Reduction mammaplasty relieves depression in women with macromastia: A systematic review

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Abstract

Introduction

A total of 71,364 breast reductions were performed in 2022, which demonstrates a 54% increase from 2019. Women most often seek breast reduction surgery for pain, but psychological symptoms may be equally distressing, particularly those who are younger. These women may also suffer low self-esteem, inhibitions in intimacy, and reluctance to exercise, which may contribute to depressive symptoms.

Methods

A systematic review was conducted using PRISMA guidelines and registered on PROSPERO (CRD42023456884). Cochrane Library, Embase, and Pubmed were searched for RCTs in English irrespective of timeframe. The studies were screened using the RoB2 tool, and data was extracted using standardized tables.

Results

The search strategy yielded 84 references, and only three were eligible for inclusion. The sample size collectively amounted to 193. The tools used to assess depressive symptoms were the Beck Depression Inventory, a modification of this tool, and the Hospital Anxiety Depression Score. All three studies showed a significant reduction in depression scores.

Conclusions

Breast hypertrophy may cause impairment in several key psychological domains including depression, which may be relieved with surgery. Standardized assessment tools and scoring systems may enable more comprehensive evaluation and potentially lead to guidelines defining broader criteria as indications for surgery. Further investigation into the differences between women who seek breast reduction surgery versus those who do not may provide insights into other contributing factors that may be at play. Further trials should be designed with longer durations of follow-up to investigate the long-term effects of breast reduction surgery.
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乳房缩小整形术可缓解巨乳症女性的抑郁:系统综述。
导言2022年共进行了71364例乳房缩小手术,比2019年增加了54%。女性最常因疼痛而寻求乳房缩小手术,但心理症状可能同样令人苦恼,尤其是年轻女性。这些女性还可能自卑、在亲密关系中受到抑制、不愿运动,这些都可能导致抑郁症状:采用 PRISMA 指南进行了一项系统性综述,并在 PROSPERO(CRD42023456884)上进行了注册。我们在 Cochrane Library、Embase 和 Pubmed 上搜索了英文的 RCT,不论时间框架如何。使用 RoB2 工具对研究进行筛选,并使用标准化表格提取数据:搜索策略共获得 84 篇参考文献,只有 3 篇符合纳入条件。样本量合计为 193 个。用于评估抑郁症状的工具是贝克抑郁量表(Beck Depression Inventory)、该工具的改良版以及医院焦虑抑郁评分(Hospital Anxiety Depression Score)。三项研究均显示抑郁评分明显降低:结论:乳房肥大症可能会导致包括抑郁在内的多个关键心理领域受损,而手术可能会缓解这一症状。标准化的评估工具和评分系统可以进行更全面的评估,并有可能制定出更广泛的手术适应症标准指南。进一步调查寻求乳房缩小手术的女性与不寻求手术的女性之间的差异,可能会对其他可能起作用的因素有所启发。进一步的试验应设计更长的随访时间,以调查乳房缩小手术的长期效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.10
自引率
11.10%
发文量
578
审稿时长
3.5 months
期刊介绍: JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.
期刊最新文献
Editorial Board The impact of cosmetic tourism across one year on an NHS breast surgery unit The roles of extracranial intravascular lesion, vasodilation-induced neural entrapment, and arteriolysis in migraine treatment Nail reconstruction using an osteo-onychocutaneous flap with the dorsal digital artery of the hallux as the pedicle: Techniques and anatomical insights Reduction mammaplasty relieves depression in women with macromastia: A systematic review
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