Post-mastectomy breast reconstruction wound healing and the association of perceived stress and serum cortisol levels

Lauren Schumacher, Derek Renshaw, Alan Park, Elizabeth Grunfeld

Research output: Contribution to conferenceAbstract

Abstract

Background: Post-mastectomy breast reconstruction for breast cancer can bring about changes in body image. Scarring, or wound healing, is considered a form of bodydisfigurement and is associated with psychosocial difficulties, including areas of body imageand quality of life. The aim of this study is to demonstrate the relationships betweenobjective and subjective wound healing, between objective wound healing and serumcortisol levels, and between perceived stress and serum cortisol levels in womenundergoing post-mastectomy breast reconstruction.
Methods: Nineteen women undergoing post-mastectomy breast reconstruction wererecruited to a pilot study. At one week prior, one week after, and one month after surgery,participants completed fifteen saliva samples at each time-point as well as measures forpsychosocial factors, including stress (PSS) and subjective wound healing. Objective measurement of wound healing was conducted at three to eight weeks post-surgery using the EPISCAN, a high frequency ultrasound imaging system. Serum cortisol levels analysed with salivary cortisol enzyme immunoassay.
Findings: A Pearson‘s correlation was computed to assess the relationship between perceived stress and subjective wound healing of the reconstructed breast(s) at one month post-surgery. There was a positive correlation between the two variables, r = 0.530, n =13, p = 0.031.
Discussion: This output is significant in its combination of multiple methodologies to address the research aims; this output will add new knowledge that will contribute to the understanding of how women heal after a breast reconstruction and how the role psychosocial difficulties may play in wound healing.

Conference

Conference32nd Conference of the EHPS Health Psychology Across the Lifespan: Uniting Research, Practice, and Policy
CountryIreland
CityGalway
Period21/08/1825/08/18
Internet address

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Mammaplasty
Mastectomy
Wound Healing
Hydrocortisone
Serum
Body Image
Immunoenzyme Techniques
Saliva
Cicatrix
Ultrasonography
Breast
Quality of Life
Breast Neoplasms
Research

Cite this

Schumacher, L., Renshaw, D., Park, A., & Grunfeld, E. (2018). Post-mastectomy breast reconstruction wound healing and the association of perceived stress and serum cortisol levels. Abstract from 32nd Conference of the EHPS Health Psychology Across the Lifespan: Uniting Research, Practice, and Policy, Galway, Ireland.

Post-mastectomy breast reconstruction wound healing and the association of perceived stress and serum cortisol levels. / Schumacher, Lauren; Renshaw, Derek; Park, Alan; Grunfeld, Elizabeth.

2018. Abstract from 32nd Conference of the EHPS Health Psychology Across the Lifespan: Uniting Research, Practice, and Policy, Galway, Ireland.

Research output: Contribution to conferenceAbstract

Schumacher, L, Renshaw, D, Park, A & Grunfeld, E 2018, 'Post-mastectomy breast reconstruction wound healing and the association of perceived stress and serum cortisol levels' 32nd Conference of the EHPS Health Psychology Across the Lifespan: Uniting Research, Practice, and Policy, Galway, Ireland, 21/08/18 - 25/08/18, .
Schumacher L, Renshaw D, Park A, Grunfeld E. Post-mastectomy breast reconstruction wound healing and the association of perceived stress and serum cortisol levels. 2018. Abstract from 32nd Conference of the EHPS Health Psychology Across the Lifespan: Uniting Research, Practice, and Policy, Galway, Ireland.
Schumacher, Lauren ; Renshaw, Derek ; Park, Alan ; Grunfeld, Elizabeth. / Post-mastectomy breast reconstruction wound healing and the association of perceived stress and serum cortisol levels. Abstract from 32nd Conference of the EHPS Health Psychology Across the Lifespan: Uniting Research, Practice, and Policy, Galway, Ireland.1 p.
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title = "Post-mastectomy breast reconstruction wound healing and the association of perceived stress and serum cortisol levels",
abstract = "Background: Post-mastectomy breast reconstruction for breast cancer can bring about changes in body image. Scarring, or wound healing, is considered a form of bodydisfigurement and is associated with psychosocial difficulties, including areas of body imageand quality of life. The aim of this study is to demonstrate the relationships betweenobjective and subjective wound healing, between objective wound healing and serumcortisol levels, and between perceived stress and serum cortisol levels in womenundergoing post-mastectomy breast reconstruction.Methods: Nineteen women undergoing post-mastectomy breast reconstruction wererecruited to a pilot study. At one week prior, one week after, and one month after surgery,participants completed fifteen saliva samples at each time-point as well as measures forpsychosocial factors, including stress (PSS) and subjective wound healing. Objective measurement of wound healing was conducted at three to eight weeks post-surgery using the EPISCAN, a high frequency ultrasound imaging system. Serum cortisol levels analysed with salivary cortisol enzyme immunoassay.Findings: A Pearson‘s correlation was computed to assess the relationship between perceived stress and subjective wound healing of the reconstructed breast(s) at one month post-surgery. There was a positive correlation between the two variables, r = 0.530, n =13, p = 0.031.Discussion: This output is significant in its combination of multiple methodologies to address the research aims; this output will add new knowledge that will contribute to the understanding of how women heal after a breast reconstruction and how the role psychosocial difficulties may play in wound healing.",
author = "Lauren Schumacher and Derek Renshaw and Alan Park and Elizabeth Grunfeld",
year = "2018",
language = "English",
note = "32nd Conference of the EHPS Health Psychology Across the Lifespan: Uniting Research, Practice, and Policy : Uniting Research, Practice, and Policy ; Conference date: 21-08-2018 Through 25-08-2018",
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TY - CONF

