Change in self-image pressure level before and after autologous fat breast augmentation and its effect on social adaptability

Table 1 Self-report Psychosocial Adjustment to Illness Scale score of patients in various demographic data (mean ± SD)

Basic data		n (%)	Preoperative PAIS-SR	F	P value	Preoperative BIDQ	F	P value
Age (yr)	18-24	24 (16.90)	56.67 ± 4.37	0.750	0.526	31.00 ± 7.40	0.255	0.858
	25-31	83 (58.45)	58.15 ± 4.29			30.81 ± 7.33
	32-38	30 (21.13)	56.63 ± 6.24			31.26 ± 7.82
	≥ 39	5 (3.52)	56.33 ± 3.51			33.33 ± 8.14
Marital status	Married childless	38 (26.76)	57.58 ± 3.74	1.622	0.190	31.92 ± 8.05	1.813	0.151
	Unmarried childless	31 (21.83)	59.26 ± 5.24			27.58 ± 7.78
	Married with child	57 (40.14)	56.39 ± 5.14			31.08 ± 6.24
	Married with children	16 (11.27)	58.10 ± 3.84			33.20 ± 7.83
Degree of education	Primary and junior high schools	29 (20.42)	58.83 ± 4.55	19.455	< 0.001	34.61 ± 5.34	2.199	0.094
	High school	35 (24.65)	57.50 ± 5.04			30.48 ± 6.69
	Specialty	40 (28.17)	56.36 ± 5.24			29.50 ± 6.41
	Bachelor’s degree or above	38 (26.76)	55.38 ± 4.13			29.46 ± 5.78
Monthly income (yuan)	≤ 3500	14 (9.86)	59.56 ± 6.77	1.440	0.243	29.78 ± 10.32	0.203	0.817
	3500-8000	77 (54.22)	56.86 ± 4.48			31.23 ± 7.00
	≥ 8000	51 (35.92)	57.94 ± 4.42			30.44 ± 7.19
Employment situation	On guard	91 (64.08)	59.46 ± 6.03	6.489	< 0.001	30.86 ± 5.73	3.666	< 0.001
	Unemployment (including unemployment)	51 (35.92)	53.10 ± 4.01			34.67 ± 5.12

PAIS-SR: Self-report Psychosocial Adjustment to Illness Scale; BIDQ: Body image disturbance questionnaire.

Table 2 Body image disturbance questionnaire and Self-report Psychosocial Adjustment to Illness Scale reliability analysis

Variables of interest		Cronbach’s coefficient	Number of terms
Scale		0.883	7
PAIS-SR scale	Hygiene and health	0.837	7
	Ability to work	0.829	8
	Family situation	0.842	7
	Sexual ability	0.898	4
	Situation of communication	0.865	5
	The entertainment situation	0.813	6
	BIDQ psychological status	0.821	7
	Summary table	0.861	44

PAIS-SR: Self-report Psychosocial Adjustment to Illness Scale; BIDQ: Body image disturbance questionnaire.

Table 3 Patients with body image disturbance questionnaire and Self-report Psychosocial Adjustment to Illness Scale scores before and after surgery

	Before surgery	After surgery	t	P value
Total BIDQ score	30.80 ± 7.37	26.33 ± 6.79	4.209	< 0.001
Total PAIS-SR score	57.46 ± 8.51	54.4 ± 8.13	2.450	0.015

PAIS-SR: Self-report Psychosocial Adjustment to Illness Scale; BIDQ: Body image disturbance questionnaire.

Table 4 Correlation between the scores of body image disturbance questionnaire dimensions and Self-report Psychosocial Adjustment to Illness Scale scores of patients before surgery

Variables of interest	r	P value
Total BIDQ score	0.773	< 0.001
BIDQ1 appearance caused attention	0.848	< 0.001
The extent to which behavioral interventions may be undertaken in BIDQ2	0.727	< 0.001
BIDQ3 body image-related distress	0.775	< 0.001
BIDQ4 social issues caused by body image	0.850	< 0.001
BIDQ5 body image’s impact on social life	0.791	< 0.001
Effect of body image on other role functioning in BIDQ6	0.765	< 0.001
BIDQ7 avoidance behaviors due to body image	0.645	< 0.001

PAIS-SR: Self-report Psychosocial Adjustment to Illness Scale; BIDQ: Body image disturbance questionnaire.

Table 5 Correlation between the scores of body image disturbance questionnaire dimensions and self-report psychosocial adjustment to illness scale scores in postoperative patients

Variables of interest	r	P value
BIDQ1 appearance caused attention	0.714	< 0.001
The extent to which behavioral interventions may be undertaken in BIDQ2	0.663	< 0.001
BIDQ3 body image-related distress	0.652	< 0.001
BIDQ4 social issues caused by body image	0.639	< 0.001
BIDQ5 body image’s impact on social life	0.703	< 0.001
Effect of body image on other role functioning in BIDQ6	0.685	< 0.001
BIDQ7 avoidance behaviors due to body image	0.348	< 0.001
BIDQ1 appearance caused attention	0.401	< 0.001

BIDQ: Body image disturbance questionnaire.

Table 6 Multivariate analysis of preoperative Self-report Psychosocial Adjustment to Illness Scale scores

Independent variable	b	Sb	b’	t	P value
Degree of concern caused by the appearance in BIDQ1	1.784	0.660	0.249	2.704	0.008
The extent to which behavioral interventions may be undertaken in BIDQ2	2.282	0.646	0.245	3.531	0.001
BIDQ3 body image-related distress	1.882	0.71	0.202	2.651	0.009
BIDQ4 social issues caused by body image	1.161	0.721	0.114	1.612	0.109
BIDQ5 body image’s impact on social life	1.786	0.534	0.288	3.346	0.001
Effect of body image on other role functioning in BIDQ6	0.679	0.598	0.083	1.135	0.259
BIDQ7 avoidance behaviors due to body image	0.386	0.427	0.057	0.903	0.368
Total BIDQ score	1.153	0.080	0.773	14.396	< 0.001

BIDQ: Body image disturbance questionnaire.

Table 7 Postoperatively, psychosocial adjustment to illness scale-multiple factors analysis of the self-report score

Independent variable	b	Sb	b’	t	P value
Degree of concern caused by the appearance in BIDQ1	1.308	0.545	0.185	2.399	0.018
The extent to which behavioral interventions may be undertaken in BIDQ2	1.185	0.438	0.162	2.707	0.008
BIDQ3 body image-related distress	0.979	0.548	0.113	1.785	0.076
BIDQ4 social issues caused by body image	2.155	0.439	0.344	4.908	< 0.001
BIDQ5 body image’s impact on social life	0.984	0.528	0.131	1.863	0.065
Effect of body image on other role functioning in BIDQ6	0.279	0.372	0.041	0.751	0.454
BIDQ7 avoidance behaviors due to body image	0.698	0.325	0.118	2.148	0.034
Total BIDQ score	2.155	0.439	1.552	4.908	< 0.001

BIDQ: Body image disturbance questionnaire.