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Women's satisfaction was surveyed using the <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>reatment <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecision <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>atisfaction <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uestionnaire, and the <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>rief <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ymptom <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nventory\u201018 was used to measure psychological distress. Women who were living alone, who worked as professionals and who were not involved in the decision\u2010making process by their doctors were less likely to be satisfied with their decision process, outcome and their overall treatment decision. Following treatment, 26.0% of women were distressed; 18.3% experienced anxiety; 19.2% somatization; and 27.9% depression. Women who experienced somatization were more likely to be dissatisfied with the treatment decision (<jats:italic>P<\/jats:italic>\u2009=\u20090.003) as were those who reported psychological distress (<jats:italic>P<\/jats:italic>\u2009=\u20090.020). Women who were involved in choosing their treatment were more satisfied with their decision. Many women experienced distress following breast cancer treatment and might have required referral for psychological assessment, management and long\u2010term support. 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