Associations between Reoperations and Psychological Factors after Contralateral Risk-Reducing Mastectomy: A Two-Year Follow-Up Study

Table 2

Postoperative scores and standard deviation (SD) for BIS, SAQ, and HADS and differences between the “reoperation group” and the “no reoperation group.”

Questionnaire and subscales	Mean (SD)		Crude diff.; (99% CI)	value	Adjusted diff. (99% CI)	value
	No reoperation; = 16–24	Reoperation; = 25–30
BIS
Summated score	6.3 (5.6)	7.8 (5.5)	−1.5 (−5.5 to 2.6)	0.34	−1.5 (−6.0 to 3.1)	0.39
SAQ
Pleasure	9.3 (5.0)	9.5 (4.3)	−0.2 (−4.2 to 3.8)	0.91	−0.4 (−4.8 to 3.9)	0.78
Discomfort	1.2 (1.4)	1.8 (1.9)	−0.6 (−2.2 to 0.9)	0.25	0.8 (−0.6 to 2.3)	0.12
Habit	0.7 (0.5)	0.9 (0.9)	−0.2 (−0.8 to 0.4)	0.36	0.3 (−0.6 to 1.1)	0.39
HADS
Anxiety	5.5 (4.4)	5.7 (3.8)	−0.2 (−3.2 to 2.8)	0.86	−0.7 (−4.2 to 2.8)	0.58
Depression	2.8 (2.8)	3.0 (3.2)	−0.2 (−2.4 to 2.0)	0.81	−0.5 (3.1 to 2.2)	0.64

BIS: Body Image Scale; SAQ: Sexual Activity Questionnaire; HADS: Hospital Anxiety and Depression Scale; CI: confidence interval.
Higher score indicates more problems (range 0–30).
Higher scores indicate more pleasure (range 0–18).
Higher scores indicate more discomfort (range 0–6).
Score < 1 indicates less frequency than usual (range 0–3).
Higher scores indicate higher levels of anxiety and depression (range 0–21).
Adjusted for radiotherapy.