Publication Name	World Journal of Psychiatry
Manuscript ID	118378
Country	China

Category	Psychiatry
Manuscript Type	Retrospective Study
Article Title	Association between postoperative anxiety and depression symptoms and willingness for breast reconstruction in breast cancer patients
Manuscript Source	Unsolicited Manuscript
All Author List	Xiao-Hu Sun, Wen-Fu Shi and Xu-Chen Cao
Funding Agency and Grant Number	Funding Agency Grant Number National Natural Science Foundation of China No. 32270810 Tianjin Key Medical Discipline (Specialty) Construction Project No. TJYXZDXK-3-003A
Corresponding Author	Xu-Chen Cao, Chief Physician, PhD, The First Department of Breast Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, Tianjin Clinical Research Center for Cancer, Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Medical University, Ministry of Education, West Huan-Hu Road, Ti Yuan Bei, Hexi District, Tianjin 300060, China. caoxuchen0907@126.com
Key Words	Breast cancer; Anxiety; Depression; Breast reconstruction; Cognition; Attitude; Mental health
Core Tip	Postoperative anxiety and depression are highly prevalent among breast cancer patients after total mastectomy and are strongly associated with reduced willingness for breast reconstruction. This study demonstrates that anxiety and depression negatively affect patients’ cognition and attitudes toward breast reconstruction, which in turn diminishes reconstruction intention. Patients with anxiety-depression comorbidity show the most pronounced decline. These findings highlight mental health as a modifiable factor in reconstruction decision-making and underscore the importance of integrating psychological assessment and intervention into routine breast cancer care to improve reconstruction acceptance and overall quality of life.
Citation	Sun XH, Shi WF, Cao XC. Association between postoperative anxiety and depression symptoms and willingness for breast reconstruction in breast cancer patients. World J Psychiatry 2026; In press

Received	2026-01-23 09:54
Peer-Review Started	2026-01-23 09:54
First Decision by Editorial Office Director	2026-02-10 09:06
Return for Revision	2026-02-10 09:06
Revised	2026-02-26 14:13
Publication Fee Transferred	2026-02-28 03:23
Second Decision by Editor	2026-03-27 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-03-27 08:12
Articles in Press	2026-03-27 08:12
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3206 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com