T1 - Post-mastectomy breast reconstruction wound healing and the association of perceived stress and serum cortisol levels

AU - Schumacher, Lauren

AU - Renshaw, Derek

AU - Park, Alan

AU - Grunfeld, Elizabeth

PY - 2018

Y1 - 2018

N2 - Background: Post-mastectomy breast reconstruction for breast cancer can bring about changes in body image. Scarring, or wound healing, is considered a form of bodydisfigurement and is associated with psychosocial difficulties, including areas of body imageand quality of life. The aim of this study is to demonstrate the relationships betweenobjective and subjective wound healing, between objective wound healing and serumcortisol levels, and between perceived stress and serum cortisol levels in womenundergoing post-mastectomy breast reconstruction.Methods: Nineteen women undergoing post-mastectomy breast reconstruction wererecruited to a pilot study. At one week prior, one week after, and one month after surgery,participants completed fifteen saliva samples at each time-point as well as measures forpsychosocial factors, including stress (PSS) and subjective wound healing. Objective measurement of wound healing was conducted at three to eight weeks post-surgery using the EPISCAN, a high frequency ultrasound imaging system. Serum cortisol levels analysed with salivary cortisol enzyme immunoassay.Findings: A Pearson‘s correlation was computed to assess the relationship between perceived stress and subjective wound healing of the reconstructed breast(s) at one month post-surgery. There was a positive correlation between the two variables, r = 0.530, n =13, p = 0.031.Discussion: This output is significant in its combination of multiple methodologies to address the research aims; this output will add new knowledge that will contribute to the understanding of how women heal after a breast reconstruction and how the role psychosocial difficulties may play in wound healing.

AB - Background: Post-mastectomy breast reconstruction for breast cancer can bring about changes in body image. Scarring, or wound healing, is considered a form of bodydisfigurement and is associated with psychosocial difficulties, including areas of body imageand quality of life. The aim of this study is to demonstrate the relationships betweenobjective and subjective wound healing, between objective wound healing and serumcortisol levels, and between perceived stress and serum cortisol levels in womenundergoing post-mastectomy breast reconstruction.Methods: Nineteen women undergoing post-mastectomy breast reconstruction wererecruited to a pilot study. At one week prior, one week after, and one month after surgery,participants completed fifteen saliva samples at each time-point as well as measures forpsychosocial factors, including stress (PSS) and subjective wound healing. Objective measurement of wound healing was conducted at three to eight weeks post-surgery using the EPISCAN, a high frequency ultrasound imaging system. Serum cortisol levels analysed with salivary cortisol enzyme immunoassay.Findings: A Pearson‘s correlation was computed to assess the relationship between perceived stress and subjective wound healing of the reconstructed breast(s) at one month post-surgery. There was a positive correlation between the two variables, r = 0.530, n =13, p = 0.031.Discussion: This output is significant in its combination of multiple methodologies to address the research aims; this output will add new knowledge that will contribute to the understanding of how women heal after a breast reconstruction and how the role psychosocial difficulties may play in wound healing.

M3 - Abstract

ER -