与乳腺癌手术相关的身体形象问题可能会影响患者的生活质量及其治疗结果，因此是心理肿瘤学环境中需要评估的一个关键方面。本纵向研究的目的是：（1）调查乳腺癌患者术前身体形象与术后心理症状之间的关联； (2) 探讨手术前/术后身体意象变化对心理症状的影响。N = 72 名接受乳腺癌手术的女性在术前使用身体不安测试 (BUT) 进行筛查 (T1)，并在术后进行评估 (T2)使用症状检查表 90 修订版 (SCL-90-R) 并重新进行 BUT。采用Spearman相关分析年龄、术前身体意象与术后心理症状、身体意象变化之间的关系。为了预测术后心理症状，使用两个独立的多元回归模型来评估术前身体形象及其在控制协变量（即教育；干预类型）后的变化。所有分析的 P 显着性均设为 0.05，并针对多重比较进行调整。在 T1 时，与身体意象评分相关的焦虑成为术后最常经历的心理症状（所有调整后的 p < 0.05）。在 T2 时的所有 SCL-90-R 评分与 T1 时的回避行为和人格解体评分之间观察到显着相关性。躯体化、抑郁、焦虑和敌意之间的关联最为显着（所有调整后的 p < 0.05）。然而，干预前后身体意象的变化与 T2 时的心理症状无关（所有调整后的 p > 0.05）。术前身体回避与干预后心理症状显着相关（SOMβ = 0.453，p = 0.0001；DEPβ = 0.507，p = 0.0001；AXβ = 0.459，p = 0.0001；HOSβ = 0.410，p=。 0001）。然而，术前和术后体重恐惧症的增加与 T2 时躯体化、焦虑、抑郁和敌意的增加存在统计学相关性（βSOM = 0.439，p = 0.0001；βDEP = 0.454，​​p = 0.0001；βANX = 0.471，p = 0.0001总体而言，干预前/干预后的身体担忧与接受手术的乳腺癌患者的主要心理症状显着相关。较高水平的身体回避和体重恐惧症与评估的主要心理维度显着相关。由于身体问题可能作为生活质量的预测因素，因此对其进行评估对于促进患者的健康和治疗依从性至关重要。版权所有 © 2024 Verri, Pepe, Abbatantuono, Bottalico, Semeraro, Moschetta, De Caro, Taurisano, Antonucci and牛牛。

Body image concerns related to breast cancer surgery may challenge patients' quality of life and their treatment outcomes, thus representing a key aspect to be assessed in the psycho-oncological settings. The present longitudinal study is aimed to (1) investigate the association between preoperative body image and postoperative psychological symptoms in breast cancer patients; (2) explore the impact of pre-/post-surgery variation in body image on psychological symptomatology.N = 72 women undergoing breast cancer surgery were preoperatively screened (T1) using the Body Uneasiness Test (BUT) and were assessed postoperatively (T2) using the Symptom Checklist-90 Revised (SCL-90-R) and re-administered the BUT. Spearman's correlation was used to investigate the relationship between age, preoperative body image and postoperative psychological symptoms, and variation in body image. To predict post-surgical psychological symptomatology, two separated multiple regression models were used to evaluate preoperative body image and its variation after surgery controlling for covariates (i.e., education; intervention type). P significance was set as 0.05 for all analyses and adjusted for multiple comparisons.At T1, anxiety in relation to body image scores emerged as the most frequently experienced psychological symptomatology after surgery (all adjusted p < 0.05). Significant correlations were observed between all SCL-90-R scores at T2 and avoidance behaviors and depersonalization scores at T1. The associations were most significantly strong for somatization, depression, anxiety, and hostility (all adjusted p < 0.05). However, change in body image between pre- and post-intervention was not associated with psychological symptomatology at T2 (all adjusted p > 0.05). Pre-surgery body avoidance was significantly associated with post-intervention psychological symptoms (SOMβ = 0.453, p = 0.0001; DEPβ = 0.507, p = 0.0001; AXβ = 0.459, p = 0.0001; HOSβ = 0.410, p=. 0001). However, increased weight phobia between pre- and post-surgery was statistically associated with increased somatization, anxiety, depression and hostility at T2 (βSOM = 0.439, p = 0.0001; βDEP = 0.454, p = 0.0001; βANX = 0.471, p = 0.0001).Overall, pre-/post-intervention body concerns were significantly associated with primary psychological symptoms in breast cancer patients undergoing surgery. Higher levels of body avoidance and weight phobia were significantly associated with the primary psychological dimensions assessed. As body concerns might act as quality-of-life predictors, their evaluation is crucial in fostering patients' well-being and treatment adherence.Copyright © 2024 Verri, Pepe, Abbatantuono, Bottalico, Semeraro, Moschetta, De Caro, Taurisano, Antonucci and Taurino.