006. p. 233−50.

Sarwer DB, Didie ER, Gibbons LM. Cosmetic surgery of the body. In: Sarwer DB, Pruzinsky T, Cash TF, Goldwyn RM, Persing JA, Whitaker LA, editors. Psychological Aspects of Reconstructive and Cosmetic Plastic Surgery: Empirical, Clinical, and Ethical Issues. Philadelphia, Pennsylvania: Lippincott Williams & Wilkins; 2006. p. 251−66.

Objavljeno
2017/01/20
Broj časopisa
Vol. 70 Br. 10 (2013)
Rubrika
Originalni članak